Evaluation and Regulation of Artificial Intelligence Medical Devices for Clinical Decision Support
Bibliographic record
Abstract
Artificial intelligence (AI) methods were first developed nearly seven decades ago. Only in recent years have they demonstrated their potential to improve clinical care at the bedside. AI systems are now capable of interpreting, predicting, and even generating important medical information. AI medical devices share many similarities with traditional medical devices but also diverge from them in important ways. Despite widespread optimism and enthusiasm surrounding the use of such devices to improve care processes, patient outcomes, and the healthcare experience for patients, caregivers, and clinicians alike, little evidence exists so far for their effectiveness in practice. Even less is known about the safety or equity of AI medical devices. As with any new technology, this exciting time is accompanied by appropriate questions regarding if, how much, when, and who such AI systems really help. Different stakeholders, ranging from patients to clinicians to industry device developers, may have divergent preferences or assessments of risk and benefits, warranting an informed public discussion to guide emerging regulatory efforts. This review summarizes the rapidly evolving recent efforts and evidence related to the regulation and evaluation of AI medical devices and highlights opportunities for future work to ensure their effectiveness, safety, and equity.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.019 | 0.041 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.004 | 0.003 |
| Science and technology studies | 0.000 | 0.002 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.003 | 0.004 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".