Open AccessRandomized Controlled Trials in Medical AI A Methodological Critique
Author(s) -
Konstantin Genin,
Thomas Grote
Publication year - 2021
Publication title -
philosophy of medicine
Language(s) - English
Resource type - Journals
ISSN - 2692-3963
DOI - 10.5195/philmed.2021.27
Subject(s) - randomized controlled trial , context (archaeology) , quality (philosophy) , clinical trial , engineering ethics , management science , psychology , medicine , epistemology , engineering , pathology , history , philosophy , archaeology
Various publications claim that medical AI systems perform as well, or better, than clinical experts.However, there have been very few controlled trials and the quality of existing studies has been calledinto question. There is growing concern that existing studies overestimate the clinical benefits of AIsystems. This has led to calls for more, and higher-quality, randomized controlled trials of medicalAI systems. While this a welcome development, AI RCTs raise novel methodological challenges thathave seen little discussion. We discuss some of the challenges arising in the context of AI RCTs andmake some suggestions for how to meet them.