Multimodal Large Language Models in Health Care: Applications, Challenges, and Future Outlook
In the complex and multidimensional field of medicine, multimodal data are prevalent and crucial for informed clinical decisions. Multimodal data span a broad spectrum of data types, including medical images (eg, MRI and CT scans), time-series data (eg, sensor data from wearable devices and electronic health records), audio recordings (eg, heart and respiratory sounds and patient interviews), text (eg, clinical notes and research articles), videos (eg, surgical procedures), and omics data (eg, genomics and prote…
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Published August 20, 2024, this peer-reviewed perspective examines multimodal large language models in medicine. It notes that clinical work depends on diverse data types from MRI and CT scans to EHR time-series, audio, text, video, and omics, while most current LLMs process only text.
The piece matters because it connects a demonstrated gain in knowledge retrieval and processing with a persistent gap in multimodal integration needed for informed clinical decisions. What remains uncertain is how technical and ethical challenges will be resolved to move from conceptual framework to validated clinical implementation.
- Medical practice relies on multimodal data including medical images (eg, MRI and CT scans), time-series, audio, text, videos, and omics data.
- Most existing LLMs remain limited to unimodal text-based content and overlook integration of diverse clinical modalities.
- Paper presents a practical perspective on multimodal LLMs covering foundational principles, applications, technical and ethical challenges, and future directions.
Large language models have enabled new applications for knowledge retrieval and processing in the medical field.
The rundown
The authors describe the clinical environment as inherently multimodal, spanning imaging, time-series from wearables and EHRs, audio recordings of heart and respiratory sounds, clinical notes, surgical videos, and omics data.
They frame multimodal LLMs as a paradigm shift toward integrated data-driven practice, outlining foundational principles and a unified vision intended to guide future research and implementation while noting technical and ethical challenges.
Sources
- Peer-reviewedJournal of Medical Internet Research2024-08-20
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