Abstract
Modern medicine is increasingly integrating clinical artificial intelligence (AI) systems as active tools for decision support; however, their evaluation is predominantly limited to static performance metrics (accuracy, sensitivity, specificity, and ROC curves). Such parameters do not reflect the dynamics of an algorithm’s lifecycle in a real clinical environment, nor do they account for the time of implementation, the scale of adoption, adaptation processes, or the gradual decline of impact. The aim of the study – to develop a theoretical model of the information pharmacokinetics of clinical AI systems, enabling the description of the dynamics of their clinical impact through a structural analogy with the classical pharmacokinetic ADME system. Using this analogy, we propose to formalize the concepts of informational bioavailability (Fi), informational clearance (Clі), informational volume of distribution (Vі), and informational half-life (t½ᵢ), which allows quantitative evaluation of the lifecycle of an algorithm within the clinical environment. To achieve this objective, a comprehensive methodological approach was applied to assess the possibilities for predictive modeling. The proposed model describes the informational impact of clinical AI as a dynamic process and enables prediction of the temporal characteristics of AI influence, assessment of risks associated with the loss of effectiveness, and integration of kinetic metrics that account for the lifecycle of such systems.
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