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Journal : integrated system and management technology

A Design Science Roadmap for Auditable Ocular Disease Classification: Evidence Mapping of AI Governance Gaps Rizal Rachman; Eddy Soeryanto Soegoto; Irawan Afrianto; Irfan Dwiguna sumitra; Zainal Arifin Hasibuan
Integrated System and Management Technology Vol. 1 No. 2 (2026): April: Integrated System and Management Technology
Publisher : Asosiasi Pengelola Jurnal Informatika dan Komputer Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66472/ismat.v1i2.442

Abstract

The integration of Artificial Intelligence (AI) into ocular diagnostics has led to substantial improvements in predictive accuracy. However, a persistent gap remains between technical performance and clinical accountability. The present study addresses the "accuracy trap" and the lack of transparency in current deep learning models for ocular disease classification. The objective of the research is twofold: firstly, to identify methodological deficiencies in extant literature and, secondly, to propose a standardised evaluative framework to ensure model auditability. A systematic evidence mapping (SEM) approach, combined with design science research methodology (DSRM), was utilised to scrutinise 10 high-impact Scopus-indexed studies published between 2023 and 2026. The findings reveal a critical "predictive validity gap," where 80% of the evidence base relies on aggregate accuracy while 90% remains "black box" without functional Explainable AI (XAI) layers. The synthesis of these gaps resulted in the formulation of a conceptual roadmap that mandated multi-metric evaluation, incorporating Cohen's Kappa, and pathophysiological traceability. In conclusion, this research establishes that clinical deployment of AI must transition from model-centric success to a governance-oriented paradigm that prioritises decision utility and auditable audit trails. This roadmap provides a rigorous blueprint for the future implementation of transparent and accountable medical AI systems.
Co-Authors Adam Mukharil Bachtiar Adani Ghina Puspita Sari Adhea Vinora Putri Agis Abdi Rafdhi Agis Abhi Rafdhi Agung Nugraha Agus Mulyana Agustin, Nada Delia Ahmad Budi Sulistioyuwono Airine Hananiah Akbar, Aldi Mohamad Albar, Chepi Nur Anggun Fergina Arif Rachmat Darmawan Asep Bayu Dani Nandiyanto Bachtiar, Adam Mukharil Bobi Kurniawan, Bobi Burhanuddin Burhanuddin Chepi Nur Albar Cindy Nuke Mardika Cut Dinda Sara Daniel Maruli Dedi Sulistiyo Soegoto Dian Dharmayanti Dicky Kurniawan Dina Oktafiani Dostnazar Ximmataliyev E Elfiyah Fadillah, Ismail Hudan Firmansyah Firmansyah Fitri Febriyanti Fristaloka, Gina Dwi Ganieva Nasiba Shukhrat Kizy Goh Kang Wen Hani Irmayanti Harun AS Hayati, Euis Neni Hayin Ananta Herdiansyah Pratama Ginanjar Herman Soegoto Hernalom Sitorus Herry Saputra Hewa Majeed Zangana Hidayat Hidayat Ilham Zaki Iluh Sri Purwani Imanuel Eko Anggun Sugiyono Ipan Ripai Irawan Afrianto Irfan Dwiguna Sumitra Irine Sofianty Juliana Karin Karina Nurhidayah Lia Warlina Linda Norhan Luckyardi, Senny Lukito Angga Prasakti Lusianto Lusianto M Mulyanto Makalalag, Sukiman Mari Maryati Maryati, Mari Maulana, Hanhan Mohamad Akbar, Aldi Mohd. Kamir Yusof Muhammad Ananta Hafidz Muhammad Habibi Putera Muhammad Helmi Muhammad Ikhlas Naufalsyah Ranau Muhammad Irfan N Adilah N H Kamil Nada Archy Dhafina Nadia Tahiyyah Alifia Natalia, Tri Widiati Nawawi, Muhamad Novia Aenu Rizqi Nurintang Nurintang Nurul Amelia Popon Dauni Puri Swastika Gusti Krisna Dewi Putera, Muhammad Habibi Raden Budi Setiawan Ragadhita, Risti Rahma Wahdiniwanty Rahma Wahdiniwaty Rahma Wahdiniwaty Rahmadani, Indri Kristanty Raka Pradana Kostarian Rania Febiananda Ria Anggraeni Rina Maryanti Rio Yunanto Riska Endah Septiani Rita Sari Puspita Rizal Rachman Rizky Jumansyah Rofi Fadilah Madani Saputra, Herry Senny Luckyardi Shinta Wanda Kusuma Modjo Soegoto, Dedi Sulistiyo Sri Erina Damayanti Sri Supatmi Sri Yuliawati Sufa Atin Sugilar, Audya Pridita Sumitra, Irfan Dwiguna Suryatno Wiganepdo Soegoto Sutisnawati, Yayah Theresia Valentina Lumban Gaol Tiara Salsabila Tomas Chochole Tri Utomo Wiganarto Tri Widianti Natalia Wellga Berlianti Zainal Arifin Hasibuan Zanjabil Zulkarnain zulkifli, ridwan