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BriefMEDTECH

AI Pathology Regulation Takes Effect: EU Requires Human Review for All AI-Assisted Diagnoses

EU AI Office publishes medical AI implementation rules requiring all AI-assisted pathology diagnosis results to undergo certified pathologist review before clinical use.

The EU AI Office published Medical AI System Implementation Rules on January 18, establishing clear regulatory requirements for AI-assisted pathology diagnosis. The rules mandate that all AI pathology diagnosis results used for clinical decision support must undergo review and confirmation by certified pathologists.

The implementation rules classify AI pathology systems into two categories: "assistant tools" (providing reference suggestions only, with final diagnosis made by physicians) and "autonomous diagnosis" (directly providing diagnostic conclusions). The latter faces stricter approval requirements, including prospective validation at a minimum of five medical institutions.

European Society of Pathology president Friedl stated: "These rules find a balance between promoting AI adoption and protecting patient safety. AI should not replace pathologists — it should become pathologists' second pair of eyes."