Responsible artificial intelligence in medical imaging: a systematic review - Takeaways - MDSpire

Responsible artificial intelligence in medical imaging: a systematic review

  • By

  • Nafiz Fahad

  • Ridwan Jamal Sadib

  • Rakib Hossain Sajib

  • Md Kishor Morol

  • Dip Nandi

  • Tze Hui Liew

  • July 16, 2026

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  • 1

    Responsible AI in medical imaging requires high diagnostic accuracy, transparent reasoning, equitable performance, privacy protection, and clinical trustworthiness.

  • 2

    The systematic review synthesized 24 studies from 2020 to 2025 focusing on AI applications in various imaging modalities for disease detection.

  • 3

    Explainability methods like Grad-CAM and LIME were prevalent, while fairness and privacy-preserving learning were less frequently represented in the studies.

  • 4

    Several studies reported accuracy or sensitivity above 90%, but results should be interpreted cautiously due to reliance on internal validation and curated datasets.

  • 5

    Responsible medical imaging AI evaluation should include external validation, privacy risk analysis, clinician-centered explanation assessment, and post-deployment monitoring.

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