Evidence map›Paper›PMID 40772224›Full record

ArticleFrontiers in cell and developmental biology2025

Multimodal reasoning agent for enhanced ophthalmic decision-making: a preliminary real-world clinical validation.

Yijing Zhuang, Dong Fang, Pengfeng Li, Bingyu Bai, Xiangqing Hei, Lujia Feng, Wangting Li, Shaochong Zhang

Abstract read
In one paragraph

Article in Frontiers in cell and developmental biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

8 authors.

Yijing Zhuang *Shenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Dong Fang *Shenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Pengfeng Li *Shenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Bingyu BaiShenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Xiangqing HeiShenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Lujia FengShenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Wangting LiShenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.
Shaochong ZhangShenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, Shenzhen, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although large language models (LLMs) show significant potential in clinical practice, accurate diagnosis and treatment planning in ophthalmology require multimodal integration of imaging, clinical history, and guideline-based knowledge. Current LLMs predominantly focus on unimodal language tasks and face limitations in specialized ophthalmic diagnosis due to domain knowledge gaps, hallucination risks, and inadequate alignment with clinical workflows. This study introduces a structured reasoning agent (ReasonAgent) that integrates a multimodal visual analysis module, a knowledge retrieval module, and a diagnostic reasoning module to address the limitations of current AI systems in ophthalmic decision-making. Validated on 30 real-world ophthalmic cases (27 common and 3 rare diseases), ReasonAgent demonstrated diagnostic accuracy comparable to ophthalmology residents (

Indexed as

artificial intelligenceGPT-4olarge language modelsocular diseasesreasoning agent

Identifiers

PMID40772224
PMCPMC12325206

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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.