Cited by 107Artificial Intelligence in Healthcare and EducationEthics and Social Impacts of AIExplainable Artificial Intelligence (XAI)

Approaching autonomy in medical artificial intelligence

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Bitterman, Danielle S, Aerts, Hugo J W L, Mak, Raymond H·2020·The Lancet Digital Health

Abstract

Artificial intelligence (AI) has the potential to transform the delivery of health care by automating complex tasks that traditionally required substantial training and expertise. Contrary to concerns that fully automated AI will replace health-care providers,1 a more likely scenario is that providers will increasingly interact with task-specific and domain-specific AI systems across a continuum of automation. The level of AI autonomy is broadly accepted to be crucial to the risk-assessment of AI algorithms, yet its definition and classification is poorly defined.

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  • In medical imaging, automation bias can manifest when clinicians or radiologists place undue trust in AI outputs or recommendations, leading them to overlook important information or make errors in diagnosis or treatment planning.

    “In the context of AI in medical imaging, automation bias can manifest when clinicians or radiologists place undue trust in the outputs or recommendations provided by AI algorithms, leading them to overlook potentially important information or make errors in diagnosis or treatment planning.43”
  • The incorporation of AI into health care decision-making can affect the presentation and comprehension of options by patients.

    “The incorporation of AI into health care decision-making can affect the presentation and comprehension of options by patients.”

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Authors
Bitterman, D. S., Aerts, H. J. W. L., & Mak, R. H.
Affiliations
Brigham and Women's Hospital (US)
Corresponding author
Mak, Raymond H
Venue
The Lancet Digital Health
Publisher
Elsevier BV
Published
2020-09
Volume
2
Issue
9
Pages
e447-e449
ISSN
2589-7500 (ISSN-L)
OpenAlex
W3080484018
Cited by
107
References
3
Citations by year
2026: 24 · 2025: 21 · 2024: 21 · 2023: 17 · 2022: 13 · 2021: 11
FWCI
3.06
Type
journal article
Language
en
Open access
Locations
  • The Lancet Digital Health (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Social Sciences › Safety Research › Ethics and Social Impacts of AI
  • Physical Sciences › Computer Science › Artificial Intelligence › Explainable Artificial Intelligence (XAI)
Keywords
artificial intelligence in healthcare, AI risk assessment, clinical decision support, AI classification, healthcare automation
MeSH terms
Artificial Intelligence, Delivery of Health Care, Humans

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