Evidence map›Paper›PMID 38627560›Full record

ArticleNature medicine2024

Transparent medical image AI via an image-text foundation model grounded in medical literature.

Chanwoo Kim, Soham U Gadgil, Alex J DeGrave, Jesutofunmi A Omiye, Zhuo Ran Cai, Roxana Daneshjou, Su-In Lee

Abstract read
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In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
–field-weighted citation impact
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

44 citing papers in PubMed.

  1. Trial
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  7. Dissecting and directing pathology foundation models.bioRxiv : the preprint server for biology · 2026
    Article
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  9. Review
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  19. Mask of Truth: Model Sensitivity to Unexpected Regions of Medical Images.Journal of imaging informatics in medicine · 2026
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Chanwoo KimPaul G. Allen School of Computer Science & Engineering, University of Washington, Seattle, WA, USA.ORCID 0000-0002-1950-1230
Soham U GadgilPaul G. Allen School of Computer Science & Engineering, University of Washington, Seattle, WA, USA.
Alex J DeGravePaul G. Allen School of Computer Science & Engineering, University of Washington, Seattle, WA, USA.
Jesutofunmi A OmiyeDepartment of Dermatology, Stanford School of Medicine, Stanford, CA, USA.
Zhuo Ran CaiProgram for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Roxana Daneshjou *Department of Dermatology, Stanford School of Medicine, Stanford, CA, USA. roxanad@stanford.edu.ORCID 0000-0001-7988-9356
Su-In Lee *Paul G. Allen School of Computer Science & Engineering, University of Washington, Seattle, WA, USA. suinlee@cs.washington.edu.ORCID 0000-0001-5833-5215

Funding

Postgraduate Training Program in Epithelial BiologyT32AR007422 · NIAMS · STANFORD UNIVERSITY · PI PAUL KHAVARI · 1986 to 2026
$5.0M
Interpretable Machine Learning to Identify Alzheimer's Disease Therapeutic TargetsR01AG061132 · NIA · UNIVERSITY OF WASHINGTON · PI LEE, SU-IN · 2019 to 2023
$2.9M
Opening the Black Box of Machine Learning ModelsR35GM128638 · NIGMS · UNIVERSITY OF WASHINGTON · PI LEE, SU-IN · 2018 to 2022
$1.9M
NIAMS NIH HHS T32 AR007422NIA NIH HHS R01 AG061132NIGMS NIH HHS R35 GM128638
6 · The paper itself

Abstract

Building trustworthy and transparent image-based medical artificial intelligence (AI) systems requires the ability to interrogate data and models at all stages of the development pipeline, from training models to post-deployment monitoring. Ideally, the data and associated AI systems could be described using terms already familiar to physicians, but this requires medical datasets densely annotated with semantically meaningful concepts. In the present study, we present a foundation model approach, named MONET (medical concept retriever), which learns how to connect medical images with text and densely scores images on concept presence to enable important tasks in medical AI development and deployment such as data auditing, model auditing and model interpretation. Dermatology provides a demanding use case for the versatility of MONET, due to the heterogeneity in diseases, skin tones and imaging modalities. We trained MONET based on 105,550 dermatological images paired with natural language descriptions from a large collection of medical literature. MONET can accurately annotate concepts across dermatology images as verified by board-certified dermatologists, competitively with supervised models built on previously concept-annotated dermatology datasets of clinical images. We demonstrate how MONET enables AI transparency across the entire AI system development pipeline, from building inherently interpretable models to dataset and model auditing, including a case study dissecting the results of an AI clinical trial.

Indexed as

Artificial IntelligencePhysiciansHumansLearning

Identifiers

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Registered trials

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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.