FairnessExplainabilityPrivacycs.AI
Artificial Intelligence-Driven Clinical Decision Support Systems
Muhammet Alkan, Idris Zakariyya, Samuel Leighton, Kaushik Bhargav Sivangi, Christos Anagnostopoulos, Fani Deligianni
January 16, 2025
arXiv.org
6 citations
Key Takeaways
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AI in healthcare requires validation beyond accuracy metrics: The paper emphasizes that rigorous validation strategies including model calibration and decision curve analysis are essential—technical accuracy alone is insufficient for trustworthy clinical decision support systems.
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Bias and fairness must be actively addressed: The work stresses that equitable healthcare delivery through AI demands deliberate methods to identify and mitigate bias in clinical predictive models, rather than assuming fair outcomes will emerge naturally from accurate predictions.
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Explainability is critical for clinical adoption: Healthcare professionals need to understand not just what an AI system recommends, but why it makes that recommendation—explainability is positioned as a cornerstone of human-centered decision support, not an optional feature.
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Privacy vulnerabilities are serious and multifaceted: The paper identifies multiple privacy risks in medical AI systems, ranging from data leakage in deep learning models to attacks targeting model explanations themselves, indicating that privacy protection requires ongoing vigilance.
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Privacy-performance trade-offs require careful navigation: While privacy-preservation strategies like differential privacy and federated learning exist, the paper acknowledges inherent trade-offs between protecting patient privacy and maintaining model performance—organizations must make intentional choices about acceptable levels of each.
Abstract
As artificial intelligence (AI) becomes increasingly embedded in healthcare delivery, this chapter explores the critical aspects of developing reliable and ethical Clinical Decision Support Systems (CDSS). Beginning with the fundamental transition from traditional statistical models to sophisticated machine learning approaches, this work examines rigorous validation strategies and performance assessment methods, including the crucial role of model calibration and decision curve analysis. The chapter emphasizes that creating trustworthy AI systems in healthcare requires more than just technical accuracy; it demands careful consideration of fairness, explainability, and privacy. The challenge of ensuring equitable healthcare delivery through AI is stressed, discussing methods to identify and mitigate bias in clinical predictive models. The chapter then delves into explainability as a cornerstone of human-centered CDSS. This focus reflects the understanding that healthcare professionals must not only trust AI recommendations but also comprehend their underlying reasoning. The discussion advances in an analysis of privacy vulnerabilities in medical AI systems, from data leakage in deep learning models to sophisticated attacks against model explanations. The text explores privacy-preservation strategies such as differential privacy and federated learning, while acknowledging the inherent trade-offs between privacy protection and model performance. This progression, from technical validation to ethical considerations, reflects the multifaceted challenges of developing AI systems that can be seamlessly and reliably integrated into daily clinical practice while maintaining the highest standards of patient care and data protection.
Added acknowledgements for the corresponding author, updated Figure 4, 5 & 6
Paper Info
arXiv ID2501.09628
PublishedJanuary 16, 2025
RevisedFebruary 17, 2025
Citations
6
Relevance92%
VenuearXiv.org
TypeJournalArticle
Categorycs.AI
Responsible AI Topics
FairnessExplainabilityPrivacy
Links
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