AI Chest X-Ray Model Found to Exhibit Race and Sex Bias, Raising Patient Safety Concerns

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A study led by Ben Glocker at Imperial College London found that an AI chest X-ray foundation model for disease detection shows significant race and sex bias, resulting in uneven and potentially unsafe clinical performance across patient groups. This bias could lead to misdiagnosis and harm, highlighting risks in medical AI deployment.[AI generated]

Why's our monitor labelling this an incident or hazard?

The article explicitly involves an AI system (a chest X-ray foundation model) used for disease detection. The study found that the AI system underperforms for certain racial and sex subgroups, indicating bias that could cause harm to patients if used clinically. This constitutes a violation of rights related to equitable healthcare and harm to health (a). Since the harm is realized in the model's performance and its potential clinical application, this qualifies as an AI Incident rather than a mere hazard or complementary information.[AI generated]
AI principles
FairnessSafetyRespect of human rightsAccountabilityRobustness & digital securityTransparency & explainability

Industries
Healthcare, drugs, and biotechnology

Affected stakeholders
ConsumersWomenOther

Harm types
Physical (injury)Human or fundamental rightsPsychologicalReputational

Severity
AI incident

Business function:
Research and developmentMonitoring and quality control

AI system task:
Recognition/object detection


Articles about this incident or hazard

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AI chest X-ray model analysis reveals race and sex bias

2023-09-27
Medical Xpress - Medical and Health News
Why's our monitor labelling this an incident or hazard?
The article explicitly involves an AI system (a chest X-ray foundation model) used for disease detection. The study found that the AI system underperforms for certain racial and sex subgroups, indicating bias that could cause harm to patients if used clinically. This constitutes a violation of rights related to equitable healthcare and harm to health (a). Since the harm is realized in the model's performance and its potential clinical application, this qualifies as an AI Incident rather than a mere hazard or complementary information.
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AI chest X-ray foundation model shows racial and sex-related bias

2023-09-29
News-Medical.net
Why's our monitor labelling this an incident or hazard?
The event involves an AI system explicitly described as a chest X-ray foundation model used for disease detection. The study demonstrates that the AI system's use leads to biased performance affecting different racial and sex subgroups, which can cause harm to patients' health and violate rights to equitable medical treatment. Since the harm is realized in the form of uneven and potentially unsafe clinical application, this qualifies as an AI Incident under the framework, specifically harm to health and violation of rights.
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AI Chest X-Ray Analysis Exposes Race, Sex Bias

2023-09-27
Mirage News
Why's our monitor labelling this an incident or hazard?
The article explicitly discusses an AI system (a chest X-ray foundation model) used for disease detection that demonstrates significant bias affecting different racial and sex subgroups. This bias leads to uneven and potentially unsafe clinical outcomes, which can harm patient health and violate rights to equitable medical treatment. The harm is realized through the AI system's use and its biased outputs, fulfilling the criteria for an AI Incident under the definitions provided.
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AI chest X-ray model analysis reveals race and sex bias

2023-09-27
Scienmag: Latest Science and Health News
Why's our monitor labelling this an incident or hazard?
The article explicitly discusses an AI system (a chest X-ray foundation model) used for disease detection that demonstrates bias causing uneven performance across racial and sex subgroups. This bias can lead to misdiagnosis or missed diagnosis, which constitutes harm to health (a). The study highlights that the model may be unsafe for clinical applications due to these biases, indicating realized or imminent harm. The AI system's use is directly linked to these harms through its biased outputs. Therefore, this qualifies as an AI Incident under the framework because the AI system's use has directly led to harm or risk of harm to persons' health and potentially violates equitable treatment principles.
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Race and Sex Bias Revealed in AI Chest X-Ray Foundation Model

2023-09-27
Inside Precision Medicine
Why's our monitor labelling this an incident or hazard?
The article explicitly discusses an AI system (a chest X-ray foundation model) used for disease detection that exhibits bias based on race and sex, resulting in uneven performance and potential clinical inaccuracy. This bias can directly harm patients by leading to misdiagnosis or missed diagnosis, which is injury or harm to health (harm category a). The AI system's development and use have directly led to this harm, fulfilling the criteria for an AI Incident. The article does not merely warn of potential future harm but reports actual bias found in a deployed model, indicating realized harm. Hence, the event is classified as an AI Incident.