The Limitations of Artificial Intelligence in Head and Neck Oncology

Publication date

2025-06

Authors

Rao, Karthik N
Fernandez-Alvarez, Veronica
Guntinas-Lichius, Orlando
Sreeram, M P
de Bree, RemcoORCID 0000-0001-7128-5814ISNI 0000000387040744
Kowalski, Luiz P
Forastiere, Arlene
Pace-Asciak, Pia
Rodrigo, Juan P
Saba, Nabil F

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cc_by_nc

Abstract

Artificial intelligence (AI) is revolutionizing head and neck oncology, offering innovations in tumor detection, treatment planning, and patient management. However, its integration into clinical practice is hindered by several limitations. These include clinician mistrust due to a lack of understanding of AI mechanisms, biases in algorithm development, and the potential over-reliance on technology, which may undermine clinical expertise. Data-related challenges, such as inconsistent quality and limited representativeness of datasets, further complicate AI’s application. Ethical, legal, and privacy concerns also pose significant barriers. Addressing these issues through transparent AI systems, clinician education, and clear regulations is essential for ensuring responsible, equitable use in head and neck oncology. This manuscript explores the limitations of AI in head and neck oncology.

Keywords

Algorithm bias, Artificial intelligence, Clinical decision support systems, Head and neck neoplasms, Limitations, Pharmacology (medical), Journal Article

Citation

Rao, K N, Fernandez-Alvarez, V, Guntinas-Lichius, O, Sreeram, M P, de Bree, R, Kowalski, L P, Forastiere, A, Pace-Asciak, P, Rodrigo, J P, Saba, N F, Ronen, O, Florek, E, Randolph, G W, Sanabria, A, Vermorken, J B, Hanna, E Y & Ferlito, A 2025, 'The Limitations of Artificial Intelligence in Head and Neck Oncology', Advances in Therapy, vol. 42, no. 6, e48633, pp. 2559-2568. https://doi.org/10.1007/s12325-025-03198-4