Jihad Zahir

Karim Lekadir, Aasa Feragen, Abdul Joseph Fofanah et al. · eth-zurich

Despite major advances in artificial intelligence (AI) for medicine and healthcare, the deployment and adoption of AI technologies remain limited in real-world clinical practice. In recent years, concerns have been raised about the technical, clinical, ethical and legal risks associated with medical AI. To increase real world adoption, it is essential that medical AI tools are trusted and accepted by patients, clinicians, health organisations and authorities. This work describes the FUTURE-AI guideline as the first international consensus framework for guiding the development and deployment of trustworthy AI tools in healthcare. The FUTURE-AI consortium was founded in 2021 and currently comprises 118 inter-disciplinary experts from 51 countries representing all continents, including AI scientists, clinicians, ethicists, and social scientists. Over a two-year period, the consortium defined guiding principles and best practices for trustworthy AI through an iterative process comprising an in-depth literature review, a modified Delphi survey, and online consensus meetings. The FUTURE-AI framework was established based on 6 guiding principles for trustworthy AI in healthcare, i.e. Fairness, Universality, Traceability, Usability, Robustness and Explainability. Through consensus, a set of 28 best practices were defined, addressing technical, clinical, legal and socio-ethical dimensions. The recommendations cover the entire lifecycle of medical AI, from design, development and validation to regulation, deployment, and monitoring. FUTURE-AI is a risk-informed, assumption-free guideline which provides a structured approach for constructing medical AI tools that will be trusted, deployed and adopted in real-world practice. Researchers are encouraged to take the recommendations into account in proof-of-concept stages to facilitate future translation towards clinical practice of medical AI.

Youssef Al Mouatamid, Marie Bonnin, Jihad Zahir

Computing legal indicators from normative texts is a key task in legal monitoring and policy evaluation, but presents significant challenges due to the complexity, scale, and interpretive nature of legal language, as well as the variability in available document quality. Existing natural language processing techniques and generative models can assist in legal analysis, but often suffer from high risk of hallucinations and lack the interpretability and evidence grounding required for reliable indicator computation. This paper presents N2I-RAG (From Norms to Indicators), an agentic retrieval-augmented generation framework designed to automate the computation of legal indicators in a transparent and traceable way. We integrate adaptive retrieval, llm-based agents, and validation mechanisms in a modular pipeline, where each component performs a defined role in filtering, retrieving, and assessing evidence, and in producing binary legal outcomes linked to identifiable legal provisions. The framework emphasizes traceability by requiring explicit explanations of intermediate decisions and final indicator assignments. We evaluate N2I-RAG using an in-house constructed French marine environmental law corpus that includes both scanned and digital sources. Comparative experiments with multiple language model families demonstrate that the proposed approach consistently outperforms baseline systems, and generalizes well when tested on 2 different bans. The results indicate that agentic retrieval-augmented generation can bridge open-text legal language and standardized indicator computation, offering a foundation for transparent and scalable legal observatories.