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Large language model AI chatbots require approval as medical devices
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“Healthcare represents a uniquely demanding domain for explainable AI (XAI), where incorrect or biased decisions can directly impact patient outcomes and where regulatory frameworks increasingly mandate algorithmic transparency [7].”
From Explainability of decoder-only clinical large language models: A scoping review (2026) · cites this paper as [7]
In the citing paper
“Thirdly, the integration of such models in operable clinical software systems faces legal and regulatory challenges because these models require approval as medical devices26.”
From Large language models and multimodal foundation models for precision oncology (2024) · cites this paper as [26]
In the citing paper
“A particularly evolving and debated topic is the regulation of LLMs, and in which contexts and intended uses do they qualify as medical devices (191,192).”
From Artificial Intelligence in Oncology: Current Landscape, Challenges, and Future Directions (2024) · cites this paper as [192]
In the citing paper
“This need is accentuated by the lack of professional guidelines or regulatory oversight within this field23.”
From The ethics of ChatGPT in medicine and healthcare: a systematic review on large language models (LLMs) (2024) · cites this paper as [23]
Citations
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Metadata
- Authors
- Gilbert, S., Harvey, H., Melvin, T., Vollebregt, E., & Wicks, P.
- Affiliations
- Else Kröner Fresenius Center for Digital Health (DE)
- Trinity College Dublin (IE)
- Corresponding author
- Gilbert, Stephen
- Venue
- Nature Medicine
- Published
- 2023-06-30
- Volume
- 29
- Issue
- 10
- Pages
- 2396-2398
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- OpenAlex
- W4382678522
- Cited by
- 207
- References
- 7
- Citations by year
- 2026: 42 · 2025: 61 · 2024: 82 · 2023: 22
- FWCI
- 8.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Bildung und Forschung (16KISA100K)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Regulation
- Social Sciences › Law › Digitalization, Law, and Regulation
- Keywords
- large language models, AI chatbots, medical device regulation, regulatory approval, patient care, AI reliability
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.
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.
What counts as a claim ›How we measure confidence ›How we check this ›
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