The use of artificial-intelligence tools in medicine has hinged on an implicit bargain. Patients and health systems permit sensitive records to be used for research, usually after de-identification so that names and other pieces of personal information are removed. In return, researchers and developers create tools that could improve health care, for example by enabling earlier diagnoses and new treatments. This bargain relies on the assumption that it is impossible for people who have access to an AI model to infer information about individuals whose data were used to train it. Writing in Nature, Knolle et al.1 show that, in the context of powerful machine-learning models, this assumption is often untrue.
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doi: https://doi.org/10.1038/d41586-026-02288-9
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Competing Interests
The authors declare no competing interests.
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