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. 2026 Mar 6;9:1727704. doi: 10.3389/frai.2026.1727704

Table 5.

Ethical concerns and corresponding mitigation strategies.

Ethical concern Core description Mitigation strategies References
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.

Xu et al. (2025), Schweihoff et al. (2021), and Weaver (2016)
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).

Andriollo et al. (2024), Kuratani et al. (2022), and Weaver (2016)
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.

Weaver (2016)
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.

Diplock et al. (2023), Xu et al. (2025), and Wu et al. (2025)