Letter to the editor: “Not all biases are bad: equitable and inequitable biases in machine learning and radiology”

Artificial intelligence algorithms are booming in medicine, and the question of biases induced or perpetuated by these tools is a very important topic. There is a greater risk of these biases in radiology, which is now the primary diagnostic tool in modern treatment. Some authors have recently proposed an analysis framework for social inequalities and the biases at risk of being introduced into future algorithms. In our paper, we comment on the different strategies for resolving these biases. We warn that there is an even greater risk in mixing the notion of equity, the definition of which is socio-political, into the design stages of these algorithms. We believe that rather than being beneficial, this could in fact harm the main purpose of these artificial intelligence tools, which is the care of the patient.