| Data Privacy |
Risk of leakage of sensitive patient data (ultrasound images, diagnostic records) during AI model training/operation. |
Adopt federated averaging to avoid cross-center data transmission;
Implement end-to-end encryption (GB/T 35273–2023) and access control for medical data;
- Use edge computing for local model updates without cloud data upload.
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Xu et al. (2025), Schweihoff et al. (2021), and Weaver (2016)
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| Allocation of Responsibility |
Ambiguity in liability for adverse outcomes (e.g., needle deviation) caused by AI algorithm errors or improper operator use. |
Enhance algorithm transparency (disclose model training data sources and decision logic);
Establish a dual accountability mechanism: physicians for operational compliance, developers for algorithm safety;
- Embed real-time error logging to trace failure causes (e.g., AI drift vs. operator misoperation).
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Andriollo et al. (2024), Kuratani et al. (2022), and Weaver (2016)
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| Patient Informed Consent |
Difficulty for patients to understand complex AI technology, leading to inadequate informed consent. |
Use simplified visual aids (e.g., AI workflow diagrams) and case examples to explain AI’s role;
Develop standardized consent forms outlining AI limitations, potential risks, and alternative treatments;
- Provide verbal explanations in non-technical language to ensure comprehension.
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Weaver (2016)
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| Algorithmic Bias |
Continuous learning algorithms may exacerbate structural biases (e.g., underrepresentation of obese patients) in training data. |
Integrate diverse training datasets (including special populations like BMI > 35 patients);
Conduct periodic bias audits of AI models (e.g., quarterly assessment of segmentation accuracy across demographics);
- Involve ethicists and patient representatives in algorithm design reviews.
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Diplock et al. (2023), Xu et al. (2025), and Wu et al. (2025)
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