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"We take computational reliabilism as being essential for ensuring the accuracy of a system is robust and properly formed with expert input. However, this approach focuses primarily on how engineer’s design and test the technology in the lab, with less recognition of how it needs to be integrated into the medical practice. This concern with the technological design understates the challenge of making the machine a useful tool for the medical professional in context, which requires a more robust validation—one that makes clear it is working appropriately in the field."