The world of academic publishing is undergoing a quiet revolution, and it's not just about the latest research findings. As AI technology advances, it's becoming increasingly difficult to distinguish between human-written content and AI-generated text, and this has serious implications for the integrity of academic journals. The recent case of a retracted article in the Journal of Medical Ethics highlights the issue of AI-generated content and the challenges it poses for editors and reviewers. The article, titled 'Panem, corticoids and circenses: the ethical fallout of Enhanced Games', was found to contain multiple citations to 'bibliographic fictions', which were likely the result of unacknowledged AI use. This raises a deeper question: how can we ensure the accuracy and reliability of academic publications in an era where AI is becoming more sophisticated? The author of the article, Alexis Demas, used a Yahoo email address and could not be verified, which further raises concerns about the authenticity of the content. The editor of the journal, Udo Schuklenk, notes that the use of AI in academic writing is not a new phenomenon, but the increasing sophistication of AI technology is making it more difficult to detect. He describes the case from the point of view of the editor, explaining how the use of AI in the article likely led to the inclusion of made-up references. The article was not detected during the peer review process, and it was only after publication that the issues were identified. This raises a critical question: how can we ensure that academic journals are not compromised by the use of AI? One solution is to develop more sophisticated detection tools, but this is not a simple task. As Schuklenk notes, there are currently no reliable tools available to assist editors and reviewers in identifying AI-generated content. Additionally, the use of AI in academic writing is not always disclosed, making it even more difficult to detect. The case of the retracted article also highlights the challenges of finding willing reviewers for academic journals. As the number of submissions increases, it becomes increasingly difficult to find reviewers who are willing to work pro bono. This raises a deeper question: how can we ensure the quality and integrity of academic publications when the resources to support them are limited? In my opinion, the use of AI in academic writing is a fascinating and complex issue. On one hand, AI technology can enhance the efficiency and accuracy of research, but on the other hand, it raises serious concerns about the integrity of academic publications. As editors and reviewers, we must be vigilant in our efforts to detect and address the use of AI in academic writing. We must also work to develop more sophisticated detection tools and ensure that reviewers are adequately compensated for their work. In the end, the integrity of academic publications depends on our ability to navigate the challenges posed by AI technology and ensure that the research we publish is accurate, reliable, and trustworthy. Personally, I think that the use of AI in academic writing is a double-edged sword. While it can enhance the efficiency and accuracy of research, it also raises serious concerns about the integrity of academic publications. As editors and reviewers, we must be proactive in addressing these challenges and ensuring that the research we publish is of the highest quality.