Evidence map›Paper›PMID 39819692›Full record

ReviewJournal of nuclear medicine : official publication, Society of Nuclear Medicine2025

Large Language Models and Large Multimodal Models in Medical Imaging: A Primer for Physicians.

Tyler J Bradshaw, Xin Tie, Joshua Warner, Junjie Hu, Quanzheng Li, Xiang Li

Abstract readReview
In one paragraph

Review in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Agreement of Multimodal Large Language Models and Novice Readers With Expert-Based Radiographic Scoring of Presumptive Septic Carpal Arthritis in Calves.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026
    Article
  3. Article
  4. End-to-End PET/CT Interpretation and Quantification with an LLM-Orchestrated AI Agent: A Real-World Pilot Study.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Large language models for lumbar spondylolisthesis detection: a multi-center pilot comparative radiographic accuracy study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  11. Article
  12. Applications of artificial intelligence in nuclear medicine.Zeitschrift fur medizinische Physik · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Retrieval-augmented generative AI enhances clinical reasoning in odontogenic sinusitis versus maxillary sinus mucositis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  17. Review
  18. Article
  19. Article
  20. Article
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

6 authors.

Tyler J BradshawDepartment of Radiology, University of Wisconsin-Madison, Madison, Wisconsin; tbradshaw@wisc.edu.
Xin TieDepartment of Radiology, University of Wisconsin-Madison, Madison, Wisconsin.
Joshua WarnerDepartment of Radiology, University of Wisconsin-Madison, Madison, Wisconsin.
Junjie HuDepartment of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, Wisconsin; and.
Quanzheng LiCenter for Advanced Medical Computing and Analysis, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Xiang LiCenter for Advanced Medical Computing and Analysis, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.

Funding

Multimodal Learning for Contextually-Aware Longitudinal PET/CT image analysisR01EB033782 · NIBIB · UNIVERSITY OF WISCONSIN-MADISON · PI Tyler J Bradshaw · 2024 to 2026
$1.7M
NIBIB NIH HHS R01 EB033782
6 · The paper itself

Abstract

Large language models (LLMs) are poised to have a disruptive impact on health care. Numerous studies have demonstrated promising applications of LLMs in medical imaging, and this number will grow as LLMs further evolve into large multimodal models (LMMs) capable of processing both text and images. Given the substantial roles that LLMs and LMMs will have in health care, it is important for physicians to understand the underlying principles of these technologies so they can use them more effectively and responsibly and help guide their development. This article explains the key concepts behind the development and application of LLMs, including token embeddings, transformer networks, self-supervised pretraining, fine-tuning, and others. It also describes the technical process of creating LMMs and discusses use cases for both LLMs and LMMs in medical imaging.

Indexed as

Diagnostic ImagingPhysiciansHumansImage Processing, Computer-AssistedLarge Language Modelsartificial intelligencecomputer/PACSeducationallarge language modelsmachine learningstatistics

Identifiers

PMID39819692
PMCPMC13148064

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.