Towards Clinical AI Fairness: Filling Gaps in the Puzzle

The ethical integration of Artificial Intelligence (AI) in healthcare necessitates addressing fairness-a concept that is highly context-specific across medical fields. Extensive studies have been conducted to expand the technical components of AI fairness, while tremendous calls for AI fairness have been raised from healthcare. Despite this, a significant disconnect persists between technical advancements and their practical clinical applications, resulting in a lack of contextualized discussion of AI fairness in clinical settings. Through a detailed evidence gap analysis, our review systematically pinpoints several deficiencies concerning both healthcare data and the provided AI fairness solutions. We highlight the scarcity of research on AI fairness in many medical domains where AI technology is increasingly utilized. Additionally, our analysis highlights a substantial reliance on group fairness, aiming to ensure equality among demographic groups from a macro healthcare system perspective; in contrast, individual fairness, focusing on equity at a more granular level, is frequently overlooked. To bridge these gaps, our review advances actionable strategies for both the healthcare and AI research communities. Beyond applying existing AI fairness methods in healthcare, we further emphasize the importance of involving healthcare professionals to refine AI fairness concepts and methods to ensure contextually relevant and ethically sound AI applications in healthcare.

hyper-sinh: An Accurate and Reliable Function from Shallow to Deep Learning in TensorFlow and Keras

This paper presents the 'hyper-sinh', a variation of the m-arcsinh activation function suitable for Deep Learning (DL)-based algorithms for supervised learning, such as Convolutional Neural Networks (CNN). hyper-sinh, developed in the open source Python libraries TensorFlow and Keras, is thus described and validated as an accurate and reliable activation function for both shallow and deep neural networks. Improvements in accuracy and reliability in image and text classification tasks on five (N = 5) benchmark data sets available from Keras are discussed. Experimental results demonstrate the overall competitive classification performance of both shallow and deep neural networks, obtained via this novel function. This function is evaluated with respect to gold standard activation functions, demonstrating its overall competitive accuracy and reliability for both image and text classification.