Consensus on the application of generative artificial intelligence in medical manuscript writing

Generative artificial intelligence (AI) has become integral to medical writing, offering significant benefits in linguistic refinement and efficiency, particularly for non-native English speakers. However, its adoption is challenged by risks such as reference fabrication, authorship disputes, and data confidentiality breaches. While major publishers have introduced AI-related policies, significant heterogeneity remains in their operational granularity and technical requirements. This lack of harmonization creates "regulatory uncertainty" for researchers, necessitating an expert-led consensus to provide consistent, practice-oriented guidance while safeguarding research integrity.