Evidence map›Paper›PMID 38308070›Full record

ArticleJournal of imaging informatics in medicine2024

Personalized Impression Generation for PET Reports Using Large Language Models.

Xin Tie, Muheon Shin, Ali Pirasteh, Nevein Ibrahim, Zachary Huemann, Sharon M Castellino, Kara M Kelly, John Garrett, Junjie Hu, Steve Y Cho and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of imaging informatics in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Automation ofEJNMMI research · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Large Language Models and Large Multimodal Models in Medical Imaging: A Primer for Physicians.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Xin TieDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Muheon ShinDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Ali PirastehDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Nevein IbrahimDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Zachary HuemannDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Sharon M CastellinoDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Kara M KellyDepartment of Pediatric Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
John GarrettDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Junjie HuDepartment of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Steve Y ChoDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA.
Tyler J BradshawDepartment of Radiology, School of Medicine and Public Health, University of Wissconsin, Madison, WI, USA. tbradshaw@wisc.edu.ORCID 0000-0001-9549-7002
University of Wisconsin–Madison · USEmory University · USRoswell Park Comprehensive Cancer Center · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
IROC: Enhancing local enrolling site radiological data capture capabilities for NCTN trialsU24CA180803 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI Thomas J. FitzGerald, MICHAEL V KNOPP · 2014 to 2026
$116.2M
Multimodal Learning for Contextually-Aware Longitudinal PET/CT image analysisR01EB033782 · NIBIB · UNIVERSITY OF WISCONSIN-MADISON · PI Tyler J Bradshaw · 2024 to 2026
$1.7M
NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA180803NIBIB NIH HHS R01 EB033782NIBIB NIH HHS R01EB033782
6 · The paper itself

Abstract

Large language models (LLMs) have shown promise in accelerating radiology reporting by summarizing clinical findings into impressions. However, automatic impression generation for whole-body PET reports presents unique challenges and has received little attention. Our study aimed to evaluate whether LLMs can create clinically useful impressions for PET reporting. To this end, we fine-tuned twelve open-source language models on a corpus of 37,370 retrospective PET reports collected from our institution. All models were trained using the teacher-forcing algorithm, with the report findings and patient information as input and the original clinical impressions as reference. An extra input token encoded the reading physician's identity, allowing models to learn physician-specific reporting styles. To compare the performances of different models, we computed various automatic evaluation metrics and benchmarked them against physician preferences, ultimately selecting PEGASUS as the top LLM. To evaluate its clinical utility, three nuclear medicine physicians assessed the PEGASUS-generated impressions and original clinical impressions across 6 quality dimensions (3-point scales) and an overall utility score (5-point scale). Each physician reviewed 12 of their own reports and 12 reports from other physicians. When physicians assessed LLM impressions generated in their own style, 89% were considered clinically acceptable, with a mean utility score of 4.08/5. On average, physicians rated these personalized impressions as comparable in overall utility to the impressions dictated by other physicians (4.03, P = 0.41). In summary, our study demonstrated that personalized impressions generated by PEGASUS were clinically useful in most cases, highlighting its potential to expedite PET reporting by automatically drafting impressions.

Indexed as

Natural Language ProcessingPositron-Emission TomographyAlgorithmsHumansLarge Language ModelsRetrospective StudiesInformaticsLarge Language ModelsNatural Language ProcessingNuclear MedicinePositron Emission TomographyRadiology Report Summarization

Identifiers

PMID38308070
PMCPMC11031527
OpenAlexW4391487347

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.