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. 2025 Sep 8;31(5):440–455. doi: 10.4274/dir.2025.243182

Table 6. Critiques identified in the analysis of the 35 review papers eligible for review- or study-level analyses.

Category

Critique identified about the CLAIM with representative source articles

Fulfillment

Certain items may be viewed as overly strict or difficult to meet43

Certain items are too technical, requiring advanced engineering or statistical knowledge14

Applicability

Some items are not applicable to all study types12, 13, 14,30,39

Feasibility and practicality

Some items may be impractical or infeasible in real-world settings22

Structure

Dividing the checklist into distinct sections sometimes complicates quality assessment39

Interpretation

Deciding if an item is sufficiently reported is subjective13,39,44

Certain items may be viewed as vague or lack clarity in their current form22

Certain items provide limited guidance on holistically interpreting a manuscript alongside its code45

Relative importance

Certain items may be more crucial than others but are currently weighted equally13,39

Scoring

Lack of standardized score or compliance calculation strategy44

CLAIM, Checklist for Artificial Intelligence in Medical Imaging.