Evidence map›Paper›PMID 38834557›Full record

ArticleNature communications2024

Fairer AI in ophthalmology via implicit fairness learning for mitigating sexism and ageism.

Weimin Tan, Qiaoling Wei, Zhen Xing, Hao Fu, Hongyu Kong, Yi Lu, Bo Yan, Chen Zhao

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

8 authors.

Weimin Tan *School of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0001-7677-4772
Qiaoling Wei *Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-2842-4262
Zhen XingSchool of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-1176-6987
Hao FuSchool of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China.
Hongyu KongEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Yi LuEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China. luyieent@126.com.
Bo YanSchool of Computer Science, Shanghai Key Laboratory of Intelligent Information Processing, Fudan University, Shanghai, China. byan@fudan.edu.cn.ORCID http://orcid.org/0000-0001-5692-3486
Chen ZhaoEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China. dr_zhaochen@fudan.edu.cn.ORCID http://orcid.org/0000-0003-1373-7637

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62372117National Natural Science Foundation of China (National Science Foundation of China) 82020108006National Natural Science Foundation of China (National Science Foundation of China) U2001209Natural Science Foundation of Shanghai (Natural Science Foundation of Shanghai Municipality) 21ZR1406600
6 · The paper itself

Abstract

The transformative role of artificial intelligence (AI) in various fields highlights the need for it to be both accurate and fair. Biased medical AI systems pose significant potential risks to achieving fair and equitable healthcare. Here, we show an implicit fairness learning approach to build a fairer ophthalmology AI (called FairerOPTH) that mitigates sex (biological attribute) and age biases in AI diagnosis of eye diseases. Specifically, FairerOPTH incorporates the causal relationship between fundus features and eye diseases, which is relatively independent of sensitive attributes such as race, sex, and age. We demonstrate on a large and diverse collected dataset that FairerOPTH significantly outperforms several state-of-the-art approaches in terms of diagnostic accuracy and fairness for 38 eye diseases in ultra-widefield imaging and 16 eye diseases in narrow-angle imaging. This work demonstrates the significant potential of implicit fairness learning in promoting equitable treatment for patients regardless of their sex or age.

Indexed as

AgeismArtificial IntelligenceOphthalmologySexismAdultAgedEye DiseasesFemaleHumansMaleMiddle Aged

Identifiers

PMID38834557
PMCPMC11150422

What OpenQuestion holds

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Registered trials

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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.