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Seven Pillars for a Community-Led AI-POCUS Future – A WINFOCUS Manifesto

Abstract

The rapid integration of Artificial Intelligence (AI) into Point-of-Care Ultrasound (POCUS) represents a transformative shift, offering the potential to democratize diagnostic expertise while simultaneously presenting significant risks regarding clinical validation, workforce preparedness, and health equity.

Informed by a recent global survey indicating that while 81% of practitioners are optimistic about AI, major concerns remain regarding training and evidence gaps, the World Interactive Network Focused On Critical UltraSound (WINFOCUS) proposes a unified strategic framework.

This manifesto outlines seven foundational pillars to guide the ethical and effective adoption of AI-augmented POCUS:

1. Earning trust through rigorous, prospective evidence
2. Building an AI-literate workforce through evolved curricula;
3. Championing global equity to prevent widening health disparities;
4. Ensuring algorithmic transparency and accountability;
5. Designing for seamless human-AI collaboration;
6. Establishing a sustainable, privacy-centric data infrastructure; and
7. Committing to continuous, patient-centered evaluation.

We present this roadmap as a global call to action for clinicians, researchers, and industry partners to collectively shape a future where technology amplifies clinical wisdom and improves patient outcomes.

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