StayCurrentMD · Explainable AI: Ethical Frameworks, Bias, and the Necessity for Benchmarks
Article1 min read·Published Sep 2025

Explainable AI: Ethical Frameworks, Bias, and the Necessity for Benchmarks

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Article · Sep 2025 · 1 min read

In brief

In brief

This review examines explainable AI (XAI) in pediatric surgery, addressing critical challenges of algorithmic bias, transparency, and trust in AI-driven clinical decisions for vulnerable pediatric populations. The authors emphasize the need for ethical frameworks and standardized benchmarks to ensure safe, fair AI implementation in children's healthcare.

  • XAI makes AI decisions interpretable and accountable, addressing opacity concerns in pediatric healthcare applications.
  • Bias in AI models poses significant risks to vulnerable pediatric populations requiring careful ethical oversight.
  • Standardized benchmarks are essential for evaluating XAI safety and effectiveness in pediatric surgery contexts.
  • Trust and transparency in AI systems depend on explainability frameworks tailored to clinical decision-making needs.
  • Ethical frameworks must guide XAI development to ensure fair and safe AI applications for children.

Written by the GCMD Library team from the article.

Artificial intelligence (AI) is increasingly integrated into pediatric healthcare, offering opportunities to improve diagnostic accuracy and clinical decision-making. However, the complexity and opacity of many AI models raise concerns about trust, transparency, and safety, especially in vulnerable pediatric populations. Explainable AI (XAI) aims to make AI-driven decisions more interpretable and accountable. This review outlines the role of XAI in pediatric surgery, emphasizing challenges related to bias, the importance of ethical frameworks, and the need for standardized benchmarks. Addressing these aspects is essential to developing fair, safe, and effective AI applications for children. Finally, we provide recommendations for future research and implementation to guide the development of robust and ethically sound XAI solutions.

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