A perspective for adapting generalist AI to specialized medical AI applications and their challenges

Abstract We introduce a framework to adapt large language models for medicine: (1) Modeling: breaking down medical workflows into manageable steps; (2) Optimization: optimizing model performance via advanced adaptations; and (3) System engineering: developing agent or chain systems. Furthermore, we...

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Main Authors: Zifeng Wang, Hanyin Wang, Benjamin Danek, Ying Li, Christina Mack, Luk Arbuckle, Devyani Biswal, Hoifung Poon, Yajuan Wang, Pranav Rajpurkar, Cao Xiao, Jimeng Sun
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-025-01789-7
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author Zifeng Wang
Hanyin Wang
Benjamin Danek
Ying Li
Christina Mack
Luk Arbuckle
Devyani Biswal
Hoifung Poon
Yajuan Wang
Pranav Rajpurkar
Cao Xiao
Jimeng Sun
author_facet Zifeng Wang
Hanyin Wang
Benjamin Danek
Ying Li
Christina Mack
Luk Arbuckle
Devyani Biswal
Hoifung Poon
Yajuan Wang
Pranav Rajpurkar
Cao Xiao
Jimeng Sun
author_sort Zifeng Wang
collection DOAJ
description Abstract We introduce a framework to adapt large language models for medicine: (1) Modeling: breaking down medical workflows into manageable steps; (2) Optimization: optimizing model performance via advanced adaptations; and (3) System engineering: developing agent or chain systems. Furthermore, we describe varied use cases, such as clinical trial design, clinical decision support, and medical imaging analysis. Finally, we discuss challenges and considerations for building medical AI with LLMs.
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issn 2398-6352
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publishDate 2025-07-01
publisher Nature Portfolio
record_format Article
series npj Digital Medicine
spelling doaj-art-8f99fb2f3b4c48e59754b7c9671244e22025-08-20T03:06:08ZengNature Portfolionpj Digital Medicine2398-63522025-07-018111310.1038/s41746-025-01789-7A perspective for adapting generalist AI to specialized medical AI applications and their challengesZifeng Wang0Hanyin Wang1Benjamin Danek2Ying Li3Christina Mack4Luk Arbuckle5Devyani Biswal6Hoifung Poon7Yajuan Wang8Pranav Rajpurkar9Cao Xiao10Jimeng Sun11 Keiji AIDepartment of Computer Science, University of Illinois Urbana-Champaign Keiji AIRegeneronIQVIAIQVIAIQVIAMicrosoft ResearchTeladoc HealthDepartment of Biomedical Informatics, Harvard Medical SchoolGE Healthcare Keiji AIAbstract We introduce a framework to adapt large language models for medicine: (1) Modeling: breaking down medical workflows into manageable steps; (2) Optimization: optimizing model performance via advanced adaptations; and (3) System engineering: developing agent or chain systems. Furthermore, we describe varied use cases, such as clinical trial design, clinical decision support, and medical imaging analysis. Finally, we discuss challenges and considerations for building medical AI with LLMs.https://doi.org/10.1038/s41746-025-01789-7
spellingShingle Zifeng Wang
Hanyin Wang
Benjamin Danek
Ying Li
Christina Mack
Luk Arbuckle
Devyani Biswal
Hoifung Poon
Yajuan Wang
Pranav Rajpurkar
Cao Xiao
Jimeng Sun
A perspective for adapting generalist AI to specialized medical AI applications and their challenges
npj Digital Medicine
title A perspective for adapting generalist AI to specialized medical AI applications and their challenges
title_full A perspective for adapting generalist AI to specialized medical AI applications and their challenges
title_fullStr A perspective for adapting generalist AI to specialized medical AI applications and their challenges
title_full_unstemmed A perspective for adapting generalist AI to specialized medical AI applications and their challenges
title_short A perspective for adapting generalist AI to specialized medical AI applications and their challenges
title_sort perspective for adapting generalist ai to specialized medical ai applications and their challenges
url https://doi.org/10.1038/s41746-025-01789-7
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