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Tordjman M, Bolger I, Yuce M, Restrepo F, Liu Z, Dercle L, McGale J, Meribout AL, Liu MM, Beddok A, Lee HC, Rohren S, Yu R, Mei X, Taouli B. Large Language Models in Cancer Imaging: Applications and Future Perspectives. J Clin Med 2025; 14:3285. [PMID: 40429281 PMCID: PMC12112367 DOI: 10.3390/jcm14103285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2025] [Revised: 04/10/2025] [Accepted: 05/06/2025] [Indexed: 05/29/2025] Open
Abstract
Recently, there has been tremendous interest on the use of large language models (LLMs) in radiology. LLMs have been employed for various applications in cancer imaging, including improving reporting speed and accuracy via generation of standardized reports, automating the classification and staging of abnormal findings in reports, incorporating appropriate guidelines, and calculating individualized risk scores. Another use of LLMs is their ability to improve patient comprehension of imaging reports with simplification of the medical terms and possible translations to multiple languages. Additional future applications of LLMs include multidisciplinary tumor board standardizations, aiding patient management, and preventing and predicting adverse events (contrast allergies, MRI contraindications) and cancer imaging research. However, limitations such as hallucinations and variable performances could present obstacles to widespread clinical implementation. Herein, we present a review of the current and future applications of LLMs in cancer imaging, as well as pitfalls and limitations.
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Affiliation(s)
- Mickael Tordjman
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Ian Bolger
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Murat Yuce
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Francisco Restrepo
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Zelong Liu
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Laurent Dercle
- Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA
| | - Jeremy McGale
- Department of Radiology, Columbia University Irving Medical Center, New York, NY 10032, USA
| | - Anis L. Meribout
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Mira M. Liu
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Arnaud Beddok
- Department of Radiation Oncology, Institut Godinot, 51454 Reims, France
- Faculty of Medicine, Université de Reims Champagne-Ardenne, CRESTIC, 51100 Reims, France
- Yale PET Center, Department of Radiology & Biomedical Imaging, Yale University School of Medicine, New Haven, CT 06520, USA
| | - Hao-Chih Lee
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Scott Rohren
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Ryan Yu
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Xueyan Mei
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
| | - Bachir Taouli
- Biomedical Engineering & Imaging Institute, Mount Sinai Health System, New York, NY 10029, USA
- Department of Diagnostic, Molecular and Interventional Radiology, Mount Sinai Health System, New York, NY 10029, USA
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