Journal
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
Volume 19, Issue 7, Pages 816-820Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacr.2021.11.014
Keywords
Artificial intelligence; ethics; legal; liability; medical malpractice
Funding
- Advanced Radiology Services Foundation of Grant Rapids, Michigan
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This article discusses the potential of AI models to surpass human clinicians in diagnostic and recommending tasks, and addresses the ethical and legal implications of their adoption. It suggests using explainable AI models, strategies to reduce liability, relieving liability through legislation or regulation, and considering these models as potential defendants. The article also emphasizes the importance of clinicians considering the implications of advanced AI models.
It seems inevitable that diagnostic and recommender artificial intelligence models will ultimately reach a point when they outperform human clinicians. Just as antibiotics displaced a host of medicinals for treating infections, the superior performance of such models will force their adoption. This article contemplates certain ethical and legal implications bearing on that adoption, especially because they involve a clinician's exposure to allegations of malpractice. The article discusses four relevant considerations: (1) the imperative of using explainable artificial intelligence models in clinical care, (2) specific strategies for diminishing liability when a clinician agrees or disagrees with a model's findings or recommendations but the patient nevertheless experiences a poor outcome, (3) relieving liability through legislation or regulation, and (4) comprehending such models as persons and therefore as potential defendants in legal proceedings. We conclude with observations on clinician-vendor relationships and argue that, although advanced artificial intelligence models have not yet arrived, clinicians must begin considering their implications now.
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