{"id":"https://openalex.org/W4411960392","doi":"https://doi.org/10.1007/s43681-025-00777-7","title":"Categorising challenges and solutions towards ethical AI in breast cancer treatment: a rapid umbrella review complemented by participatory methods","display_name":"Categorising challenges and solutions towards ethical AI in breast cancer treatment: a rapid umbrella review complemented by participatory methods","publication_year":2025,"publication_date":"2025-07-02","ids":{"openalex":"https://openalex.org/W4411960392","doi":"https://doi.org/10.1007/s43681-025-00777-7"},"language":"en","primary_location":{"id":"doi:10.1007/s43681-025-00777-7","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s43681-025-00777-7","pdf_url":"https://link.springer.com/content/pdf/10.1007/s43681-025-00777-7.pdf","source":{"id":"https://openalex.org/S4210170699","display_name":"AI and Ethics","issn_l":"2730-5953","issn":["2730-5953","2730-5961"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AI and Ethics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s43681-025-00777-7.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004077790","display_name":"Carina Dantas","orcid":"https://orcid.org/0000-0002-9887-7622"},"institutions":[{"id":"https://openalex.org/I182534213","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612","country_code":"PT","type":"education","lineage":["https://openalex.org/I182534213"]}],"countries":["PT"],"is_corresponding":true,"raw_author_name":"Carina Dantas","raw_affiliation_strings":["ICBAS \u2013 School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal","SHINE 2Europe, Lda, Coimbra, Portugal"],"affiliations":[{"raw_affiliation_string":"ICBAS \u2013 School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal","institution_ids":["https://openalex.org/I182534213"]},{"raw_affiliation_string":"SHINE 2Europe, Lda, Coimbra, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023362934","display_name":"Miriam Cabrita","orcid":"https://orcid.org/0000-0001-6757-9406"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Miriam Cabrita","raw_affiliation_strings":["SHINE 2Europe, Lda, Coimbra, Portugal"],"affiliations":[{"raw_affiliation_string":"SHINE 2Europe, Lda, Coimbra, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067880917","display_name":"Lu\u00eds Mid\u00e3o","orcid":"https://orcid.org/0000-0003-1981-2554"},"institutions":[{"id":"https://openalex.org/I182534213","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612","country_code":"PT","type":"education","lineage":["https://openalex.org/I182534213"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Lu\u00eds Mid\u00e3o","raw_affiliation_strings":["RISE-Health, Faculty of Pharmacy and Competences Centre on Active and Healthy Ageing (Porto4Ageing), University of Porto, Porto, Portugal"],"affiliations":[{"raw_affiliation_string":"RISE-Health, Faculty of Pharmacy and Competences Centre on Active and Healthy Ageing (Porto4Ageing), University of Porto, Porto, Portugal","institution_ids":["https://openalex.org/I182534213"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105975570","display_name":"Ana Sof\u00eda Carvalho","orcid":"https://orcid.org/0000-0003-1132-8880"},"institutions":[{"id":"https://openalex.org/I182534213","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612","country_code":"PT","type":"education","lineage":["https://openalex.org/I182534213"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Ana Sofia Carvalho","raw_affiliation_strings":["ICBAS \u2013 School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal"],"affiliations":[{"raw_affiliation_string":"ICBAS \u2013 School of Medicine and Biomedical Sciences, University of Porto, Porto, Portugal","institution_ids":["https://openalex.org/I182534213"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030749892","display_name":"El\u0131\u0301sio Costa","orcid":"https://orcid.org/0000-0003-1158-1480"},"institutions":[{"id":"https://openalex.org/I182534213","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612","country_code":"PT","type":"education","lineage":["https://openalex.org/I182534213"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"El\u00edsio Costa","raw_affiliation_strings":["RISE-Health, Faculty of Pharmacy and Competences Centre on Active and Healthy Ageing (Porto4Ageing), University of Porto, Porto, Portugal"],"affiliations":[{"raw_affiliation_string":"RISE-Health, Faculty of Pharmacy and Competences Centre on Active and Healthy Ageing (Porto4Ageing), University of Porto, Porto, Portugal","institution_ids":["https://openalex.org/I182534213"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5004077790"],"corresponding_institution_ids":["https://openalex.org/I182534213"],"apc_list":{"value":2290,"currency":"EUR","value_usd":2890},"apc_paid":{"value":2290,"currency":"EUR","value_usd":2890},"fwci":2.3231,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.89991467,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":98},"biblio":{"volume":"5","issue":"5","first_page":"5355","last_page":"5370"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12422","display_name":"Radiomics and Machine Learning in Medical Imaging","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.9763000011444092,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"Breast cancer","score":0.5978795886039734},{"id":"https://openalex.org/keywords/citizen-journalism","display_name":"Citizen journalism","score":0.5933651328086853},{"id":"https://openalex.org/keywords/engineering-ethics","display_name":"Engineering ethics","score":0.5046745538711548},{"id":"https://openalex.org/keywords/cancer-treatment","display_name":"Cancer treatment","score":0.42972874641418457},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.38766658306121826},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.374006450176239},{"id":"https://openalex.org/keywords/management-science","display_name":"Management science","score":0.33941400051116943},{"id":"https://openalex.org/keywords/sociology","display_name":"Sociology","score":0.3333951234817505},{"id":"https://openalex.org/keywords/cancer","display_name":"Cancer","score":0.2966296076774597},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.2520633339881897},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.16773536801338196},{"id":"https://openalex.org/keywords/law","display_name":"Law","score":0.1090417206287384}],"concepts":[{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.5978795886039734},{"id":"https://openalex.org/C203663800","wikidata":"https://www.wikidata.org/wiki/Q848979","display_name":"Citizen journalism","level":2,"score":0.5933651328086853},{"id":"https://openalex.org/C55587333","wikidata":"https://www.wikidata.org/wiki/Q1133029","display_name":"Engineering ethics","level":1,"score":0.5046745538711548},{"id":"https://openalex.org/C3019816032","wikidata":"https://www.wikidata.org/wiki/Q2575340","display_name":"Cancer treatment","level":3,"score":0.42972874641418457},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.38766658306121826},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.374006450176239},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.33941400051116943},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3333951234817505},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.2966296076774597},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.2520633339881897},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.16773536801338196},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.1090417206287384}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1007/s43681-025-00777-7","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s43681-025-00777-7","pdf_url":"https://link.springer.com/content/pdf/10.1007/s43681-025-00777-7.pdf","source":{"id":"https://openalex.org/S4210170699","display_name":"AI and Ethics","issn_l":"2730-5953","issn":["2730-5953","2730-5961"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AI and Ethics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1007/s43681-025-00777-7","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s43681-025-00777-7","pdf_url":"https://link.springer.com/content/pdf/10.1007/s43681-025-00777-7.pdf","source":{"id":"https://openalex.org/S4210170699","display_name":"AI and Ethics","issn_l":"2730-5953","issn":["2730-5953","2730-5961"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"AI and Ethics","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G4455665542","display_name":null,"funder_award_id":"101057619","funder_id":"https://openalex.org/F4320320300","funder_display_name":"European Commission"},{"id":"https://openalex.org/G7449509917","display_name":null,"funder_award_id":"101057699","funder_id":"https://openalex.org/F4320320300","funder_display_name":"European Commission"}],"funders":[{"id":"https://openalex.org/F4320320300","display_name":"European Commission","ror":"https://ror.org/00k4n6c32"},{"id":"https://openalex.org/F4320324086","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612"},{"id":"https://openalex.org/F4320334779","display_name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","ror":"https://ror.org/00snfqn58"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411960392.pdf","grobid_xml":"https://content.openalex.org/works/W4411960392.grobid-xml"},"referenced_works_count":42,"referenced_works":["https://openalex.org/W1492272080","https://openalex.org/W1497617446","https://openalex.org/W1976696667","https://openalex.org/W2007465020","https://openalex.org/W2079283960","https://openalex.org/W2282619714","https://openalex.org/W2896261602","https://openalex.org/W2900176719","https://openalex.org/W2916945581","https://openalex.org/W2936320514","https://openalex.org/W2972301119","https://openalex.org/W3015977534","https://openalex.org/W3033511014","https://openalex.org/W3042489844","https://openalex.org/W3081630584","https://openalex.org/W3091804242","https://openalex.org/W3123805385","https://openalex.org/W3134165704","https://openalex.org/W3144543375","https://openalex.org/W3156414125","https://openalex.org/W3183751693","https://openalex.org/W4205256108","https://openalex.org/W4220781430","https://openalex.org/W4280634583","https://openalex.org/W4285493981","https://openalex.org/W4290033826","https://openalex.org/W4307636803","https://openalex.org/W4309389095","https://openalex.org/W4318200093","https://openalex.org/W4323041949","https://openalex.org/W4323309293","https://openalex.org/W4380265614","https://openalex.org/W4385270867","https://openalex.org/W4386392896","https://openalex.org/W4386624058","https://openalex.org/W4393119757","https://openalex.org/W4399509522","https://openalex.org/W4400272615","https://openalex.org/W4400657848","https://openalex.org/W4402711931","https://openalex.org/W4405350677","https://openalex.org/W4405984719"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2280487763","https://openalex.org/W4405112912","https://openalex.org/W2375584271","https://openalex.org/W1997105855","https://openalex.org/W4301030387","https://openalex.org/W2414286769","https://openalex.org/W2013223288","https://openalex.org/W3015743358","https://openalex.org/W3091939572"],"abstract_inverted_index":{"Abstract":[0],"Ethical":[1],"issues":[2],"in":[3,27,55,94,168,233,243],"Artificial":[4],"Intelligence":[5],"(AI)":[6],"are":[7,21,116,201],"central":[8],"to":[9,46,74,120,127],"the":[10,31,48,59,83,128,140],"global":[11],"political":[12],"and":[13,19,57,98,104,118,147,175,197,230,236],"scientific":[14],"agenda.":[15],"However,":[16],"existing":[17],"guidelines":[18],"regulations":[20],"generic":[22],"across":[23],"distinct":[24],"AI":[25,34,54,234,242],"applications":[26],"societal":[28],"domains.":[29],"Analysing":[30],"use":[32,240],"of":[33,81,131,142,166,172,186,194,241],"for":[35,61,152,207,228],"breast":[36],"cancer":[37],"treatment":[38],"as":[39,139,180,203,205,220],"a":[40,67,86,211,238],"case":[41],"study,":[42],"this":[43,76],"work":[44],"aims":[45],"review":[47,69],"main":[49],"biases":[50],"brought":[51],"up":[52],"by":[53,91,216],"healthcare":[56,235],"set":[58],"grounds":[60],"categorising":[62],"such":[63,138,179],"issues.":[64],"We":[65],"combined":[66,103],"literature":[68],"with":[70],"participatory":[71,224],"research":[72],"methods":[73],"investigate":[75],"emerging":[77],"topic.":[78],"These":[79,100],"consisted":[80],"reviewing":[82],"state-of-the-art,":[84],"through":[85,106,222],"rapid":[87],"umbrella":[88],"review,":[89],"complemented":[90],"stakeholder":[92],"consultation":[93],"social":[95],"innovation":[96],"sessions,":[97],"interviews.":[99],"results":[101,111],"were":[102],"analysed":[105],"Rapid":[107],"Qualitative":[108],"Analysis.":[109],"Our":[110],"clearly":[112],"show":[113],"that":[114],"challenges":[115],"multicomplex":[117],"need":[119],"be":[121],"structured":[122],"into":[123],"complementary":[124],"streams,":[125],"leading":[126],"following":[129],"categorisation":[130],"ethical":[132],"challenges:":[133],"(1)":[134],"Individual":[135],"(human)":[136],"challenges,":[137,151,163,178],"lack":[141,165,171,185],"adequate":[143,187],"training,":[144],"individual":[145],"beliefs":[146],"pre-conceptions;":[148],"(2)":[149],"Technical":[150],"example,":[153],"poor":[154],"algorithm":[155],"design":[156],"or":[157,170,184],"skewed":[158],"training":[159],"datasets;":[160],"(3)":[161],"Organisational":[162],"e.g.,":[164],"diversity":[167],"teams":[169],"audit":[173],"methods;":[174],"(4)":[176],"Societal":[177],"health":[181],"inequities,":[182],"discrimination":[183],"regulations.":[188],"Several":[189],"practical":[190],"examples":[191],"fitting":[192],"each":[193],"these":[195],"areas":[196,206],"potential":[198],"mitigation":[199],"measures":[200],"described,":[202],"well":[204],"future":[208],"research.":[209],"Consequently,":[210],"robust":[212],"ethics-by-design":[213],"framework":[214],"informed":[215],"broad":[217],"multistakeholder":[218],"engagement":[219],"demonstrated":[221],"our":[223],"methods,":[225],"is":[226],"essential":[227],"anticipating":[229],"mitigating":[231],"bias":[232],"promoting":[237],"fairer":[239],"health.":[244]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3}],"updated_date":"2026-04-21T08:09:41.155169","created_date":"2025-10-10T00:00:00"}
