Building Trustworthy Medical AI: Why Explainability Alone Is Not Enough for Safe Clinical Deployment
Healthcare organizations no longer ask whether artificial intelligence can identify disease. The more difficult question is whether clinicians can confidently rely on its recommendations when patient outcomes are at stake. Recent advances in deep learning have produced diagnostic systems capable of detecting subtle imaging patterns beyond human perception. Yet impressive benchmark accuracy rarely translates directly into clinical adoption. A model that performs exceptionally on retrospective datasets may fail under different scanners, patient populations, or workflow conditions. Likewise, an algorithm that generates accurate predictions without meaningful explanations often encounters skepticism from physicians responsible for the final clinical decision. The future of medical AI therefore depends less on achieving another percentage point of diagnostic accuracy and more on building systems that are explainable, clinically validated, continuously monitored, and regulatorily compliant ....