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Editorial
Copyright ©The Author(s) 2026.
World J Radiol. Jan 28, 2026; 18(1): 117814
Published online Jan 28, 2026. doi: 10.4329/wjr.v18.i1.117814
Table 1 Challenges and relevant systematic solutions
Challenge dimensions
Core issues
Strategic response plan
Data privacy and securityPatient imaging and medical record data are highly sensitiveBy adopting federated learning technology, we achieve collaborative training with the principle of ‘data stays local while models move’; hospital-based servers are utilized to ensure data remains within the hospital
Model interpretability and clinical trust“Black box” decision-making is difficult for physicians to acceptThe system needs to provide visual evidence (e.g., heat map) and a confidence score to establish a human-machine collaborative golden veto mechanism
Workflow integration and ethical responsibilitiesThe responsibility for adverse consequences caused by algorithmic errors is ambiguously definedThe legal framework must clearly define the role of AI as an auxiliary tool, with all diagnostic reports ultimately requiring review and signature by licensed physicians; all AI decision pathways must be blockchain-verified for traceability and auditing purposes