Evidence map›Paper›PMID 41003479›Full record

ReviewTomography (Ann Arbor, Mich.)2025

Leveraging Multimodal Foundation Models in Biliary Tract Cancer Research.

Yashbir Singh, Jesper B Andersen, Quincy A Hathaway, Diana V Vera-Garcia, Varekan Keishing, Sudhakar K Venkatesh, Sara Salehi, Davide Povero, Michael B Wallace, Gregory J Gores and 4 more

Abstract readReview
In one paragraph

Review in Tomography (Ann Arbor, Mich.), 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.

  1. Review
  2. Review
  3. Review
  4. Article
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

14 authors.

Yashbir SinghRadiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-5848-7072
Jesper B AndersenBiotech Research and Innovation Centre (BRIC), Department of Health and Medical Sciences, University of Copenhagen, DK-1165 Copenhagen, Denmark.ORCID 0000-0003-1760-5244
Quincy A HathawayDepartment of Radiology, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0001-8226-2319
Diana V Vera-GarciaDivision of Gastroenterology & Hepatology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0002-0520-3582
Varekan KeishingRadiology, Mayo Clinic, Rochester, MN 55905, USA.
Sudhakar K VenkateshRadiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-7514-1030
Sara SalehiRadiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0003-3223-9059
Davide PoveroDivision of Gastroenterology & Hepatology, Mayo Clinic, Rochester, MN 55905, USA.
Michael B WallaceDivision of Gastroenterology & Hepatology, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0002-6446-5785
Gregory J GoresDivision of Gastroenterology & Hepatology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0003-3151-009X
Yujia WeiRadiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-9342-0498
Natally HorvatRadiology, Mayo Clinic, Rochester, MN 55905, USA.
Bradley J EricksonRadiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-7926-6095
Emilio QuaiaDepartment of Radiology, Università di Padova, 35122 Padova, Italy.ORCID 0000-0003-2020-9365

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review explores how multimodal foundation models (MFMs) are transforming biliary tract cancer (BTC) research. BTCs are aggressive malignancies with poor prognosis, presenting unique challenges due to difficult diagnostic methods, molecular complexity, and rarity. Importantly, intrahepatic cholangiocarcinoma (iCCA), perihilar cholangiocarcinoma (pCCA), and distal bile duct cholangiocarcinoma (dCCA) represent fundamentally distinct clinical entities, with iCCA presenting as mass-forming lesions amenable to biopsy and targeted therapies, while pCCA manifests as infiltrative bile duct lesions with challenging diagnosis and primarily palliative management approaches. MFMs offer potential to advance research by integrating radiological images, histopathology, multi-omics profiles, and clinical data into unified computational frameworks, with applications tailored to these distinct BTC subtypes. Key applications include enhanced biomarker discovery that identifies previously unrecognizable cross-modal patterns, potential for improving currently limited diagnostic accuracy-though validation in BTC-specific cohorts remains essential-accelerated drug repurposing, and advanced patient stratification for personalized treatment. Despite promising results, challenges such as data scarcity, high computational demands, and clinical workflow integration remain to be addressed. Future research should focus on standardized data protocols, architectural innovations, and prospective validation studies. The integration of artificial intelligence (AI)-based methodologies offers new solutions for these historically challenging malignancies. However, current evidence for BTC-specific applications remains largely theoretical, with most studies limited to proof-of-concept designs or related cancer types. Comprehensive clinical validation studies and prospective trials demonstrating patient benefit are essential prerequisites for clinical implementation. The timeline for evidence-based clinical adoption likely extends 7-10 years, contingent on successful completion of validation studies addressing current evidence gaps.

Indexed as

Biliary Tract NeoplasmsMultimodal ImagingBile Duct NeoplasmsBiomedical ResearchCholangiocarcinomaHumansartificial intelligencebiliary tract cancerbiomarkerscholangiocarcinomadrug repurposingmultimodal foundation modelsprecision oncology

Identifiers

PMID41003479
PMCPMC12473628

What OpenQuestion holds

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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.