Evidence map›Paper›PMID 40520893›Full record

ReviewInternational journal of medical sciences2025

Large Language Models in Medicine: Applications, Challenges, and Future Directions.

Erlan Yu, Xuehong Chu, Wanwan Zhang, Xiangbin Meng, Yaodong Yang, Xunming Ji, Chuanjie Wu

Abstract readReview
In one paragraph

Review in International journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing 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

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

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  4. Neuro-symbolic artificial intelligence in medicine.Nature biomedical engineering · 2026
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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

7 authors.

Erlan YuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xuehong ChuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wanwan ZhangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xiangbin MengPengcheng Laboratory, Shenzhen 518055, P. R. China.
Yaodong YangInstitute for AI, Peking University.
Xunming JiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Chuanjie WuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, large language models (LLMs) represented by GPT-4 have developed rapidly and performed well in various natural language processing tasks, showing great potential and transformative impact. The medical field, due to its vast data information as well as complex diagnostic and treatment processes, is undoubtedly one of the most promising areas for the application of LLMs. At present, LLMs has been gradually implemented in clinical practice, medical research, and medical education. However, in practical applications, medical LLMs still face numerous challenges, including the phenomenon of hallucination, interpretability, and ethical concerns. Therefore, in-depth exploration is still needed in areas of standardized evaluation frameworks, multimodal LLMs, and multidisciplinary collaboration in the future, so as to realize the widespread application of medical LLMs and promote the development and transformation in the field of global healthcare. This review offers a comprehensive overview of applications, challenges, and future directions of LLMs in medicine, providing new insights for the sustained development of medical LLMs.

Indexed as

Natural Language ProcessingHumansLanguageLarge Language ModelsArtificial IntelligenceLarge language modelsMedical applicationsNatural language processing

Identifiers

PMID40520893
PMCPMC12163604

What OpenQuestion holds

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LicenceCC BY
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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.