Francesco T. Mangano · Investigation of bias in an epilepsy machine learning algorithm trained on physician notes.
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Article1 min read·Published Nov 2026

Investigation of bias in an epilepsy machine learning algorithm trained on physician notes.

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Article · Nov 2026 · 1 min read

In brief

In brief

This study examines whether natural language processing algorithms trained on physician notes exhibit racial bias when identifying epilepsy surgery candidates. Using 1097 clinical notes from 175 patients, researchers evaluated algorithmic fairness in surgical referral recommendations to address documented disparities in epilepsy surgery utilization.

Written by the GCMD Library team from the article.

Francesco T. Mangano

Racial disparities in the utilization of epilepsy surgery are well documented, but it is unknown whether a natural language processing (NLP) algorithm trained on physician notes would produce biased recommendations for epilepsy presurgical evaluations. To assess this, an NLP algorithm was trained to identify potential surgical candidates using 1097 notes from 175 epilepsy patients with a history o…

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