Epistemic status of artificial intelligence in medical practice: Ethical challenges

Abstract

Advances in artificial intelligence have raised controversy in modern scientific research regarding the objectivity, plausibility, and reliability of knowledge, and whether these technologies will replace the expert figure as the authority that has so far served as a guarantor of objectivity and the center of decision-making. In their book on the history of scientific objectivity, modern historians of science L. Duston and P. Galison discuss the interchangeability of “epistemic virtues,” which now include objectivity. Moreover, selecting one or another virtue governing the scientific self, i.e., serving as a normative principle for a scientist when adopting a perspective or scientific practice, depends on making decisions in difficult cases that require will and self-restriction. In this sense, epistemology and ethics are intertwined: a scientist, guided by certain moral principles, prefers one or another course of action, such as choosing not a more accurate hand-drawn image but an unretouched photograph, perhaps fuzzy, but obtained mechanically, which means it is more objective and free of subjectivity. In this regard, the epistemic standing of modern artificial intelligence technologies, which increasingly perform the functions of the scientific self, including influencing ultimate decision-making and obtaining objective knowledge, is intriguing. For example, in medicine, robotic devices considerable support and are assigned some of the responsibilities of a primary care physician, such as collecting and analyzing standardized patient data and diagnosis. It is expected that artificial intelligence will take on more tasks such as data processing, development of new drugs and treatment methods, and remote interaction with patients. It remains to be seen whether this implies that the scientific self can be replaced by artificial intelligence algorithms and another epistemic virtue will replace objectivity, thus breaking the link between ethics and epistemology.

Keywords

modern scientific practices / objectivity / epistemic virtue / scientific self / artificial intelligence technologies

References

[1] Daston L, Galison P. Objectivity. Ivanov KV, editor. Moscow: Novoe literaturnoe obozrenie; 2018. (In Russ). EDN: PIXKTY

[2] Дастон Л., Галисон П. Объективность / под ред. К.В. Иванова. Москва: Новое литературное обозрение, 2018. EDN: PIXKTY

[3] Daston L, Galison P. Objectivity. Ivanov KV, editor. Moscow: Novoe literaturnoe obozrenie; 2018. (In Russ). EDN: PIXKTY

[4] Mol A. The body multiple ontology in medical practice. Gavrilenko SM, Pisarev AA, editors. Perm: Gile Press; 2017. EDN: LJXRPN

[5] Мол А. Множественное тело: Онтология в медицинской практике / под ред. С.М. Гавриленко, А.А. Писарева. Пермь : Гиле Пресс, 2017. EDN: LJXRPN

[6] Mol A. The body multiple ontology in medical practice. Gavrilenko SM, Pisarev AA, editors. Perm: Gile Press; 2017. EDN: LJXRPN

[7] Daston L, Galison P. The Image of Objectivity. Representations. 1992;(40):81–128. doi: 10.2307/2928741

[8] Daston L., Galison P. The Image of Objectivity // Representations. 1992. N 40. P. 81–128. doi: 10.2307/2928741

[9] Daston L, Galison P. The Image of Objectivity. Representations. 1992;(40):81–128. doi: 10.2307/2928741

[10] Maslanov EV. Artifact: culture and nature. In: Epistemology today. ideas, problems, discussions. Kasavin IT, Alekseeva DA, Antonovskii AYu, et al, editors. N. Novgorod: Lobachevsky State University of Nizhni Novgorod; 2018. P:295–299. EDN: ELYPTC

[11] Масланов Е.В. Артефакт: культура и природа. В: Эпистемология сегодня. Идеи, проблемы, дискуссии / под ред. И.Т. Касавина, Д.А. Алексеевой, А.Ю. Антоновского, и др. Н. Новгород : Национальный исследовательский Нижегородский государственный госуниверситет им. Н.И. Лобачевского, 2018. С. 295–299. EDN: ELYPTC

[12] Maslanov EV. Artifact: culture and nature. In: Epistemology today. ideas, problems, discussions. Kasavin IT, Alekseeva DA, Antonovskii AYu, et al, editors. N. Novgorod: Lobachevsky State University of Nizhni Novgorod; 2018. P:295–299. EDN: ELYPTC

[13] Baker LR. Ontological significance of artifacts. In: Ontologies of artifacts: the interaction of “natural” and “artificial” components of the lifeworld. Stolyarova OE, editor. Moscow: Izdatel’skii Dom «Delo» RANKhiGS; 2012. P:18−33. (In Russ).

[14] Бейкер Л.Р. Онтологическая значимость артефактов. В: Онтологии артефактов: взаимодействие «естественных» и «искусственных» компонентов жизненного мира / под ред. О.Е. Столяровой. Москва : Издательский дом «Дело» РАНХиГС, 2012. С. 18−33.

[15] Baker LR. Ontological significance of artifacts. In: Ontologies of artifacts: the interaction of “natural” and “artificial” components of the lifeworld. Stolyarova OE, editor. Moscow: Izdatel’skii Dom «Delo» RANKhiGS; 2012. P:18−33. (In Russ).

[16] Lynch M. Art and Artifact in Laboratory Science: A Study of Shop Work and Shop Talk in a Research Laboratory. London/Boston/Melbourne: Routledge & Kegan Paul; 1985.

[17] Lynch M. Art and Artifact in Laboratory Science: A Study of Shop Work and Shop Talk in a Research Laboratory. London/Boston/Melbourne : Routledge & Kegan Paul, 1985.

[18] Lynch M. Art and Artifact in Laboratory Science: A Study of Shop Work and Shop Talk in a Research Laboratory. London/Boston/Melbourne: Routledge & Kegan Paul; 1985.

[19] Latour B, Vakhshtain V, Smirnov A. On interobjectivity. Russian sociological review. 2007;6(2):79–96. (In Russ). EDN: JWURYH

[20] Латур Б., Вахштайн В., Смирнов А. Об интеробъективности // Социологическое обозрение. 2007. Т. 6, № 2. С. 79–96. EDN: JWURYH

[21] Latour B, Vakhshtain V, Smirnov A. On interobjectivity. Russian sociological review. 2007;6(2):79–96. (In Russ). EDN: JWURYH

[22] Latour B. Scientific objects and legal objectivity. Kul’tivator. 2011;(2):74–95. (In Russ).

[23] Латур Б. Научные объекты и правовая объективность // Культиватор. 2011. № 2. С. 74–95.

[24] Latour B. Scientific objects and legal objectivity. Kul’tivator. 2011;(2):74–95. (In Russ).

[25] Stolyarova OE. The historical context of science: material culture and ontologies. Epistemology and philosophy of science. 2011;30(4):32–50. (In Russ). EDN: OPDQIX

[26] Столярова О.Е. Исторический контекст науки: материальная культура и онтологии // Эпистемология и философия науки. 2011. Т. 30, № 4. С. 32–50. EDN: OPDQIX

[27] Stolyarova OE. The historical context of science: material culture and ontologies. Epistemology and philosophy of science. 2011;30(4):32–50. (In Russ). EDN: OPDQIX

[28] Alekseeva MG, Zubov AI, Novikov MYu. Artificial intelligence in medicine. International Research Journal. 2022;(7(121)):10–13. EDN: JMMMDF doi: 10.23670/IRJ.2022.121.7.038

[29] Алексеева М.Г., Зубов А.И., Новиков М.Ю. Искусственный интеллект в медицине // Международный научно-исследовательский журнал. 2022. № 7 (121). С. 10–13. EDN: JMMMDF doi: 10.23670/IRJ.2022.121.7.038

[30] Alekseeva MG, Zubov AI, Novikov MYu. Artificial intelligence in medicine. International Research Journal. 2022;(7(121)):10–13. EDN: JMMMDF doi: 10.23670/IRJ.2022.121.7.038

[31] Beaulieu A, de Rijcke S. Networked Neuroscience: Brain Scans and Visual Knowing at the Intersection of Atlases and Databases. Coopmans C, Woolgar S, editors. In: Representation in Scientific Practice Revisited. Coopmans C, Vertesi J, Lynch M, Woolgar S, editors. Cambridge: MIT Press; 2014. P:131–152. doi: 10.7551/mitpress/9780262525381.003.0007

[32] Beaulieu A., de Rijcke S. Networked Neuroscience: Brain Scans and Visual Knowing at the Intersection of Atlases and Databases. Coopmans C., Woolgar S., editors. In: Representation in Scientific Practice Revisited. Coopmans C., Vertesi J., Lynch M., Woolgar S., editors. Cambridge : MIT Press, 2014. P. 131–152. doi: 10.7551/mitpress/9780262525381.003.0007

[33] Beaulieu A, de Rijcke S. Networked Neuroscience: Brain Scans and Visual Knowing at the Intersection of Atlases and Databases. Coopmans C, Woolgar S, editors. In: Representation in Scientific Practice Revisited. Coopmans C, Vertesi J, Lynch M, Woolgar S, editors. Cambridge: MIT Press; 2014. P:131–152. doi: 10.7551/mitpress/9780262525381.003.0007

[34] Beaulieu A. Voxels in the Brain: Neuroscience, Informatics and Changing Notions of Objectivity. Social Studies of Science. 2001;31(5):635–680. doi: 10.1177/030631201031005001

[35] Beaulieu A. Voxels in the Brain: Neuroscience, Informatics and Changing Notions of Objectivity // Social Studies of Science. 2001. Vol. 31, N 5. P. 635–680. doi: 10.1177/030631201031005001

[36] Beaulieu A. Voxels in the Brain: Neuroscience, Informatics and Changing Notions of Objectivity. Social Studies of Science. 2001;31(5):635–680. doi: 10.1177/030631201031005001

[37] Kitchin R. Big data, new epistemologies and paradigm shifts. Sociology: methodology, methods, mathematical modeling (4M). 2017;(44):111–152. EDN: YMAFTQ

[38] Китчин Р. Большие данные, новые эпистемологии и смена парадигм // Социология: методология, методы, математическое моделирование. 2017. № 44. С. 111–152. EDN: YMAFTQ

[39] Kitchin R. Big data, new epistemologies and paradigm shifts. Sociology: methodology, methods, mathematical modeling (4M). 2017;(44):111–152. EDN: YMAFTQ

[40] Buiani R. Innovation and Compliance in Making and Perceiving the Scientific Visualization of Viruses. Canadian Journal of Communication. 2014;39(4):539–556. doi: 10.22230/cjc.2014v39n4a2738

[41] Buiani R. Innovation and Compliance in Making and Perceiving the Scientific Visualization of Viruses. Canadian Journal of Communication. 2014. Vol. 39, N 4. P. 539–556. doi: 10.22230/cjc.2014v39n4a2738

[42] Buiani R. Innovation and Compliance in Making and Perceiving the Scientific Visualization of Viruses. Canadian Journal of Communication. 2014;39(4):539–556. doi: 10.22230/cjc.2014v39n4a2738

[43] Center for diagnostics and telemedicine [Internet]. Moscow; c2013-2023 [cited 2023 Nov 29]. Available from: https://mosmed.ai/

[44] Центр диагностики и телемедицины [Internet]. Москва; c2013-2023 [дата обращения: 29.11.2023]. Доступ по ссылке: https://mosmed.ai/

[45] Center for diagnostics and telemedicine [Internet]. Moscow; c2013-2023 [cited 2023 Nov 29]. Available from: https://mosmed.ai/

[46] Bulatov KB, Ingacheva AS, Gilmanov MI, et al. Reducing radiation dose for NN-based COVID-19 detection in helical chest CT using real-time monitored reconstruction. Expert Systems with Applications. 2023;229 Part A. doi: 10.1016/j.eswa.2023.120425

[47] Bulatov K.B., Ingacheva A.S., Gilmanov M.I., et al. Reducing radiation dose for NN-based COVID-19 detection in helical chest CT using real-time monitored reconstruction // Expert Systems with Applications. 2023. Vol. 229 Part A. doi: 10.1016/j.eswa.2023.120425

[48] Bulatov KB, Ingacheva AS, Gilmanov MI, et al. Reducing radiation dose for NN-based COVID-19 detection in helical chest CT using real-time monitored reconstruction. Expert Systems with Applications. 2023;229 Part A. doi: 10.1016/j.eswa.2023.120425

[49] AI ethics code [Internet]. AI Alliance Russia, c2020-2024 [cited 2024 Feb 9]. Available from: https://ethics.a-ai.ru/

[50] Кодекс этики в сфере ИИ [Internet]. AI Alliance Russia, c2020-2024 [дата обращения: 09.02.2024]. Доступ по ссылке: https://ethics.a-ai.ru/

[51] AI ethics code [Internet]. AI Alliance Russia, c2020-2024 [cited 2024 Feb 9]. Available from: https://ethics.a-ai.ru/

[52] Orlova IA, Akopyan ZhA, Plisyuk AG, et al. Opinion research among Russian Physicians on the application of technologies using artificial intelligence in the field of medicine and health care. BMC Health Services Research. 2023;23(1):749. doi: 10.1186/s12913-023-09493-6

[53] Orlova I.A., Akopyan Zh.A., Plisyuk A.G., et al. Opinion research among Russian Physicians on the application of technologies using artificial intelligence in the field of medicine and health care // BMC Health Services Research. 2023. Vol. 23, N 1. P. 749. doi: 10.1186/s12913-023-09493-6

[54] Orlova IA, Akopyan ZhA, Plisyuk AG, et al. Opinion research among Russian Physicians on the application of technologies using artificial intelligence in the field of medicine and health care. BMC Health Services Research. 2023;23(1):749. doi: 10.1186/s12913-023-09493-6

[55] Popova OV. Digitalization and transformation of medicine: problems and prospects for development. In: Modern problems of socio-technical-anthroposphere: a collective monograph. Budanov VG, editor. Kursk: Universitetskaya kniga; 2022. P:153–171. (In Russ).

[56] Попова О.В. Цифровизация и трансформация медицины: проблемы и перспективы развития. В: Современные проблемы социо-техно-антропосферы: коллективная монография / под ред. В.Г. Буданова. Курск : Университетская книга, 2022. С. 153–171.

[57] Popova OV. Digitalization and transformation of medicine: problems and prospects for development. In: Modern problems of socio-technical-anthroposphere: a collective monograph. Budanov VG, editor. Kursk: Universitetskaya kniga; 2022. P:153–171. (In Russ).

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