โก Quick Summary
This systematic review explores the landscape of Artificial Intelligence-based Software as a Medical Device (AI-SaMD), highlighting key findings and challenges in its implementation across healthcare. The study emphasizes the need for interdisciplinary collaboration and regulatory clarity to enhance the practical application of AI-SaMD technologies.
๐ Key Details
- ๐ Timeframe: Literature published between 2015 and 2024
- ๐ Framework: PRISMA for systematic review
- ๐ Focus Areas: Radiology and ophthalmology as primary clinical settings
- โ๏ธ Challenges Identified: Regulatory issues, AI malpractice, data governance
๐ Key Takeaways
- ๐ AI-SaMD is increasingly being approved but remains under-researched.
- ๐ก Key challenges include regulatory frameworks and the need for explainability in AI.
- ๐ฉโโ๏ธ Clinician training is essential for effective AI-SaMD implementation.
- ๐ Integration with existing healthcare systems is crucial for success.
- ๐ ๏ธ Validation of AI models is necessary to ensure reliability and safety.
- ๐ค Interdisciplinary collaboration is vital for overcoming implementation barriers.
- ๐ Future research should focus on practical applications rather than theoretical analyses.
๐ Background
The emergence of AI-SaMD represents a significant advancement in medical technology, allowing for the use of AI-driven software in healthcare without the need for physical devices. Despite its potential, the field faces numerous challenges, particularly in regulatory and clinical integration. This review aims to shed light on these issues and provide a comprehensive overview of the current state of AI-SaMD research.
๐๏ธ Study
The systematic review conducted by Ebad et al. utilized the PRISMA framework to analyze literature from the past decade. The study aimed to classify key findings, identify challenges, and synthesize insights related to the technological, clinical, and regulatory aspects of AI-SaMD. The focus was primarily on specialized clinical settings, such as radiology and ophthalmology, where AI applications are more prevalent.
๐ Results
The review revealed that most studies concentrated on specific clinical areas rather than general practice. Key challenges identified include regulatory issues, such as the need for clear frameworks, and concerns regarding AI malpractice, particularly in terms of explainability and the necessity for expert oversight. Additionally, data governance issues, including privacy and data sharing, were highlighted as significant barriers to implementation.
๐ Impact and Implications
The findings of this study underscore the importance of addressing the challenges associated with AI-SaMD to facilitate its integration into healthcare. By focusing on regulatory clarity, interdisciplinary collaboration, and clinician training, stakeholders can enhance the effectiveness of AI technologies in clinical settings. The implications of this research extend beyond theoretical discussions, emphasizing the need for practical, experimental approaches to advance AI-SaMD applications in real-world scenarios.
๐ฎ Conclusion
This systematic review highlights the critical need for further research in the field of AI-SaMD, particularly in overcoming existing challenges and enhancing practical applications. As the healthcare landscape continues to evolve, the integration of AI technologies holds great promise for improving patient outcomes and streamlining clinical processes. The future of AI-SaMD is bright, but it requires concerted efforts from researchers, clinicians, and regulatory bodies to realize its full potential.
๐ฌ Your comments
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Artificial Intelligence-Based Software as a Medical Device (AI-SaMD): A Systematic Review.
Abstract
Background/Objectives: Artificial intelligence-based software as a medical device (AI-SaMD) refers to AI-powered software used for medical purposes without being embedded in physical devices. Despite increasing approvals over the past decade, research in this domain-spanning technology, healthcare, and national security-remains limited. This research aims to bridge the existing research gap in AI-SaMD by systematically reviewing the literature from the past decade, with the aim of classifying key findings, identifying critical challenges, and synthesizing insights related to technological, clinical, and regulatory aspects of AI-SaMD. Methods: A systematic literature review based on the PRISMA framework was performed to select the relevant AI-SaMD studies published between 2015 and 2024 in order to uncover key themes such as publication venues, geographical trends, key challenges, and research gaps. Results: Most studies focus on specialized clinical settings like radiology and ophthalmology rather than general clinical practice. Key challenges to implement AI-SaMD include regulatory issues (e.g., regulatory frameworks), AI malpractice (e.g., explainability and expert oversight), and data governance (e.g., privacy and data sharing). Existing research emphasizes the importance of (1) addressing the regulatory problems through the specific duties of regulatory authorities, (2) interdisciplinary collaboration, (3) clinician training, (4) the seamless integration of AI-SaMD with healthcare software systems (e.g., electronic health records), and (5) the rigorous validation of AI-SaMD models to ensure effective implementation. Conclusions: This study offers valuable insights for diverse stakeholders, emphasizing the need to move beyond theoretical analyses and prioritize practical, experimental research to advance the real-world application of AI-SaMDs. This study concludes by outlining future research directions and emphasizing the limitations of the predominantly theoretical approaches currently available.
Author: [‘Ebad SA’, ‘Alhashmi A’, ‘Amara M’, ‘Miled AB’, ‘Saqib M’]
Journal: Healthcare (Basel)
Citation: Ebad SA, et al. Artificial Intelligence-Based Software as a Medical Device (AI-SaMD): A Systematic Review. Artificial Intelligence-Based Software as a Medical Device (AI-SaMD): A Systematic Review. 2025; 13:(unknown pages). doi: 10.3390/healthcare13070817