Towards actionability for open medical imaging datasets: lessons from community-contributed platforms for data management and stewardship

Medical imaging datasets are fundamental to artificial intelligence (AI) in healthcare. The accuracy, robustness and fairness of diagnostic algorithms depend on the data (and its quality) on which the models are trained and evaluated. Medical imaging datasets have become increasingly available to the public, and are often hosted on Community-Contributed Platforms (CCP), including private companies like Kaggle or HuggingFace. While open data is important to enhance the redistribution of data's public value, we find that the current CCP governance model fails to uphold the quality needed and recommended practices for sharing, documenting, and evaluating datasets. In this paper we investigate medical imaging datasets on CCPs and how they are documented, shared, and maintained. We first highlight some differences between medical imaging and computer vision, particularly in the potentially harmful downstream effects due to poor adoption of recommended dataset management practices. We then analyze 20 (10 medical and 10 computer vision) popular datasets on CCPs and find vague licenses, lack of persistent identifiers and storage, duplicates and missing metadata, with differences between the platforms. We present "actionability" as a conceptual metric to reveal the data quality gap between characteristics of data on CCPs and the desired characteristics of data for AI in healthcare. Finally, we propose a commons-based stewardship model for documenting, sharing and maintaining datasets on CCPs and end with a discussion of limitations and open questions.