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Evidence-backed gain

AI-based clinician decision support system for diagnosis of inherited retinal diseases: a multicenter, randomized trial

The accurate and timely diagnosis of inherited retinal diseases (IRDs) represents an unmet clinical need in ophthalmology, as the current pathways rely on resource-intensive phenotyping, multidisciplinary expertise and genetic testing. Here we developed Retina4IRD, an artificial intelligence (AI)-based clinician decision support system (CDSS) that predicts 17 genotype categories from retina images. Retina4IRD uses a Vision Transformer model pretrained with RETFound. We then trained and validated Retina4IRD using…

Nature Medicine · Health

AI-based clinician decision support system for diagnosis of inherited retinal diseases: a multicenter, randomized trial

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Machine Learning Prediction of Hoehn and Yahr Scores at 5-Years Post-<sup>123</sup>I-Ioflupane SPECT Imaging in a Real-World Parkinson's Disease Dataset

Background Parkinson's disease (PD) progression is highly heterogeneous, complicating clinical management and prognostication. While machine learning models have been developed using research datasets such as Parkinson's Precision Medicine Initiative (PPMI) and Parkinson's Disease Biomarkers Program (PDBP), their clinical translatability is limited due to differences in routinely collected data. The Hoehn and Yahr (H&Y) scale is commonly used in clinical practice to stage PD, yet most predictive models focus on…

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Ultra-widefield color fundus images and artificial intelligence for diagnosis of diabetic retinopathy: A systematic review and meta-analysis

Ultra-widefield (UWF) fundus cameras capture a larger retinal area without pupil dilation. We summarized evidence and diagnostic performance of artificial intelligence (AI)-driven diabetic retinopathy (DR) assessments using UWF images (UWFIs). We searched PubMed, Scopus, the Cochrane Library, and Web of Science to February 9, 2025, for studies evaluating DR using UWFIs and AI analyses. We followed the PRISMA guidelines and assessed study quality using the Joanna Briggs Institute Critical Appraisal Checklist for…

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Clinically Interpretable Deep Learning for Differentiating Vitiligo and Postinflammatory Hypopigmentation: Diagnostic Accuracy Study

Distinguishing vitiligo from postinflammatory hypopigmentation (PIH) is clinically challenging because both conditions may present with similar depigmented lesions. Although deep learning has shown strong potential for dermatologic image classification, limited interpretability remains a barrier to clinical adoption. This study aimed to develop an interpretable deep learning framework for accurate differentiation between vitiligo and PIH using a lightweight convolutional neural network and an ensemble of explain…

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Prognostic Significance of Cell-Free DNA Derived 5-Hydroxymethylcytosine Signatures in Newly Diagnosed Multiple Myeloma

While survival outcomes in multiple myeloma (MM) have improved with contemporary combination therapies, predicting disease trajectories for individual patients at diagnosis remains a significant challenge. We investigate the prognostic value of a noninvasive biomarker-cell-free DNA (cfDNA)‑derived 5-hydroxymethylcytosine (5hmC) signature-in newly diagnosed MM, aiming to improve risk stratification at diagnosis. In this prospective cohort study, 321 patients with newly diagnosed MM were enrolled between 2010 and…

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The Impact of Artificial Intelligence on Healthcare: A Comprehensive Review of Advancements in Diagnostics, Treatment, and Operational Efficiency

Background and Aims: Artificial Intelligence (AI) beginning to integrate in healthcare, is ushering in a transformative era, impacting diagnostics, altering personalized treatment, and significantly improving operational efficiency. The study aims to describe AI in healthcare, including important technologies like robotics, machine learning (ML), deep learning (DL), and natural language processing (NLP), and to investigate how these technologies are used in patient interaction, predictive analytics, and remote m…

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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…

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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),…

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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…

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Current AI technologies in cancer diagnostics and treatment

Artificial Intelligence in Clinical Medicine: Challenges Across Diagnostic Imaging, Clinical Decision Support, Surgery, Pathology, and Drug Discovery

Aims/Background: The growing integration of artificial intelligence (AI) into clinical medicine has opened new possibilities for enhancing diagnostic accuracy, therapeutic decision-making, and biomedical innovation across several domains. This review is aimed to evaluate the clinical applications of AI across five key domains of medicine: diagnostic imaging, clinical decision support systems (CDSS), surgery, pathology, and drug discovery, highlighting achievements, limitations, and future directions. Methods: A…

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Artificial Intelligence in Clinical Medicine: Challenges Across Diagnostic Imaging, Clinical Decision Support, Surgery, Pathology, and Drug Discovery

Artificial intelligence and radiologists in prostate cancer detection on MRI (PI-CAI): an international, paired, non-inferiority, confirmatory study

BACKGROUND: Artificial intelligence (AI) systems can potentially aid the diagnostic pathway of prostate cancer by alleviating the increasing workload, preventing overdiagnosis, and reducing the dependence on experienced radiologists. We aimed to investigate the performance of AI systems at detecting clinically significant prostate cancer on MRI in comparison with radiologists using the Prostate Imaging-Reporting and Data System version 2.1 (PI-RADS 2.1) and the standard of care in multidisciplinary routine pract…

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A foundation model for clinical-grade computational pathology and rare cancers detection

The analysis of histopathology images with artificial intelligence aims to enable clinical decision support systems and precision medicine. The success of such applications depends on the ability to model the diverse patterns observed in pathology images. To this end, we present Virchow, the largest foundation model for computational pathology to date. In addition to the evaluation of biomarker prediction and cell identification, we demonstrate that a large foundation model enables pan-cancer detection, achievin…

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A foundation model for clinical-grade computational pathology and rare cancers detection

Recent Advances in Microfluidic Chip Technology for Laboratory Medicine: Innovations and Artificial Intelligence Integration

Microfluidic chip technologies, also known as lab-on-a-chip systems, have profoundly transformed laboratory medicine by enabling the miniaturization, automation, and rapid processing of complex diagnostic assays using minimal sample volumes. Recent advances in chip design, fabrication methods-including 3D printing, modular and flexible substrates-and biosensor integration have significantly enhanced the performance, sensitivity, and clinical applicability of these devices. Integration of advanced biosensors allo…

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Recent Advances in Microfluidic Chip Technology for Laboratory Medicine: Innovations and Artificial Intelligence Integration

Artificial Intelligence for Cervical HPV Infection and Lesion Screening: A Cross-Sectional Analysis of Its Application Potential and Patient Satisfaction

OBJECTIVE: This cross-sectional study aimed to explore the application potential of artificial intelligence (AI) in screening and diagnosing cervical human papillomavirus (HPV) infection and lesions, and to assess patient satisfaction with the current diagnostic and therapeutic process as well as their unmet needs. METHODS: An online cross-sectional survey was conducted via the Questionnaire Star platform, and 308 valid responses were collected. Descriptive statistics were used to summarize participants' demogra…

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Artificial Intelligence for Cervical HPV Infection and Lesion Screening: A Cross-Sectional Analysis of Its Application Potential and Patient Satisfaction