医疗人工智能中的算法黑箱及其核心伦理问题.pdfVIP

专论

医学与哲学2024

年6

月第45

卷第

12

期总第743期

医疗人工智能中的算法黑箱及其核心伦理问题

陈子瑜程国斌11

摘要：医疗人工智能中的算法黑箱在机器的实践中造成了突出的伦理问题与风险，算法黑箱这一概

念的本质是人类对人机关系失控的形象化描述，医疗人工智能算法黑箱的核心伦理问题在于人机

关系的失控。关于问题的解决，本文在反思以透明化为代表的技术叠加方案的基础上，提出解决问

题的核心策略必须立足于机器所面向的医疗实践，超越技术视域的局限性，寻求有意义的控制，使

机器的实践回归医疗人工智能技术发展的根本目标，更好地满足现实医疗需求和促进人类健康

福祉。

关键词：医疗人工智能，算法黑箱，不确定性，人机关系

中图分类号：R-05文献标识码：A文章编号：1002-0772(2024)12-0006-05

DOI：10.12014/j.issn.1002-0772.2024.12.02

11

AlgorithmBlackBoxinMedicalArtificialIntelligenceandItsCoreEthicalIssuesCHENZiyu,

CHENGGuobin．1.

Schoolof

Humanities,SoutheastUniversity,Nanjing211189,China

Abstract：The

algorithm

black

box

in

medical

artificial

intelligence(AI)

creates

prominent

ethical

problems

and

risks

in

machine

practices.

The

essence

of

the

concept

of

the

algorithm

black

box

is

a

figurative

description

of

human

beings

loss

of

control

in

human-machine

relationship,

and

the

core

ethical

issue

of

the

algorithm

black

box

in

medical

AI

lies

in

the

loss

of

control.

Regarding

the

solution

to

the

problem,

based

on

reflecting

on

the

technology

overlay

solution

represented

by

transparency,

this

paper

proposes

that

the

core

strategy

for

solving

the

problem

must

be

based

on

the

medical

practice

that

the

machine

is

oriented

towards,

transcending

the

limitations

of

the

technical

perspective,

seeking

meaningful

control,

so

t