Evidence map›Paper›PMID 40025001›Full record

ArticleJournal of cancer survivorship : research and practice2026

What does an AI-generated "cancer survivor" look like? An analysis of images generated by text-to-image tools.

Nicole Senft Everson, Anna Gaysynsky, Irina A Iles, Kristin E Schrader, Wen-Ying Sylvia Chou

Abstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

5 authors.

Nicole Senft Everson *Health Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA. nicole.everson@nih.gov.
Anna Gaysynsky *Health Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA.
Irina A IlesHealth Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA.
Kristin E SchraderWestat, Rockville, MD, USA.
Wen-Ying Sylvia ChouHealth Communication and Informatics Research Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCancer survivorship begins at diagnosis and encompasses a wide variety of experiences, yet prominent societal narratives of survivorship emphasize a positive, post-treatment "return-to-normal." These representations shape how survivorship is understood and experienced by cancer survivors and the public. This study aimed to (1) characterize artificial intelligence (AI)-generated images of cancer survivors and (2) compare them to images of cancer patients to understand how these images might reflect and amplify prevalent survivorship narratives.

methodsTwo AI text-to-image tools (DALL-E, Stable Diffusion) were prompted to generate 40 images each of cancer survivors and cancer patients (n = 160 images). Images were coded for perceived demographics, affect, health, markers of illness or cancer, and setting. Chi-square analyses tested differences between images of cancer patients and survivors. Quantitative data were complemented by coders' qualitative insights.

resultsCancer survivors in AI-generated images were largely perceived as White (80%), feminine (80%), young (51%), happy (69%), and healthy (80%), and many images were observed to conform to Western beauty ideals. Pink (64%), cancer ribbons (35%), and head scarves (51%) were prominent visual features in survivor images. Compared to images of cancer patients, survivor images more frequently featured individuals perceived as non-White (p = .03), young (p < .001), affectively positive (p < .001), and healthy (p < .001), and less frequently included markers of illness like portraying individuals in bed (p < .001) or in medical settings (p < .001).

conclusionsAI-generated images of cancer survivors fail to reflect the breadth of survivor demographics or experience. IMPLICATIONS FOR CANCER SURVIVORS: AI-generated images may perpetuate narrow views of cancer survivorship.

Indexed as

Artificial IntelligenceCancer SurvivorsNeoplasmsAdultAgedFemaleGenerative Artificial IntelligenceHumansMaleMiddle AgedAI-generated imagesAlgorithmic biasCancer survivorsGenerative artificial intelligenceRepresentational harm

Identifiers

PMID40025001
PMCPMC13375691

What OpenQuestion holds

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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.