Evidence map›Paper›PMID 41472823›Full record

ArticlePatterns (New York, N.Y.)2025

A multimodal LLM-agent framework for personalized clinical decision-making in hepatocellular carcinoma.

Liyang Wang, Fa Tian, Chengquan Li, Jitao Wang, Jiahong Dong, Jiabin Cai, Shizhong Yang, Xiaobin Feng

Abstract read
In one paragraph

Article in Patterns (New York, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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  7. Drug response in the era of precision medicine: A methodological review.Computational and structural biotechnology journal · 2025
    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

8 authors.

Liyang WangSchool of Biomedical Engineering, Tsinghua University, Beijing, China.
Fa TianCollege of Information Engineering, Sichuan Agricultural University, Sichuan Province, China.
Chengquan LiHepato-Pancreato-Biliary Center, Beijing Tsinghua Changgung Hospital, Key Laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Jitao WangHepato-Pancreato-Biliary Center, Beijing Tsinghua Changgung Hospital, Key Laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Jiahong DongHepato-Pancreato-Biliary Center, Beijing Tsinghua Changgung Hospital, Key Laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Jiabin CaiDepartment of Liver Surgery, Zhongshan Hospital (Xiamen Branch), Fudan University, Fujian Province, China.
Shizhong YangHepato-Pancreato-Biliary Center, Beijing Tsinghua Changgung Hospital, Key Laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Xiaobin FengHepato-Pancreato-Biliary Center, Beijing Tsinghua Changgung Hospital, Key Laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatocellular carcinoma (HCC) treatment is challenging due to tumor heterogeneity and patient variability. Current guidelines often overlook individual factors, limiting treatment precision. We developed an integrated framework combining radiomics, deep learning, and large language model (LLM)-based decision agents to generate personalized HCC treatment recommendations. A modified GhostNet incorporating dilated convolutions, channel and spatial attention mechanism (CBAM), and residual channel attention (RCA) modules was trained on MRI to predict pathological markers such as microvascular invasion (MVI), capsule presence, and tumor differentiation. A fusion model integrating radiomics and deep learning enhanced prediction accuracy. Six AI agents processed structured multimodal data and generated individualized treatment strategies, which were evaluated by hepatobiliary surgeons. The fusion model significantly improved prediction accuracy, with MVI and capsule presence reaching 0.8902 and 0.8765, respectively. DeepSeek-R1 achieved the highest clinical relevance score, followed by GPT-4 and Med-PaLM 2. This framework demonstrates the feasibility of AI-assisted, patient-specific HCC decision-making, offering a promising direction for precision oncology.

Indexed as

deep learninghepatocellular carcinomaLLM-based decision-makingpathological marker predictionradiomics

Identifiers

PMID41472823
PMCPMC12745982

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.