{"title":"Medical large language model for diagnostic reasoning across specialties","authors":"","doi":"10.1038/s41591-025-03520-1","DOIUrl":null,"url":null,"abstract":"We developed a medical large language model with 176 billion parameters and fine-tuned it to learn physicians’ inferential diagnosis. We showed that the model accurately diagnoses common and rare diseases across specialties, aligns with medical standards, and can be integrated into clinical workflows to effectively enhance physician diagnostic performance.","PeriodicalId":19037,"journal":{"name":"Nature Medicine","volume":"31 3","pages":"743-744"},"PeriodicalIF":50.0000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.nature.com/articles/s41591-025-03520-1","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"BIOCHEMISTRY & MOLECULAR BIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
We developed a medical large language model with 176 billion parameters and fine-tuned it to learn physicians’ inferential diagnosis. We showed that the model accurately diagnoses common and rare diseases across specialties, aligns with medical standards, and can be integrated into clinical workflows to effectively enhance physician diagnostic performance.
期刊介绍：
Nature Medicine is a monthly journal publishing original peer-reviewed research in all areas of medicine. The publication focuses on originality, timeliness, interdisciplinary interest, and the impact on improving human health. In addition to research articles, Nature Medicine also publishes commissioned content such as News, Reviews, and Perspectives. This content aims to provide context for the latest advances in translational and clinical research, reaching a wide audience of M.D. and Ph.D. readers. All editorial decisions for the journal are made by a team of full-time professional editors.
Nature Medicine consider all types of clinical research, including:
-Case-reports and small case series
-Clinical trials, whether phase 1, 2, 3 or 4
-Observational studies
-Meta-analyses
-Biomarker studies
-Public and global health studies
Nature Medicine is also committed to facilitating communication between translational and clinical researchers. As such, we consider “hybrid” studies with preclinical and translational findings reported alongside data from clinical studies.
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