Evidence map›Paper›PMID 41623418›Full record

Articlenpj health systems2025

Synoptic reporting by summarizing cancer pathology reports using large language models.

Sivaraman Rajaganapathy, Shaika Chowdhury, Xiaodi Li, Vincent Buchner, Zhe He, Rui Zhang, Xiaoqian Jiang, Ping Yang, James R Cerhan, Nansu Zong

Abstract read
In one paragraph

Article in npj health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Sivaraman RajaganapathyDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, MN, USA.
Shaika ChowdhuryDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, MN, USA.
Xiaodi LiDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, MN, USA.
Vincent BuchnerDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, MN, USA.
Zhe HeSchool of Information, Florida State University, Tallahassee, FL, USA.
Rui ZhangDivision of Computational Health Sciences, University of Minnesota, Minneapolis, MN, USA.
Xiaoqian JiangDepartment of Health Data Science and Artificial Intelligence, UTHealth, Houston, TX, USA.
Ping YangDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
James R CerhanDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Nansu ZongDepartment of Artificial Intelligence and Informatics, Mayo Clinic, Rochester, MN, USA.

Funding

Bridge2AI: Patient-Focused Collaborative Hospital Repository Uniting Standards (CHoRUS) for Equitable AIOT2OD032701 · OD · MASSACHUSETTS GENERAL HOSPITAL · PI BIHORAC, AZRA, CLERMONT, GILLES · 2022 to 2025
$24.6M
RADx-Rad Discoveries & Data: Consortium Coordination Center Program OrganizationU24LM013755 · NLM · YALE UNIVERSITY · PI ARONOFF-SPENCER, ELIAH S, OHNO-MACHADO, LUCILA · 2021 to 2023
$23.3M
Ethics Core (FABRIC)U54HG012510 · NHGRI · YALE UNIVERSITY · PI MALIN, BRADLEY A. · 2022 to 2025
$11.2M
SMARTer Healthy Choices: Optimizing a state-wide scalable intervention to improve alcohol and HIV self-management in adolescents and emerging adults (Project SUSTAIN)P01AA029547 · NIAAA · FLORIDA STATE UNIVERSITY · PI NICHOLS, SHARON L · 2021 to 2025
$6.5M
AIM-AI: an Actionable, Integrated and Multiscale genetic map of Alzheimer's disease via deep learningU01AG079847 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Christopher A. Gaiteri, Xiaoqian Jiang · 2023 to 2026
$5.1M
Finding Combinatorial Drug Repositioning Therapy For Alzheimer'S Disease And Related DementiasR01AG066749 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI JIANG, XIAOQIAN, ZHENG, WENJIN JIM · 2020 to 2024
$4.4M
The Adherence Promotion with Person-centered Technology (APPT) Project: Promoting Adherence to Enhance the Early Detection and Treatment of Cognitive DeclineR01AG064529 · NIA · FLORIDA STATE UNIVERSITY · PI BOOT, WALTER RICHARD · 2019 to 2023
$3.2M
Accelerating Genomic Data Sharing and Collaborative Research with Privacy ProtectionR01LM014520 · NLM · CASE WESTERN RESERVE UNIVERSITY · PI Erman Ayday, Xiaoqian Jiang · 2023 to 2026
$2.6M
Decentralized differentially-private methods for dynamic data release and analysisR01LM013712 · NLM · YALE UNIVERSITY · PI JIANG, XIAOQIAN, OHNO-MACHADO, LUCILA · 2022 to 2025
$2.5M
Harmonizing multiple clinical trials for Alzheimer's disease to investigate differential responses to treatment via federated counterfactual learningR01AG082721 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Xiaoqian Jiang, Yejin Kim · 2023 to 2026
$2.0M
Robust privacy preserving distributed analysis platform for cancer research: addressing data bias and disparitiesU01CA274576 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JIANG, XIAOQIAN, LONG, QI · 2023 to 2025
$1.2M
BOND: Benchmarking based on heterogeneous biOmedical Network and Deep learning novel drug-target associationsR00GM135488 · NIGMS · MAYO CLINIC ROCHESTER · PI ZONG, NANSU · 2021 to 2023
$747k
AHRQ HHS R21 HS029969NCI NIH HHS U01 CA274576NHGRI NIH HHS U54 HG012510NIAAA NIH HHS P01 AA029547NIA NIH HHS R01 AG064529NIA NIH HHS R01 AG066749NIA NIH HHS R01 AG082721NIA NIH HHS U01 AG079847NIGMS NIH HHS K99 GM135488NIGMS NIH HHS R00 GM135488NIH HHS OT2 OD032701NLM NIH HHS R01 LM013712NLM NIH HHS R01 LM014520NLM NIH HHS R21 LM013911NLM NIH HHS U24 LM013755
6 · The paper itself

Abstract

Synoptic reporting, the documenting of clinical information in a structured manner, enhances patient care by improving accuracy, readability, and report completeness, but imposes significant administrative burdens on physicians. The potential of Large Language Models (LLMs) for automating synoptic reporting remains underexplored. In this study, we explore state-of-the-art LLMs for automatic synoptic reporting, using 7774 pathology reports from 8 cancer types, paired with physician annotated synoptic reports from the Mayo Clinic EHR. We developed a comprehensive automation framework, combining state-of-the-art LLMs, incorporating parameter-efficient optimization, scalable prompt templates, and robust evaluation strategies. We validate our results on both internal and external data, ensuring alignment with pathologist responses. Using our framework, fine-tuned LLAMA-2 achieved BERT F1 scores above 0.86 across all data elements and exceeding 0.94 over 50% (11 of 22) of the data elements, translating to manually assessed mean semantic accuracies of 77% and up to 81% for short clinical reports.

Identifiers

PMID41623418
PMCPMC12858025

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.