Table 1. Summary of Ethical Challenges and Applications of AI in Medicine.
SHAP: SHapley Additive eXplanations; LIME: Local Interpretable Model-agnostic Explanations; FIRM: Fairness in Machine Learning.
| Aspect | Details | Examples | ||||
| Applications in Medicine | Diagnostics, personalized treatments, drug discovery, radiology, pathology, and GI disorder detection. | AI in colonoscopy for polyp detection. | ||||
| AI in Drug Discovery | Protein structure prediction, RNA/DNA folding analysis, small-molecule virtual screening. | AlphaFold, AtomNet, Schrödinger platforms. | ||||
| Ethical Challenges | Data privacy, bias, transparency, accountability, and workforce displacement. | Genomic data breaches, biased datasets. | ||||
| Key Risks | Data breaches, re-identification of anonymized data, biased outcomes, opaque decision-making. | 23andMe breach, algorithm bias in oncology. | ||||
| Mitigation Strategies | Privacy-by-design, federated learning, diverse datasets, explainable AI, dynamic ethical oversight. | WHO 2023 Ethical Guidelines. | ||||
| Validation | Experimental techniques to confirm AI predictions. | X-ray crystallography, NMR spectroscopy. | ||||
| Workforce Implications | Job displacement concerns; opportunities in algorithm development and clinical trial optimization. | AI in radiology; reskilling initiatives. | ||||
| Transparency Techniques | Enhancing interpretability of AI models with SHAP, LIME, and attention mechanisms. | Visual explanations for medical imaging. | ||||
| Accountability Frameworks | Shared responsibility among developers, providers, and institutions. | Fairness in Machine Learning (FIRM). | ||||