Evidence map›Paper›PMID 32006241›Full record

ArticleLa Radiologia medica2020

Artificial intelligence: Who is responsible for the diagnosis?

Emanuele Neri, Francesca Coppola, Vittorio Miele, Corrado Bibbolino, Roberto Grassi

Open access · bronzeAbstract readEditorial
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 4 pooled it
9.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 4 syntheses or guidelines pooled it, 229 citations in OpenAlex.

  1. Pooled it
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  17. How public involvement can improve the science of AI.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Review
  18. Article
  19. Article
  20. Legal Implication in Utilizing Automated Robots: A Written Informed Consent Form Proposal.The international journal of medical robotics + computer assisted surgery : MRCAS · 2025
    Review

49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Emanuele NeriDiagnostic Radiology 3, Department of Translational Research, University of Pisa, Pisa, Italy. emanuele.neri@med.unipi.it.ORCID http://orcid.org/0000-0001-7950-4559
Francesca CoppolaRadiology Unit, Department of Diagnostic and Preventive Medicine, Sant' Orsola Malpighi University Hospital, Bologna, Italy.
Vittorio MieleDepartment of Emergency Radiology, University Hospital Careggi, Florence, Italy.
Corrado BibbolinoSNR Foundation, Rome, Italy.
Roberto GrassiDepartment of Radiology, University of Campania "Luigi Vanvitelli", Naples, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the paper is to find an answer to the question "Who or what is responsible for the benefits and harms of using artificial intelligence in radiology?" When human beings make decisions, the action itself is normally connected with a direct responsibility by the agent who generated the action. You have an effect on others, and therefore, you are responsible for what you do and what you decide to do. But if you do not do this yourself, but an artificial intelligence system, it becomes difficult and important to be able to ascribe responsibility when something goes wrong. The manuscript addresses the following statements: (1) using AI, the radiologist is responsible for the diagnosis; (2) radiologists must be trained on the use of AI since they are responsible for the actions of machines; (3) radiologists involved in R&D have the responsibility to guide the respect of rules for a trustworthy AI; (4) radiologist responsibility is at risk of validating the unknown (black box); (5) radiologist decision may be biased by the AI automation; (6)risk of a paradox: increasing AI tools to compensate the lack of radiologists; (7) need of informed consent and quality measures. Future legislation must outline the contours of the professional's responsibility, with respect to the provision of the service performed autonomously by AI, balancing the professional's ability to influence and therefore correct the machine, limiting the sphere of autonomy that instead technological evolution would like to recognize to robots.

Indexed as

Artificial IntelligenceClinical CompetenceLiability, LegalHumansRadiologyArtificial IntelligenceEthicsRadiologyRobotics

Identifiers

PMID32006241
OpenAlexW3003161132

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.