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Towards conversational diagnostic artificial intelligence

Abstract At the heart of medicine lies physician–patient dialogue, where skillful history-taking enables effective diagnosis, management and enduring trust 1,2 . Artificial intelligence (AI) systems capable of diagnostic dialogue could increase accessibility and quality of care. However, approximating clinicians’ expertise is an outstanding challenge. Here we introduce AMIE (Articulate Medical Intelligence Explorer), a large language model (LLM)-based AI system optimized for diagnostic dialogue. AMIE uses a self…

Nature

Evidence-backed gain

Opportunities for Artificial Intelligence in Operational Medicine: Lessons from the United States Military

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Large Language Models in Medicine: Applications, Challenges, and Future Directions

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The evolving field of digital mental health: current evidence and implementation issues for smartphone apps, generative artificial intelligence, and virtual reality

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A framework to assess clinical safety and hallucination rates of LLMs for medical text summarisation

Integrating large language models (LLMs) into healthcare can enhance workflow efficiency and patient care by automating tasks such as summarising consultations. However, the fidelity between LLM outputs and ground truth information is vital to prevent miscommunication that could lead to compromise in patient safety. We propose a framework comprising (1) an error taxonomy for classifying LLM outputs, (2) an experimental structure for iterative comparisons in our LLM document generation pipeline, (3) a clinical sa…

Both readings

AI-Driven Wearable Bioelectronics in Digital Healthcare

The integration of artificial intelligence (AI) with wearable bioelectronics is revolutionizing digital healthcare by enabling proactive, personalized, and data-driven medical solutions. These advanced devices, equipped with multimodal sensors and AI-powered analytics, facilitate real-time monitoring of physiological and biochemical parameters-such as cardiac activity, glucose levels, and biomarkers-allowing for early disease detection, chronic condition management, and precision therapeutics. By shifting health…

Evidence-backed gain

Performance of artificial intelligence in the collection of patient history in general practice

Automating administrative tasks, such as compiling a patient's medical history, could help general practitioners in their daily work. AI performance has improved in recent decades, but skepticism among professionals limits its use in medical practice, due to fears of gaps and biases. This study attempts to evaluate the effectiveness of AI in recording patient histories compared to general practitioners. Cross-sectional study. SITE: Online study in France. French general practitioners recruited online. We compare…

Evidence-backed gain

Can platform literacy protect vulnerable young people against the risky affordances of social media platforms?

A qualitative study of young people with mental health difficulties sought to understand their digital experiences and identify whether their digital literacy helps them cope with online problems. The findings reveal how young people’s encounters with extreme online risk are amplified by platforms’ promotion of trending and viral content and intensified through the personalisation of content that can ‘trigger’ individual vulnerabilities. We conceptualise these twin processes in terms of risky affordances and sho…

Health

Optimizing Treatment Strategies in the Bipolar Disorder Spectrum With Classical AI Approaches: Systematic Review of Performance, Bias, and Clinical Applicability

Bipolar disorder (BD) is a complex and heterogeneous psychiatric condition, characterized by fluctuating clinical courses that affect approximately 1%-2% of the global population in their lifetime. Despite pharmacological advances, treatment response varies significantly among patients, making the identification of individualized treatment strategies a major challenge. Artificial Intelligence (AI), through its classical approaches, has emerged as a powerful tool in precision psychiatry to identify subtle pattern…

Health

A Supervised Fine-Tuned Large Language Model for Lifestyle Management in Patients With Prostate Cancer: Development and Evaluation Study

Lifestyle interventions for patients with prostate cancer have been shown to improve treatment adherence and quality of life. However, there remains a lack of large language models (LLMs) capable of delivering individualized and professional lifestyle recommendations under clearly defined medical safety boundaries and controlled evidence sources. This study aimed to develop and evaluate a supervised fine-tuned LLM-PCaPLMM_SFT (Prostate Cancer Patient Lifestyle Management Model via Supervised Fine-Tuning)-to supp…

Health

Multiturn Large Language Model-Based Conversational Agents for Patients With Cancer and Caregivers: Scoping Review

Large language model (LLM)-based conversational agents are increasingly used in health care, yet their capacity to support genuine multiturn dialogue remains underexplored. In oncology, where patients and caregivers experience complex informational and emotional needs throughout the disease trajectory, conversational agents may support information provision, symptom consultation, and emotional assistance. However, research specifically examining multiturn conversational agents designed for patients with cancer a…

Health

Enhancing objective structured clinical examination performance through an artificial intelligence virtual patient: a proof-of-concept study

The application of artificial intelligence (AI) in simulating detailed patient-doctor interactions for objective structured clinical examinations (OSCEs) remains emerging. This study aimed to evaluate an AI virtual patient (AIVP) innovation designed to support medical education through interactive patient simulations and feedback. This prospective mixed-methods pilot recruited final-year medical students during their critical care term. Two cohorts were examined: a volunteer AIVP group (n = 43) and an educationa…

Health

Can AI assist in reducing diagnostic error? A narrative review

Diagnostic error, defined as missed, wrong, or delayed diagnoses or those not communicated to patients, is common, affecting 5-10 % of hospital admissions and clinic visits. Such errors cause patient harm in up to 1 in 100 of such encounters and account for 10 % of all hospital deaths and serious adverse events. About 80 % of diagnostic errors are potentially preventable, most resulting from flaws in clinician reasoning in formulating and testing diagnostic hypotheses. The advent of artificial intelligence (AI),…

Health

Multimodal AI in Biomedicine: Pioneering the Future of Biomaterials, Diagnostics, and Personalized Healthcare

Multimodal artificial intelligence (AI) is driving a paradigm shift in modern biomedicine by seamlessly integrating heterogeneous data sources such as medical imaging, genomic information, and electronic health records. This review explores the transformative impact of multimodal AI across three pivotal areas: biomaterials science, medical diagnostics, and personalized medicine. In the realm of biomaterials, AI facilitates the design of patient-specific solutions tailored for tissue engineering, drug delivery, a…

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Current AI technologies in cancer diagnostics and treatment

Cancer continues to be a significant international health issue, which demands the invention of new methods for early detection, precise diagnoses, and personalized treatments. Artificial intelligence (AI) has rapidly become a groundbreaking component in the modern era of oncology, offering sophisticated tools across the range of cancer care. In this review, we performed a systematic survey of the current status of AI technologies used for cancer diagnoses and therapeutic approaches. We discuss AI-facilitated im…