Evidence map›Paper›PMID 39097662›Full record

ReviewNPJ digital medicine2024

The METRIC-framework for assessing data quality for trustworthy AI in medicine: a systematic review.

Daniel Schwabe, Katinka Becker, Martin Seyferth, Andreas Klaß, Tobias Schaeffter

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 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

62 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. AI in Medical Questionnaires: Scoping ReviewJournal of medical Internet research · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Revolutionizing diagnosis of pulmonaryFrontiers in microbiology · 2024
    Pooled it
  6. Article
  7. Review
  8. AI-based augmentation of oncology clinical trials.Nature reviews. Clinical oncology · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Current state and potential of hospitals for automated healthcare-associated infection surveillance: data from 24 European countries, 2022 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  17. Review
  18. Review
  19. Article
  20. Article

2 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.

Daniel SchwabeDivision Medical Physics and Metrological Information Technology, Physikalisch-Technische Bundesanstalt, Berlin, Germany. daniel.schwabe@ptb.de.ORCID http://orcid.org/0000-0003-2825-3352
Katinka BeckerDivision Medical Physics and Metrological Information Technology, Physikalisch-Technische Bundesanstalt, Berlin, Germany.ORCID http://orcid.org/0009-0007-9663-6722
Martin SeyferthDivision Medical Physics and Metrological Information Technology, Physikalisch-Technische Bundesanstalt, Berlin, Germany.ORCID http://orcid.org/0009-0000-5930-287X
Andreas KlaßDivision Medical Physics and Metrological Information Technology, Physikalisch-Technische Bundesanstalt, Berlin, Germany.ORCID http://orcid.org/0009-0007-3244-3729
Tobias SchaeffterDivision Medical Physics and Metrological Information Technology, Physikalisch-Technische Bundesanstalt, Berlin, Germany.ORCID http://orcid.org/0000-0003-1310-2631

Funding

European Commission (EC) 101100700
6 · The paper itself

Abstract

The adoption of machine learning (ML) and, more specifically, deep learning (DL) applications into all major areas of our lives is underway. The development of trustworthy AI is especially important in medicine due to the large implications for patients' lives. While trustworthiness concerns various aspects including ethical, transparency and safety requirements, we focus on the importance of data quality (training/test) in DL. Since data quality dictates the behaviour of ML products, evaluating data quality will play a key part in the regulatory approval of medical ML products. We perform a systematic review following PRISMA guidelines using the databases Web of Science, PubMed and ACM Digital Library. We identify 5408 studies, out of which 120 records fulfil our eligibility criteria. From this literature, we synthesise the existing knowledge on data quality frameworks and combine it with the perspective of ML applications in medicine. As a result, we propose the METRIC-framework, a specialised data quality framework for medical training data comprising 15 awareness dimensions, along which developers of medical ML applications should investigate the content of a dataset. This knowledge helps to reduce biases as a major source of unfairness, increase robustness, facilitate interpretability and thus lays the foundation for trustworthy AI in medicine. The METRIC-framework may serve as a base for systematically assessing training datasets, establishing reference datasets, and designing test datasets which has the potential to accelerate the approval of medical ML products.

Identifiers

PMID39097662
PMCPMC11297942

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.