Evidence map›Paper›PMID 39870855›Full record

ArticleNPJ digital medicine2025

Multimodal machine learning enables AI chatbot to diagnose ophthalmic diseases and provide high-quality medical responses.

Ruiqi Ma, Qian Cheng, Jing Yao, Zhiyu Peng, Mingxu Yan, Jie Lu, Jingjing Liao, Lejin Tian, Wenjun Shu, Yunqiu Zhang and 26 more

Registry-linked trialAbstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05930444 (Multimodal Machine Learning for Auxiliary Diagnosis of Eye Diseases Using ChatGPT-based Natural Language Processing and Image Processing Techniques), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT05930444 completednot on this map

Multimodal Machine Learning for Auxiliary Diagnosis of Eye Diseases Using ChatGPT-based Natural Language Processing and Image Processing Techniques

TypeobservationalSponsorEye & ENT Hospital of Fudan UniversityRan2023 to 2024Enrolled9,825ConditionsEye DiseasesArmsMultimodal Machine Learning Program for Auxiliary Diagnosis of Eye Diseases
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
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  5. Diagnostic accuracy and citation integrity of four large language models on otolaryngology vignettes.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
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  18. Artificial intelligence in ophthalmology: opportunities, challenges, and ethical considerations.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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  20. Review
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.

Ruiqi Ma *Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Qian Cheng *MIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China.
Jing Yao *Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Zhiyu Peng *Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Mingxu Yan *Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Jie Lu *Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Jingjing Liao *MIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China.
Lejin TianState Key Laboratory of Genetic Engineering, Department of Computational Biology, School of Life Sciences, Fudan University, Shanghai, China.
Wenjun ShuEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Yunqiu ZhangDepartment of Epidemiology, School of Public Health, and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China.
Jinghan WangEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Pengfei JiangShanghai Jiao Tong University Instrument Analysis Center, Shanghai, China.
Weiyi XiaEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Xiaofeng LiEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Lu GanEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Yue ZhaoThe Affiliated Eye Hospital, Nanjing Medical University, Nanjing, China.
Jiang ZhuDepartment of Ophthalmology, Suqian First Hospital, Suqian, China.
Bing QinDepartment of Ophthalmology, Suqian First Hospital, Suqian, China.
Qin JiangThe Affiliated Eye Hospital, Nanjing Medical University, Nanjing, China.
Xiawei WangDepartment of Ophthalmology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Xintong LinEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Haifeng ChenEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Weifang ZhuMIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China.
Dehui XiangMIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China.
Baoqing NieMIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China.
Jingtao WangMIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China.
Jie GuoEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Kang XueEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Hongguang CuiDepartment of Ophthalmology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jinwei ChengEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Xiangjia ZhuEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Jiaxu HongEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0001-9912-633X
Fei ShiMIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China. shifei@suda.edu.cn.
Rui ZhangEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China. zhangrui936@163.com.
Xinjian ChenMIPAV Lab, School of Electronics and Information Engineering, Soochow University, Suzhou, China. xjchen@suda.edu.cn.ORCID http://orcid.org/0000-0002-0871-293X
Chen ZhaoEye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China. dr_zhaochen@fudan.edu.cn.ORCID http://orcid.org/0000-0003-1373-7637

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62271337National Natural Science Foundation of China (National Science Foundation of China) 62371326National Natural Science Foundation of China (National Science Foundation of China) 62371328National Natural Science Foundation of China (National Science Foundation of China) 82371101National Natural Science Foundation of China (National Science Foundation of China) U20A20170Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20211308Natural Science Foundation of Jiangsu Province (Jiangsu Provincial Natural Science Foundation) BK20231310Shanghai Hospital Development Center (SHDC) SHDC2023CRD013
6 · The paper itself

Abstract

Chatbot-based multimodal AI holds promise for collecting medical histories and diagnosing ophthalmic diseases using textual and imaging data. This study developed and evaluated the ChatGPT-powered Intelligent Ophthalmic Multimodal Interactive Diagnostic System (IOMIDS) to enable patient self-diagnosis and self-triage. IOMIDS included a text model and three multimodal models (text + slit-lamp, text + smartphone, text + slit-lamp + smartphone). The performance was evaluated through a two-stage cross-sectional study across three medical centers involving 10 subspecialties and 50 diseases. Using 15640 data entries, IOMIDS actively collected and analyzed medical history alongside slit-lamp and/or smartphone images. The text + smartphone model showed the highest diagnostic accuracy (internal: 79.6%, external: 81.1%), while other multimodal models underperformed or matched the text model (internal: 69.6%, external: 72.5%). Moreover, triage accuracy was consistent across models. Multimodal approaches enhanced response quality and reduced misinformation. This proof-of-concept study highlights the potential of chatbot-based multimodal AI for self-diagnosis and self-triage. (The clinical trial was registered on June 26, 2023, on ClinicalTrials.gov under the registration number NCT05930444.).

Identifiers

PMID39870855
PMCPMC11772878

What OpenQuestion holds

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Registered trials

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.