Evidence map›Paper›PMID 40646157›Full record

ReviewNPJ digital medicine2025

A perspective for adapting generalist AI to specialized medical AI applications and their challenges.

Zifeng Wang, Hanyin Wang, Benjamin Danek, Ying Li, Christina Mack, Luk Arbuckle, Devyani Biswal, Hoifung Poon, Yajuan Wang, Pranav Rajpurkar and 2 more

Abstract readReview
In one paragraph

Review in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  4. Review
  5. Review
  6. Article
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  11. 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

12 authors.

Zifeng WangKeiji AI, Seattle, USA.
Hanyin WangDepartment of Computer Science, University of Illinois Urbana-Champaign, Urbana, IL, USA.
Benjamin DanekKeiji AI, Seattle, USA.
Ying LiRegeneron, Tarrytown, NY, USA.
Christina MackIQVIA, Durham, NC, USA.
Luk ArbuckleIQVIA, Durham, NC, USA.
Devyani BiswalIQVIA, Durham, NC, USA.
Hoifung PoonMicrosoft Research, Redmond, WA, USA.
Yajuan WangTeladoc Health, Harrison, NY, USA.
Pranav RajpurkarDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Cao XiaoGE Healthcare, Bellevue, WA, USA.
Jimeng SunKeiji AI, Seattle, USA. jimeng@illinois.edu.

Funding

NSF SCH-2205289
6 · The paper itself

Abstract

We introduce a framework to adapt large language models for medicine: (1) Modeling: breaking down medical workflows into manageable steps; (2) Optimization: optimizing model performance via advanced adaptations; and (3) System engineering: developing agent or chain systems. Furthermore, we describe varied use cases, such as clinical trial design, clinical decision support, and medical imaging analysis. Finally, we discuss challenges and considerations for building medical AI with LLMs.

Identifiers

PMID40646157
PMCPMC12254199

What OpenQuestion holds

Textmetadata
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.