Cited by 632Artificial Intelligence in Healthcare and EducationExplainable Artificial Intelligence (XAI)Artificial Intelligence in Healthcare

Minimum information about clinical artificial intelligence modeling: the MI-CLAIM checklist.

Open access
Norgeot, Beau, Quer, Giorgio, Beaulieu-Jones, Brett K., Torkamani, Ali, Dias, Raquel, Gianfrancesco, Milena, Arnaout, Rima, Kohane, Isaac S. +5 more·2020·Nature Medicine

Abstract

Here we present the MI-CLAIM checklist, a tool intended to improve transparent reporting of AI algorithms in medicine.

Integrity signals

Registry

Crossref · 10.1038/s41591-020-1041-y

Cites

23 of 23 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

3 of 4 cited sources checked · 0 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    The same methods that enable new analyses of clinical data can also allow patient re-identification in ways that are sometimes unpredictable.

    “Furthermore, the same methods that are enabling new analyses of clinical data may also enable the re-identification of patients in sometimes unpredictable ways17.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [17] Schwarz, C. G. et al. N. Engl. J. Med. 381, 1684–1686 (2019). source

      The paper reports that face-recognition software matched photographs to reconstructed cranial MRI faces for 70 of 84 participants, demonstrating a potential route to re-identification. It does not establish that the same methods enable new analyses of clinical data or describe the risk as unpredictable. (LLM, conf=0.82)

      Experimental — accuracy not yet measured
  • Interpretationcitation
    § Minimum information about clinical artificial intelligence modeling: the MI-CLAIM checklist

    Newer machine-learning approaches carry a risk of greater complexity and reduced interpretability, even when advanced interpretation methods are applied.

    “Newer methodologies have the danger of becoming more complex and less interpretable, even when sophisticated interpretation technique are used11.”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [11] Lipton, Z. C. Queue 16, 31–57 (2018). source

      The discussion of simulatability (§3.1.1, p. 4) links complexity to difficulty understanding a model, and the discussion of post-hoc interpretability (§3.2, p. 5) says such techniques often do not reveal precisely how a model works. But §4.1 (p. 7) cautions that deep models are not uniformly less interpretable than simpler ones and can have advantages for some post-hoc interpretations. The paper supports the stated risk, not a general trend that newer methodologies are less interpretable. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
  • Premisecitation
    § Minimum information about clinical artificial intelligence modeling: the MI-CLAIM checklist

    Minimum information guidelines have substantially improved the downstream utility, transparency, and interpretability of data in repositories and publications across many other research domains.

    “In the past, ‘minimum information’ guidelines have substantially improved the downstream utility, transparency, and interpretability of data deposited in repositories and reported in publications across many other research domains, including data on randomized control trials15, RNA (gene) expression, diagnostic accuracy15, observational studies16, and meta-analyses.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [15] Moher, D. et al. Br. Med. J. 340, c869 (2010). source

      In the section on improving RCT reporting, the paper identifies CONSORT as a checklist of essential reporting items. Its closing discussion says CONSORT seems to have improved reporting in journals that adopted it and notes that other groups use its template for diagnostic tests. It does not establish improved utility of data deposited in repositories or demonstrate that diagnostic-accuracy reporting has improved. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites [16] von Elm, E. et al. Ann. Intern. Med. 147, 573–577 (2007). source
  • Interpretationreasoning
    § Minimum information about clinical artificial intelligence modeling: the MI-CLAIM checklist

    Inadequate documentation of how training and test cohorts were selected, how models were developed, and how they were validated has contributed to confusion in the field.

    “Unclear documentation on training and test-cohort selection, development methodology, and how systems were validated has added to the confusion.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 2
  • Classified as probably not a substantial claim.

    Premisenone given

    Real-world circumstances can prevent complete sharing of code, for example when commercial entities treat their codebase as a proprietary trade secret.

    “Real-world circumstances may prevent the complete sharing of code in certain situations, such as for results published by commercial entities that view their code base as a proprietary trade secret.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S4 (based).

    Interpretationnone given

    No single method for examining or interpreting a model is perfect.

    “Furthermore, no single examination or interpretation methodology is perfect.”
    Quote in the paperNot a substantial claim
2 of 2
  • The paper relies on this without support.

    Overfitting and information leakage are the strongest drivers of poor generalization out of sample and of misrepresentations of model efficacy.

    “These two factors are the strongest drivers of poor generalization out of sample and misrepresentations of model efficacy.”
  • The paper relies on this without support.

    Testing with an external cohort from an independent clinic or hospital system is the highest level of validation.

    “Testing with an external cohort from an independent clinic or hospital system is the highest level of validation.”
  • The paper relies on this without support.

    Cross-validation is not a replacement for a separate test cohort.

    “Cross-validation is not a replacement for a separate test cohort and should not be described as such.”
  • The paper relies on this without support.

    Machine-learning models in other fields have shown serious shortcomings when researchers have attempted to generalize across populations.

    “as these models in other fields have shown serious shortcomings when researchers have attempted to generalize across populations.”
  • The paper relies on this without support.

    Sharing raw clinical data is often not possible because of institutional patient-privacy policies.

    “Sharing of raw clinical data is often neither possible, due to institutional patient-privacy policies, nor advisable without such safeguards in place.”
  • The paper relies on this without support.

    Validation of exact results is generally less important than whether the results are validated in a new cohort of patients.

    “In any case, validation of the exact results is generally of less interest than whether or not the results are validated in a new cohort of patients.”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Research works printed but not linked: 3

  1. Subbaswamy, A. & Saria, S. Biostatistics 21, 345–352 (2020).
  2. Pan, J., McGuinness, K., Sayrol, E., O’Connor, N. & Giro-i-Nieto, X. arXiv https://ui.adsabs.harvard.edu/abs/2016arXiv160300845P (2016).
  3. Lundberg, S. & Lee, S.-I. arXiv https://ui.adsabs.harvard.edu/abs/2017arXiv170507874L (2017).

Cited by

Sorted by citations

Authors
Norgeot, B., Quer, G., Beaulieu-Jones, B. K., Torkamani, A., Dias, R., Gianfrancesco, M., Arnaout, R., Kohane, I. S., Saria, S., Topol, E., Obermeyer, Z., Yu, B., & Butte, A. J.
Affiliations
  • University of California, San Francisco (US)
  • Scripps Research Institute (US)
  • Johns Hopkins University (US)
  • University of California, Berkeley (US)
Corresponding author
Butte, Atul J.
Venue
Nature Medicine
Published
2020-09
Volume
26
Issue
9
Pages
1320-1324
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W3083804794
Cited by
632
References
23
Citations by year
2026: 112 · 2025: 106 · 2024: 126 · 2023: 105 · 2022: 93 · 2021: 60 · 2020: 9
FWCI
16.40
Type
journal article
Language
en
Open access
Locations
  • Nature Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
  • FAIRsharing.org
Topics
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Physical Sciences › Computer Science › Artificial Intelligence › Explainable Artificial Intelligence (XAI)
  • Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
Keywords
clinical AI, reporting guidelines, algorithmic transparency, reporting quality
MeSH terms
Machine Learning, Arthritis, Rheumatoid, Artificial Intelligence, Diabetic Retinopathy, Humans, Drug-Related Side Effects and Adverse Reactions

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-05.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-05.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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