Not someone, but something: Rethinking trust in the age of medical AI

Fuente: arXiv
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1. Verfasser: Beger, Jan
Format: Preprint
Veröffentlicht: 2025
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author Beger, Jan
author_facet Beger, Jan
contents As artificial intelligence (AI) becomes embedded in healthcare, trust in medical decision-making is changing fast. Nowhere is this shift more visible than in radiology, where AI tools are increasingly embedded across the imaging workflow - from scheduling and acquisition to interpretation, reporting, and communication with referrers and patients. This opinion paper argues that trust in AI isn't a simple transfer from humans to machines - it is a dynamic, evolving relationship that must be built and maintained. Rather than debating whether AI belongs in medicine, it asks: what kind of trust must AI earn, and how? Drawing from philosophy, bioethics, and system design, it explores the key differences between human trust and machine reliability - emphasizing transparency, accountability, and alignment with the values of good care. It argues that trust in AI should not be built on mimicking empathy or intuition, but on thoughtful design, responsible deployment, and clear moral responsibility. The goal is a balanced view - one that avoids blind optimism and reflexive fear. Trust in AI must be treated not as a given, but as something to be earned over time.
format Preprint
id arxiv_https___arxiv_org_abs_2504_05331
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Not someone, but something: Rethinking trust in the age of medical AI
Beger, Jan
Computers and Society
Artificial Intelligence
Human-Computer Interaction
As artificial intelligence (AI) becomes embedded in healthcare, trust in medical decision-making is changing fast. Nowhere is this shift more visible than in radiology, where AI tools are increasingly embedded across the imaging workflow - from scheduling and acquisition to interpretation, reporting, and communication with referrers and patients. This opinion paper argues that trust in AI isn't a simple transfer from humans to machines - it is a dynamic, evolving relationship that must be built and maintained. Rather than debating whether AI belongs in medicine, it asks: what kind of trust must AI earn, and how? Drawing from philosophy, bioethics, and system design, it explores the key differences between human trust and machine reliability - emphasizing transparency, accountability, and alignment with the values of good care. It argues that trust in AI should not be built on mimicking empathy or intuition, but on thoughtful design, responsible deployment, and clear moral responsibility. The goal is a balanced view - one that avoids blind optimism and reflexive fear. Trust in AI must be treated not as a given, but as something to be earned over time.
title Not someone, but something: Rethinking trust in the age of medical AI
topic Computers and Society
Artificial Intelligence
Human-Computer Interaction
url https://arxiv.org/abs/2504.05331