Article (Scientific journals)
A practical guide to the implementation of AI in orthopaedic research-Part 7: Risks, limitations, safety and verification of medical AI systems.
Winkler, Philipp W; Zsidai, Bálint; Hamrin Senorski, Eric et al.
2025In Journal of Experimental Orthopaedics, 12 (2), p. 70247
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Keywords :
AI; certification; digitalization; future; healthcare; risk; safety; standards; Orthopedics and Sports Medicine
Abstract :
[en] [en] UNLABELLED: Artificial intelligence (AI) has been influencing healthcare and medical research for several years and will likely become indispensable in the near future. AI is intended to support healthcare professionals to make the healthcare system more efficient and ultimately improve patient outcomes. Despite the numerous benefits of AI systems, significant concerns remain. Errors in AI systems can pose serious risks to human health, underscoring the critical need for safety, as well as adherence to ethical and moral standards, before these technologies can be integrated into clinical practice. To address these challenges, the development, certification, and deployment of medical AI systems must adhere to strict and transparent regulations. The European Commission has already established a regulatory framework for AI systems by enacting the European Union Artificial Intelligence Act. This review article, part of an AI learning series, discusses key considerations for medical AI systems such as reliability, accuracy, trustworthiness, lawfulness and legal compliance, ethical and moral alignment, sustainability, and regulatory oversight. LEVEL OF EVIDENCE: Level V.
Disciplines :
Physical, chemical, mathematical & earth Sciences: Multidisciplinary, general & others
Author, co-author :
Winkler, Philipp W ;  Department for Orthopaedics and Traumatology Kepler University Hospital GmbH, Johannes Kepler University Linz Linz Austria ; Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden ; Sahlgrenska Sports Medicine Center Göteborg Sweden
Zsidai, Bálint;  Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden ; Sahlgrenska Sports Medicine Center Göteborg Sweden
Hamrin Senorski, Eric ;  Sahlgrenska Sports Medicine Center Göteborg Sweden ; Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden
Pruneski, James A;  Department of Orthopaedic Surgery Tripler Army Medical Center Honolulu Hawaii USA
Hirschmann, Michael T;  Department of Orthopaedic Surgery and Traumatology Kantonsspital Baselland Bruderholz Switzerland ; University of Basel Basel Switzerland
LEY, Christophe ;  University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Mathematics (DMATH)
Tischer, Thomas;  Department of Orthopaedic Surgery University Medicine Rostock Rostock Germany ; Department of Orthopaedic and Trauma Surgery Malteser Waldkrankenhaus Erlangen Erlangen Germany
Herbst, Elmar;  Department of Trauma Hand and Reconstructive Surgery, University Hosptial Muenster Münster Germany
Pareek, Ayoosh;  Sports Medicine and Shoulder Institute Hospital for Special Surgery New York New York USA
Musahl, Volker;  Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center University of Pittsburgh Pittsburgh Pennsylvania USA
Oeding, Jacob F;  Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden ; Mayo Clinic Alix School of Medicine Mayo Clinic Rochester Minnesota USA
Oettl, Felix C;  Department of Orthopedic Surgery Balgrist University Hospital, University of Zürich Zurich Switzerland
Longo, Umile Giuseppe ;  Fondazione Policlinico Universitario Campus Bio-Medico Roma Italy ; Department of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery Università Campus Bio-Medico di Roma Roma Italy
Samuelsson, Kristian ;  Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden ; Sahlgrenska Sports Medicine Center Göteborg Sweden ; Department of Orthopaedics Sahlgrenska University Hospital Mölndal Sweden
Feldt, Robert;  Department of Computer Science and Engineering Chalmers University of Technology Gothenburg Sweden
ESSKA Artificial Intelligence Working Group
More authors (6 more) Less
External co-authors :
yes
Language :
English
Title :
A practical guide to the implementation of AI in orthopaedic research-Part 7: Risks, limitations, safety and verification of medical AI systems.
Publication date :
April 2025
Journal title :
Journal of Experimental Orthopaedics
eISSN :
2197-1153
Publisher :
John Wiley and Sons Inc, United States
Volume :
12
Issue :
2
Pages :
e70247
Peer reviewed :
Peer Reviewed verified by ORBi
Funding text :
The authors received no specific funding for this study. Open access funding provided by University of Gothenburg.
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