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Author: npj Digital Medicine

Diagnosing pathologic myopia by identifying morphologic patterns using ultra widefield images with deep learning

Diagnosing pathologic myopia by identifying morphologic patterns using ultra widefield images with deep learning

July 13, 2025July 13, 2025npj Digital Medicine

Pathologic myopia is a leading cause of visual impairment and blindness. While deep learning-based approaches aid in recognizing pathologic myopia using color fundus photography, they often rely on implicit patterns that lack clinical interpretability….

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A systematic review on patient and public attitudes toward health monitoring technologies across countries

A systematic review on patient and public attitudes toward health monitoring technologies across countries

July 12, 2025July 12, 2025npj Digital Medicine

The market for digital health monitoring is expanding rapidly, with technologies that track health information and provide access to medical data promising benefits for users, particularly in areas with limited healthcare resources. To understand…

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Vision-language model for report generation and outcome prediction in CT pulmonary angiogram

Vision-language model for report generation and outcome prediction in CT pulmonary angiogram

July 12, 2025July 12, 2025npj Digital Medicine

Accurate and comprehensive interpretation of pulmonary embolism (PE) from Computed Tomography Pulmonary Angiography (CTPA) scans remains a clinical challenge due to the limited specificity and structure of existing AI tools. We propose an agent-based…

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A randomized controlled trial to evaluate innovative decision support in the context of fall prevention

A randomized controlled trial to evaluate innovative decision support in the context of fall prevention

July 12, 2025July 12, 2025npj Digital Medicine

Falls are a major cause of injuries among older people, with medication being a key risk factor. The SNOWDROP intervention introduces a clinical decision support system for general practitioners (GPs) offering personalized deprescribing advice,…

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A perspective for adapting generalist AI to specialized medical AI applications and their challenges

A perspective for adapting generalist AI to specialized medical AI applications and their challenges

July 11, 2025July 11, 2025npj Digital Medicine

We introduce a framework to adapt large language models for medicine: (1) Modeling: breaking down medical workflows into manageable steps; (2) Optimization: optimizing model performance via advanced adaptations; and (3) System engineering: developing agent…

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A scoping review of the governance of federated learning in healthcare

A scoping review of the governance of federated learning in healthcare

July 11, 2025July 11, 2025npj Digital Medicine

In healthcare, federated learning (FL) is emerging as a methodology to enable the analysis of large and disparate datasets while allowing custodians to retain sovereignty. While FL minimises data-sharing challenges, concerns surrounding ethics, privacy,…

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Deep learning on routine full-breast mammograms enhances lymph node metastasis prediction in early breast cancer

Deep learning on routine full-breast mammograms enhances lymph node metastasis prediction in early breast cancer

July 11, 2025July 11, 2025npj Digital Medicine

With the shift toward de-escalating surgery in breast cancer, prediction models incorporating imaging can reassess the need for surgical axillary staging. This study employed advancements in deep learning to comprehensively evaluate routine mammograms for…

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GH-UNet: group-wise hybrid convolution-VIT for robust medical image segmentation

GH-UNet: group-wise hybrid convolution-VIT for robust medical image segmentation

July 10, 2025July 11, 2025npj Digital Medicine

Medical image segmentation is vital for accurate diagnosis. While U-Net-based models are effective, they struggle to capture long-range dependencies in complex anatomy. We propose GH-UNet, a Group-wise Hybrid Convolution-ViT model within the U-Net framework,…

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Cognitive bias in clinical large language models

Cognitive bias in clinical large language models

July 10, 2025July 11, 2025npj Digital Medicine

Cognitive bias accounts for a significant portion of preventable errors in healthcare, contributing to significant patient morbidity and mortality each year. As large language models (LLMs) are introduced into healthcare and clinical decision-making, these…

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Benchmarking vision-language models for diagnostics in emergency and critical care settings

Benchmarking vision-language models for diagnostics in emergency and critical care settings

July 10, 2025July 10, 2025npj Digital Medicine

The applicability of vision-language models (VLMs) for acute care in emergency and intensive care units remains underexplored. Using a multimodal dataset of diagnostic questions involving medical images and clinical context, we benchmarked several small…

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Transformation implies an order of magnitude improvement in performance, as opposed to incremental improvement. Digital implies the convergence of technologies in which the total is greater than the sum of the parts. Thus, digital transformation unlocks breakthrough or innovative business performance through the synergistic use of technology. Said another way, digital transformation is what turns the lead into gold.

Andy Lehman

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