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Record W4410203956 · doi:10.1371/journal.pdig.0000800

Clinical insights: A comprehensive review of language models in medicine

2025· review· en· W4410203956 on OpenAlexaff
Nikita Neveditsin, Pawan Lingras, Vijay Mago

Bibliographic record

VenuePLOS Digital Health · 2025
Typereview
Languageen
FieldComputer Science
TopicTopic Modeling
Canadian institutionsYork UniversitySaint Mary's University
Fundersnot available
KeywordsComputer scienceContext (archaeology)Key (lock)AutonomyData scienceResource (disambiguation)Health careManagement scienceKnowledge managementArtificial intelligenceEngineering

Abstract

fetched live from OpenAlex

This paper explores the advancements and applications of language models in healthcare, focusing on their clinical use cases. It examines the evolution from early encoder-based systems requiring extensive fine-tuning to state-of-the-art large language and multimodal models capable of integrating text and visual data through in-context learning. The analysis emphasizes locally deployable models, which enhance data privacy and operational autonomy, and their applications in tasks such as text generation, classification, information extraction, and conversational systems. The paper also highlights a structured organization of tasks and a tiered ethical approach, providing a valuable resource for researchers and practitioners, while discussing key challenges related to ethics, evaluation, and implementation.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.016
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.006
Threshold uncertainty score0.031

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.016
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0060.005
Science and technology studies0.0000.001
Scholarly communication0.0030.004
Open science0.0020.002
Research integrity0.0020.003
Insufficient payload (model declined to judge)0.0050.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.206
GPT teacher head0.450
Teacher spread0.244 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations22
Published2025
Admission routes1
Has abstractyes

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