Ethical Considerations in the Deployment of Artificial Intelligence in Surgery

IF 1.7 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-10-06 DOI:10.1016/j.jss.2025.08.019

Paola A. Barrios MD, MS , Nicole Meredyth MD , Rachel Morris MD , Krista Haines MD , Grace J. Kim MD , Carrie Y. Peterson MD, MS

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引用次数: 0

Abstract

Artificial intelligence (AI) is an attractive option to optimize surgical decision-making. However, multiple ethical concerns exist when applying AI to clinical care. We must consider the benefits of increased efficiency and potential accuracy of using AI against the principles of medical ethics, notably patient autonomy, beneficence, nonmaleficence, and justice. Discrepancies can result in concerns with bias, inequality, transparency, and patient safety as the medical field learns and begins to integrate this new technology. This manuscript is an extension of our 2024 meeting symposium on the topic and provides a review of the current literature around the ethical challenges of AI in academic surgery. We consider accountability, consent, notification, and bias in the setting of patient care and surgical education. Our goal is to equip physicians with a clear understanding of the ethical challenges and considerations surrounding AI to help them make informed decisions about integrating the technology into their practice and careers.

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人工智能在外科手术中应用的伦理考虑。

人工智能（AI）是优化手术决策的一个有吸引力的选择。然而，在将人工智能应用于临床护理时，存在多种伦理问题。我们必须考虑使用人工智能提高效率和潜在准确性的好处，而不是医学伦理原则，特别是患者自主、仁慈、无害和正义。随着医学领域学习并开始整合这项新技术，差异可能会导致对偏见、不平等、透明度和患者安全的担忧。这份手稿是我们关于该主题的2024年会议研讨会的延伸，并提供了关于人工智能在学术外科中的伦理挑战的当前文献综述。我们考虑问责制，同意，通知和偏见在病人护理和手术教育的设置。我们的目标是让医生清楚地了解人工智能的道德挑战和考虑因素，帮助他们在将技术融入实践和职业生涯时做出明智的决定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.