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Advanced Neurology                                                  Artificial intelligence in epilepsy education



            healthcare interventions.  Healthcare professionals must   12. Ethical and regulatory challenges
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            develop digital skills, understand legal and ethical issues,   in AI-driven epilepsy management and
            and enhance their eHealth literacy to promote the safe   education: Balancing innovation with
            and efficient integration of AI.  Furthermore, language
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            barriers in online medical education can be mitigated   patient-centered care
            through AI-generated multilingual educational materials,   The integration of AI in epilepsy management and
            ensuring global harmonization of healthcare practices and   education raises several ethical and regulatory concerns
            adherence to digital health standards. 64          that are essential to address for equitable and effective
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                                                               patient care.  A major issue is bias and fairness; AI models
            11. Potential negative aspects of AI in            can  inadvertently  propagate biases  embedded within  the
            epilepsy management                                training data, potentially causing disparities in treatment
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                                                               outcomes across diverse demographics.  For instance,
            AI systems can inadvertently perpetuate biases in training
            data, leading to diagnostic inaccuracies for certain   an AI system trained on data representing a particular
                                                               demographic may underperform for underrepresented
            demographics.  Research by Theodore et al.  highlights   groups, thereby amplifying existing healthcare inequalities.
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            that biases in seizure data may result in inequitable epilepsy   This emphasizes the need for diverse data representation to
            care for underrepresented groups.  In addition, using vast   prevent unequal treatment and foster fairness in AI-driven
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            medical data in AI raises privacy concerns.  Timan and   healthcare applications.  Privacy and data security are also
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            Mann  emphasize that strict data protection protocols   critical considerations, especially given the sensitive nature
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            are essential to prevent misuse and maintain patient trust   of patient data managed by AI in healthcare.  In epilepsy
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            in AI-driven treatments.  Many AI models operate as   diagnosis, vast amounts of labeled datasets containing
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            “black boxes,” making it difficult to trace decision-making   personal information are required, posing risks to personal
            pathways.  Wang  et al.  stress the need for transparent   data privacy.  Breaches in data privacy could lead to identity
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            AI systems with defined accountability to ensure safe   theft, discrimination, and diminished trust in healthcare
            management in epilepsy care.  Excessive reliance on AI   systems.  Furthermore, data transmitted over networks,
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            could erode clinicians’ judgment and diagnostic skills.    such as EEG recordings, are vulnerable to cyber-attacks.
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            Shoeibi et al.  suggest that balancing AI assistance with   However, innovative strategies, like encrypted EEG data
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            clinical experience is crucial to retaining essential skills   classification using advanced algorithms and CNNs, show
            for managing complex epilepsy cases.  Routine use of   promise in enhancing data security and privacy.  This
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            AI may diminish critical thinking, affecting clinicians’   highlights the importance of robust measures to safeguard
            ability to manage epilepsy effectively without AI support.    patient privacy and ensure data security in AI-based
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            Continuous training is recommended to mitigate skill   epilepsy care.  Informed consent is fundamental for
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            erosion.  Assigning responsibility for AI-driven errors is   patient autonomy; individuals must understand how their
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            complex.  Robust frameworks are necessary to address   data will be used and the potential benefits and risks of AI
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            accountability, especially in cases where AI misdiagnoses   interventions.  However, obtaining informed consent can
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            epilepsy-related events.  The use of AI may also   be challenging due to the complexity of AI technologies,
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            depersonalize patient interactions, potentially impacting   which may hinder patients’ ability to fully comprehend the
            patient satisfaction.  Evidence-based data supports the   implications of AI-driven care.  Transparent communication
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            necessity of human oversight in AI-augmented care   and clear consent processes are necessary to uphold patient
            to preserve empathy and trust,  as epilepsy’s intricate   rights and build trust.  Transparency and accountability in
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            management often requires personalized approaches that   AI systems are also crucial.  Many AI models function as
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            AI alone may not fully address.  Recent guidelines suggest   “black boxes,” making it difficult to interpret how specific
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            AI should support, not replace, individualized care.    conclusions are reached.  This lack of transparency can
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            Ongoing  audits  and  ethical  standards  are  essential  to   obscure accountability, especially when adverse outcomes
            prevent unintended harm. 62,69  Timan and Mann  advocate   arise.  Regulatory frameworks that mandate transparency
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            for  regular  evaluations  to  ensure AI  aligns with  ethical   and define responsibility among healthcare providers,
            healthcare practices. 64,66  Comprehensive regulations are   AI developers, and system manufacturers are essential to
            vital  to  ensure  the  safety,  reliability,  and  fairness  of  AI   address these challenges effectively.  Over-reliance on AI
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            applications in healthcare.  Recent studies underscore   in clinical settings can lead to “de-responsibilization,” where
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            the need for robust national and international guidelines   healthcare professionals may experience a decline in critical
            to effectively govern the use of AI technologies in clinical   thinking and clinical judgment.  If professionals become
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            settings. 64-69                                    overly dependent on AI tools, they may lose vigilance in
            Volume 4 Issue 3 (2025)                         23                               doi: 10.36922/an.4777
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