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Most FDA-Cleared AI Dementia Tools Omit Key Development and Demographic Data

Experts call for mandatory reporting after finding widespread omissions in development, validation, demographic data.

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Overview

  • A JAMA research letter and AAIC presentation show that FDA summaries for 14 of 24 AI dementia devices omit training-set details while 22 lack validation-set information.
  • Public records for 23 systems offer no race or ethnicity data and most also fail to report age, sex or disease status among participants.
  • Peer-reviewed publications fill some gaps but report training data for only five tools and validation data for just ten, leaving the majority unverified.
  • More than 90% of the devices were cleared through the FDA’s 510(k) process and reviewed mainly by radiology panels under voluntary demographic guidance.
  • Researchers warn that these transparency gaps hinder evaluation of algorithmic bias and equitable performance across diverse patient groups.