Evidence map›Paper›PMID 42337060›Full record

ReviewNature biomedical engineering2026

Large reasoning models as thinking machines for medicine.

Hong-Yu Zhou, Adam Rodman, Peng Liu, Pranav Rajpurkar, Tony Y Hu, Tien Yin Wong, Eric J Topol

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Hong-Yu ZhouSchool of Biomedical Engineering, Tsinghua Medicine, Tsinghua University, Beijing, China. hongyu.zhou.ai@gmail.com.ORCID http://orcid.org/0000-0002-1256-7050
Adam RodmanDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Peng LiuSchool of Biomedical Engineering, Tsinghua Medicine, Tsinghua University, Beijing, China.ORCID http://orcid.org/0000-0003-3000-3168
Pranav RajpurkarDepartment of Biomedical Informatics, Harvard Medical School, Boston, MA, USA.
Tony Y HuSchool of Biomedical Engineering, Tsinghua Medicine, Tsinghua University, Beijing, China.ORCID http://orcid.org/0000-0002-5166-4937
Tien Yin WongSchool of Biomedical Engineering, Tsinghua Medicine, Tsinghua University, Beijing, China.ORCID http://orcid.org/0000-0002-8448-1264
Eric J TopolScripps Research Translational Institute, Scripps Research, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-1478-4729

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional artificial intelligence has achieved remarkable feats in identifying associations and predictive patterns, yet its limitations in causal reasoning present a hurdle for complex clinical challenges demanding deep professional expertise. Large reasoning models are creating opportunities to move beyond correlation towards emulating the analytical processes of humans. Applied to the practice of medicine, medical reasoning artificial intelligence (MRAI) envisions systems that can engage directly in patient care, draw on diverse clinical data and decision-support tools, and refine their reasoning by learning from clinician feedback and patient outcomes. Unlike traditional models that operate within fixed parameters, MRAI is expected to redefine clinical artificial intelligence as a thinking partner, enabling a more nuanced understanding of complex medical scenarios. We anticipate that MRAI may act as a collaborative aide, augmenting connection and decisions by managing complex evidence. This paradigm shift is expected to profoundly extend our understanding of medicine, free clinicians for more direct patient care, offer clearer insights and accelerate discovery.

Indexed as

Artificial IntelligenceThinkingHumans

Identifiers

What OpenQuestion holds

Textmetadata
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.