Toward Transparent AI Disclosure in Medical Publishing: A Proposed Clinical AI Score Framework
Artificial intelligence (AI) is rapidly transforming scientific publishing, yet current disclosure practices provide limited information about the extent of AI involvement. The proposed Clinical AI Score (CAIS) is a standardized framework for quantifying AI assistance across manuscript preparation, analysis, and visualization. CAIS is intended to promote transparency and human accountability rather than restrict AI use. A preliminary threshold of <10 is proposed to represent limited-to-moderate AI involvement, pending future validation. Transparent AI disclosure, combined with digital provenance and human oversight, may provide a practical framework for maintaining scientific integrity in the evolving era of AI-assisted medical publishing.