Evidence mapPaperPMID 40169010Full record

ReviewAnnual review of biomedical data science2025

The Development Landscape of Large Language Models for Biomedical Applications.

Zhiyuan Cao, Vipina K Keloth, Qianqian Xie, Lingfei Qian, Yuntian Liu, Yan Wang, Rui Shi, Weipeng Zhou, Gui Yang, Jeffrey Zhang and 5 more

Abstract readReview
In one paragraph

Review in Annual review of biomedical data science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Epistemic compression in large language model explanations of the gut-liver axis.Frontiers in cellular and infection microbiology · 2026
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Zhiyuan CaoDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Vipina K KelothDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Qianqian XieDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Lingfei QianDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Yuntian LiuDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Yan WangDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Rui ShiDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Weipeng ZhouDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Gui YangDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Jeffrey ZhangDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Xueqing PengDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Ethan ZhenDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Ruey-Ling WengDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Qingyu ChenDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.
Hua XuDepartment of Biomedical Informatics and Data Science, School of Medicine, Yale University, New Haven, Connecticut, USA; email: hua.xu@yale.edu.

Funding

Leveraging Longitudinal Data and Informatics Technology to Understand the Role of Bilingualism in Cognitive Resilience, Aging and DementiaR01AG080429 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI Michelle L Dossett, HUA XU · 2023 to 2026
$5.5M
Detecting synergistic effects of pharmacological and non-pharmacological interventions for AD/ADRDR01AG078154 · NIA · UNIVERSITY OF MINNESOTA · PI HUA XU, RUI ZHANG · 2022 to 2026
$4.2M
Facilitate Observational Studies of Alzheimer's Disease and Alzheimer's Disease-Related Dementias Using Ontology and Natural Language ProcessingRF1AG072799 · NIA · YALE UNIVERSITY · PI LIU, HONGFANG, TAO, CUI · 2021 to 2021
$2.4M
Addressing Factual Inaccuracy and Unfaithful Reasoning of Large Language Models in Biomedicine and HealthcareR01LM014604 · NLM · YALE UNIVERSITY · PI Qingyu Chen · 2024 to 2026
$1.1M
Natural language processing and medical imaging analysis for multi-modality computer assisted diagnosis of ophthalmic diseasesR00LM014024 · NLM · YALE UNIVERSITY · PI Qingyu Chen · 2024 to 2026
$747k
NIA NIH HHS R01 AG078154NIA NIH HHS R01 AG080429NIA NIH HHS RF1 AG072799NLM NIH HHS R00 LM014024NLM NIH HHS R01 LM014604
6 · The paper itself

Abstract

Large language models (LLMs) have become powerful tools for biomedical applications, offering potential to transform healthcare and medical research. Since the release of ChatGPT in 2022, there has been a surge in LLMs for diverse biomedical applications. This review examines the landscape of text-based biomedical LLM development, analyzing model characteristics (e.g., architecture), development processes (e.g., training strategy), and applications (e.g., chatbots). Following PRISMA guidelines, 82 articles were selected out of 5,512 articles since 2022 that met our rigorous criteria, including the requirement of using biomedical data when training LLMs. Findings highlight the predominant use of decoder-only architectures such as Llama 7B, prevalence of task-specific fine-tuning, and reliance on biomedical literature for training. Challenges persist in balancing data openness with privacy concerns and detailing model development, including computational resources used. Future efforts would benefit from multimodal integration, LLMs for specialized medical applications, and improved data sharing and model accessibility.

Indexed as

Biomedical ResearchLanguageHumansLarge Language Modelsbiomedical applicationsclinical NLPhealthcare AIlarge language models

Identifiers

PMID40169010
PMCPMC12372014

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.