Evidence map›Paper›PMID 40367163›Full record

ReviewScience advances2025

A roadmap for safe, regulation-compliant Living Labs for AI and digital health development.

Stephen Gilbert, Rebecca Mathias, Anett Schönfelder, Magdalena Wekenborg, Julia Steinigen-Fuchs, Anja Dillenseger, Tjalf Ziemssen

Abstract readReview
In one paragraph

Review in Science advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. AI-enabled Living Labs: Accelerating innovation in multiple sclerosis care and research.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

7 authors.

Stephen GilbertElse Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.ORCID 0000-0002-1997-1689
Rebecca MathiasElse Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.ORCID 0000-0002-3906-2415
Anett SchönfelderElse Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.ORCID 0009-0007-7064-1611
Magdalena WekenborgElse Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.ORCID 0000-0002-4498-107X
Julia Steinigen-FuchsMember of the ethics committee at TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.
Anja DillensegerCenter of Clinical Neuroscience, Department of Neurology, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.
Tjalf ZiemssenCenter of Clinical Neuroscience, Department of Neurology, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstr. 74, 01307 Dresden, Germany.ORCID 0000-0001-8799-8202

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Safe and agile experimentation spaces are essential for developing AI-enabled medical devices and digital health innovations. "Living Labs" offer a collaborative environment for testing technologies in near-real-world settings, capturing user perspectives and outcomes, often missed in traditional testing. However, the flexibility of Living Labs often clashes with the European Union's rigid regulatory frameworks for medical devices that were not designed for digital technologies. We examine this intersection, showing how flexibility in evaluation and patient interaction can coexist with safety guardrails. Our approach integrates technology readiness, preemptive planning, and iterative modifications to bridge innovation and regulation, fostering adaptive health care technology development.

Indexed as

Artificial IntelligenceDigital TechnologyDigital HealthEuropean UnionHumans

Identifiers

PMID40367163
PMCPMC12077496

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.