Evidence map›Paper›PMID 40246826›Full record

ArticleNature communications2025

A large model for non-invasive and personalized management of breast cancer from multiparametric MRI.

Luyang Luo, Mingxiang Wu, Mei Li, Yi Xin, Qiong Wang, Varut Vardhanabhuti, Winnie Cw Chu, Zhenhui Li, Juan Zhou, Pranav Rajpurkar and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  12. State of clinical AI in 2026.BMJ digital health & AI · 2026
    Review
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  14. 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

11 authors.

Luyang LuoDepartment of Computer Science and Technology, The Hong Kong University of Science and Technology, Hong Kong, China.ORCID http://orcid.org/0000-0002-7485-4151
Mingxiang WuDepartment of Radiology, Shenzhen People's Hospital, Shenzhen, China.
Mei LiDepartment of Radiology, PLA Middle Military Command General Hospital, Wuhan, China.
Yi XinDepartment of Computer Science and Technology, The Hong Kong University of Science and Technology, Hong Kong, China.
Qiong WangShenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
Varut VardhanabhutiDepartment of Diagnostic Radiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0001-6677-3194
Winnie Cw ChuDepartment of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China.ORCID http://orcid.org/0000-0003-4962-4132
Zhenhui LiDepartment of Radiology, the Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Yunnan Cancer Center, Kunming, China. lizhenhui@kmmu.edu.cn.ORCID http://orcid.org/0009-0009-3613-9403
Juan ZhouDepartment of Radiology, 5th Medical Center of Chinese PLA General Hospital, Beijing, China. zjuan122@163.com.ORCID http://orcid.org/0000-0002-3573-4560
Pranav RajpurkarDepartment of Biomedical Informatics, Harvard University, Boston, USA.ORCID http://orcid.org/0000-0002-8030-3727
Hao ChenDepartment of Computer Science and Technology, The Hong Kong University of Science and Technology, Hong Kong, China. jhc@cse.ust.hk.ORCID http://orcid.org/0000-0002-8400-3780

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82102142
6 · The paper itself

Abstract

Breast Magnetic Resonance Imaging (MRI) demonstrates the highest sensitivity for breast cancer detection among imaging modalities and is standard practice for high-risk women. Interpreting the multi-sequence MRI is time-consuming and prone to subjective variation. We develop a large mixture-of-modality-experts model (MOME) that integrates multiparametric MRI information within a unified structure, leveraging breast MRI scans from 5205 female patients in China for model development and validation. MOME matches four senior radiologists' performance in identifying breast cancer and outperforms a junior radiologist. The model is able to reduce unnecessary biopsies in Breast Imaging-Reporting and Data System (BI-RADS) 4 patients, classify triple-negative breast cancer, and predict pathological complete response to neoadjuvant chemotherapy. MOME further supports inference with missing modalities and provides decision explanations by highlighting lesions and measuring modality contributions. To summarize, MOME exemplifies an accurate and robust multimodal model for noninvasive, personalized management of breast cancer patients via multiparametric MRI.

Indexed as

Breast NeoplasmsMagnetic Resonance ImagingMultiparametric Magnetic Resonance ImagingPrecision MedicineAdultAgedBreastChinaFemaleHumansMiddle AgedNeoadjuvant TherapyTriple Negative Breast Neoplasms

Identifiers

PMID40246826
PMCPMC12006510

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.