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August 26, 2026Expert Review of Medical Devices

Overcoming the opaque side of AI in healthcare: a lifecycle based approach

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Authors

EBElisabetta BianchiniLBLucia BilleciNCNoemi Conditi

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Overview

Narrative review reveals a lifecycle framework for medical AI devices, highlighting nine operational measures to ensure transparency, regulatory compliance, and safe clinical adoption.

Key Points

  • To establish a lifecycle-oriented operational framework that guides the systematic implementation, evaluation, and governance of transparency in AI-enabled medical devices.
  • Synthesized regulatory frameworks (EU MDR, EU AI Act), data-protection legislation, and ISO/IEC standards governing software as a medical device (SaMD).
  • Mapped transparency requirements across the complete SaMD lifecycle, including ideation, design, risk management, technical/clinical validation, market launch, maintenance, and disposal.
  • Demonstrated that transparency must be engineered proactively as a continuous lifecycle property rather than an isolated post-market evaluation.
  • Defined nine operational measures including documented dataset assumptions, traceability, subgroup validation, usability-focused explainability, structured labeling, and regulated end-of-life data handling.

Cite This Study

Bianchini et al. (2026) studied this question.

synapsesocial.com/papers/6a8e9bcc451774b83f3b49b9https://doi.org/10.1080/17434440.2026.2723944
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