Evidence map›Paper›PMID 37540463›Full record

ReviewJapanese journal of radiology2024

Fairness of artificial intelligence in healthcare: review and recommendations.

Daiju Ueda, Taichi Kakinuma, Shohei Fujita, Koji Kamagata, Yasutaka Fushimi, Rintaro Ito, Yusuke Matsui, Taiki Nozaki, Takeshi Nakaura, Noriyuki Fujima and 8 more

Abstract readReview
In one paragraph

Review in Japanese journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 220 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
220citing papers in PubMed, 15 pooled it
–field-weighted citation impact
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

220 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  7. The Role of AI in Nursing Education and Practice: Umbrella Review.Journal of medical Internet research · 2025
    Pooled it
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  17. SOFA-2 Score and Mortality in Suspected Infection Stratified by Cirrhosis Status: A Multi-Institutional Observational Cohort Study.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Observational
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160 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Daiju UedaDepartment of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-Machi, Abeno-ku, Osaka, 545-8585, Japan. ai.labo.ocu@gmail.com.ORCID http://orcid.org/0000-0002-3878-3616
Taichi KakinumaSTORIA Law Office, Chuo-ku, Kobe, Hyogo, Japan.
Shohei FujitaDepartment of Radiology, University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Koji KamagataDepartment of Radiology, Juntendo University Graduate School of Medicine, Bunkyo-ku, Tokyo, Japan.
Yasutaka FushimiDepartment of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Sakyoku, Kyoto, Japan.
Rintaro ItoDepartment of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Yusuke MatsuiDepartment of Radiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Kita-ku, Okayama, Japan.
Taiki NozakiDepartment of Radiology, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Takeshi NakauraDepartment of Diagnostic Radiology, Kumamoto University Graduate School of Medicine, Chuo-ku, Kumamoto, Japan.
Noriyuki FujimaDepartment of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Japan.
Fuminari TatsugamiDepartment of Diagnostic Radiology, Hiroshima University, Minami-ku, Hiroshima, Japan.
Masahiro YanagawaDepartment of Radiology, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.
Kenji HirataDepartment of Diagnostic Imaging, Graduate School of Medicine, Hokkaido University, Kita-ku, Sapporo, Hokkaido, Japan.
Akira YamadaDepartment of Radiology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Takahiro TsuboyamaDepartment of Radiology, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.
Mariko KawamuraDepartment of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Tomoyuki FujiokaDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan.
Shinji NaganawaDepartment of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this review, we address the issue of fairness in the clinical integration of artificial intelligence (AI) in the medical field. As the clinical adoption of deep learning algorithms, a subfield of AI, progresses, concerns have arisen regarding the impact of AI biases and discrimination on patient health. This review aims to provide a comprehensive overview of concerns associated with AI fairness; discuss strategies to mitigate AI biases; and emphasize the need for cooperation among physicians, AI researchers, AI developers, policymakers, and patients to ensure equitable AI integration. First, we define and introduce the concept of fairness in AI applications in healthcare and radiology, emphasizing the benefits and challenges of incorporating AI into clinical practice. Next, we delve into concerns regarding fairness in healthcare, addressing the various causes of biases in AI and potential concerns such as misdiagnosis, unequal access to treatment, and ethical considerations. We then outline strategies for addressing fairness, such as the importance of diverse and representative data and algorithm audits. Additionally, we discuss ethical and legal considerations such as data privacy, responsibility, accountability, transparency, and explainability in AI. Finally, we present the Fairness of Artificial Intelligence Recommendations in healthcare (FAIR) statement to offer best practices. Through these efforts, we aim to provide a foundation for discussing the responsible and equitable implementation and deployment of AI in healthcare.

Indexed as

Artificial IntelligenceRadiologyAlgorithmsDelivery of Health CareHumansRadiologistsArtificial intelligenceBiasFairnessHealthcareMedicineReview

Identifiers

PMID37540463
PMCPMC10764412

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.