Evidence map›Paper›PMID 39663467›Full record

ArticleNature medicine2025

Self-improving generative foundation model for synthetic medical image generation and clinical applications.

Jinzhuo Wang, Kai Wang, Yunfang Yu, Yuxing Lu, Wenchao Xiao, Zhuo Sun, Fei Liu, Zixing Zou, Yuanxu Gao, Lei Yang and 26 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
–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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The future of Alzheimer's disease risk prediction: a systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Ten years, tens of millions of cells.Nature biotechnology · 2026
    Article
  6. Synthetic Echocardiograms from Diffusion Models in Rare Cardiovascular Disease.medRxiv : the preprint server for health sciences · 2026
    Article
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  18. Integrating Anatomical Priors Into a Causal Diffusion Model.IEEE transactions on medical imaging · 2026
    Article
  19. Article
  20. Article

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors.

Jinzhuo Wang *Department of Big Data and Biomedical AI, National Biomedical Imaging Center, College of Future Technology, Peking University and Peking-Tsinghua Center for Life Sciences, Beijing, China. wangjinzhuo@pku.edu.cn.ORCID http://orcid.org/0000-0002-9464-4426
Kai Wang *Department of Big Data and Biomedical AI, National Biomedical Imaging Center, College of Future Technology, Peking University and Peking-Tsinghua Center for Life Sciences, Beijing, China.
Yunfang Yu *Institute for AI in Medicine, Faculty of Medicine, Macau University of Science and Technology, Taipa, Macau, China.
Yuxing Lu *Department of Big Data and Biomedical AI, National Biomedical Imaging Center, College of Future Technology, Peking University and Peking-Tsinghua Center for Life Sciences, Beijing, China.ORCID http://orcid.org/0000-0002-8207-4411
Wenchao Xiao *Department of Ophthalmology, Zhuhai People's Hospital and the First Affiliated Hospital of Faculty of Medicine, Macau University of Science and Technology, Zhuhai, China.
Zhuo Sun *Department of Ophthalmology, The Third People's Hospital of Changzhou, Changzhou, China.
Fei Liu *Institute for AI in Medicine, Faculty of Medicine, Macau University of Science and Technology, Taipa, Macau, China.
Zixing ZouGuangzhou National Laboratory, Guangzhou, China.
Yuanxu GaoNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.ORCID http://orcid.org/0000-0001-5314-0195
Lei YangDepartment of Thoracic Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Hong-Yu ZhouNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.ORCID http://orcid.org/0000-0002-1256-7050
Hanpei MiaoDongguan People's Hospital, Southern Medical University, Dongguan, China.ORCID http://orcid.org/0000-0002-0166-0866
Wenting ZhaoDepartment of Ophthalmology, Zhuhai People's Hospital and the First Affiliated Hospital of Faculty of Medicine, Macau University of Science and Technology, Zhuhai, China.
Lisha HuangDepartment of Ophthalmology, Zhuhai People's Hospital and the First Affiliated Hospital of Faculty of Medicine, Macau University of Science and Technology, Zhuhai, China.
Lingchao ZengDepartment of Ophthalmology, Zhuhai People's Hospital and the First Affiliated Hospital of Faculty of Medicine, Macau University of Science and Technology, Zhuhai, China.
Rui GuoDepartment of Ophthalmology, Zhuhai People's Hospital and the First Affiliated Hospital of Faculty of Medicine, Macau University of Science and Technology, Zhuhai, China.
Ieng ChongFaculty of Innovation Engineering, Macau University of Science and Technology, Macau, China.
Boyu DengGuangzhou National Laboratory, Guangzhou, China.
Linling ChengInstitute for AI in Medicine, Faculty of Medicine, Macau University of Science and Technology, Taipa, Macau, China.ORCID http://orcid.org/0000-0001-7585-1270
Xiaoniao ChenNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Jing LuoDepartment of Ophthalmology, The Second Xiangya Hospital affiliated to Central South University, Changsha, China.
Meng-Hua ZhuInstitute for AI in Medicine, Faculty of Medicine, Macau University of Science and Technology, Taipa, Macau, China.ORCID http://orcid.org/0000-0002-8758-8243
Daniel Baptista-HonInstitute for AI in Medicine, Faculty of Medicine, Macau University of Science and Technology, Taipa, Macau, China.
Olivia MonteiroInstitute for AI in Medicine, Faculty of Medicine, Macau University of Science and Technology, Taipa, Macau, China.
Ming LiNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China.
Yu KeDongguan People's Hospital, Southern Medical University, Dongguan, China.
Jiahui LiGuangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Simiao ZengGuangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Taihua GuanGuangzhou National Laboratory, Guangzhou, China.
Jin ZengGuangzhou National Laboratory, Guangzhou, China.
Kanmin XueNuffield Department of Clinical Neurosciences, University of Oxford & University of Oxford Hospitals NHS Foundation Trust, Oxford, UK.
Eric OermannNYU Langone Medical Center, New York University, New York, NY, USA.ORCID http://orcid.org/0000-0002-1876-5963
Huiyan LuoState Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID http://orcid.org/0000-0001-6312-9299
Yun YinAdvanced Institute for Eye Health and Diseases, Wenzhou Medical University, Wenzhou, China.
Kang ZhangNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China. kang.zhang@gmail.com.ORCID http://orcid.org/0000-0002-4549-1697
Jia QuNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, China. jia.qu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In many clinical and research settings, the scarcity of high-quality medical imaging datasets has hampered the potential of artificial intelligence (AI) clinical applications. This issue is particularly pronounced in less common conditions, underrepresented populations and emerging imaging modalities, where the availability of diverse and comprehensive datasets is often inadequate. To address this challenge, we introduce a unified medical image-text generative model called MINIM that is capable of synthesizing medical images of various organs across various imaging modalities based on textual instructions. Clinician evaluations and rigorous objective measurements validate the high quality of MINIM's synthetic images. MINIM exhibits an enhanced generative capability when presented with previously unseen data domains, demonstrating its potential as a generalist medical AI (GMAI). Our findings show that MINIM's synthetic images effectively augment existing datasets, boosting performance across multiple medical applications such as diagnostics, report generation and self-supervised learning. On average, MINIM enhances performance by 12% for ophthalmic, 15% for chest, 13% for brain and 17% for breast-related tasks. Furthermore, we demonstrate MINIM's potential clinical utility in the accurate prediction of HER2-positive breast cancer from MRI images. Using a large retrospective simulation analysis, we demonstrate MINIM's clinical potential by accurately identifying targeted therapy-sensitive EGFR mutations using lung cancer computed tomography images, which could potentially lead to improved 5-year survival rates. Although these results are promising, further validation and refinement in more diverse and prospective settings would greatly enhance the model's generalizability and robustness.

Indexed as

Artificial IntelligenceDiagnostic ImagingImage Processing, Computer-AssistedErb-b2 Receptor Tyrosine KinasesFemaleHumansErb-b2 Receptor Tyrosine Kinases

Identifiers

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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.