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Main Authors: Zhong, Jiachen, Wang, Yiting, Zhu, Di, Wang, Ziwei
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2506.07236
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author Zhong, Jiachen
Wang, Yiting
Zhu, Di
Wang, Ziwei
author_facet Zhong, Jiachen
Wang, Yiting
Zhu, Di
Wang, Ziwei
contents Lung cancer remains one of the most prevalent and fatal diseases worldwide, demanding accurate and timely diagnosis and treatment. Recent advancements in large AI models have significantly enhanced medical image understanding and clinical decision-making. This review systematically surveys the state-of-the-art in applying large AI models to lung cancer screening, diagnosis, prognosis, and treatment. We categorize existing models into modality-specific encoders, encoder-decoder frameworks, and joint encoder architectures, highlighting key examples such as CLIP, BLIP, Flamingo, BioViL-T, and GLoRIA. We further examine their performance in multimodal learning tasks using benchmark datasets like LIDC-IDRI, NLST, and MIMIC-CXR. Applications span pulmonary nodule detection, gene mutation prediction, multi-omics integration, and personalized treatment planning, with emerging evidence of clinical deployment and validation. Finally, we discuss current limitations in generalizability, interpretability, and regulatory compliance, proposing future directions for building scalable, explainable, and clinically integrated AI systems. Our review underscores the transformative potential of large AI models to personalize and optimize lung cancer care.
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spellingShingle A Narrative Review on Large AI Models in Lung Cancer Screening, Diagnosis, and Treatment Planning
Zhong, Jiachen
Wang, Yiting
Zhu, Di
Wang, Ziwei
Image and Video Processing
Computer Vision and Pattern Recognition
Lung cancer remains one of the most prevalent and fatal diseases worldwide, demanding accurate and timely diagnosis and treatment. Recent advancements in large AI models have significantly enhanced medical image understanding and clinical decision-making. This review systematically surveys the state-of-the-art in applying large AI models to lung cancer screening, diagnosis, prognosis, and treatment. We categorize existing models into modality-specific encoders, encoder-decoder frameworks, and joint encoder architectures, highlighting key examples such as CLIP, BLIP, Flamingo, BioViL-T, and GLoRIA. We further examine their performance in multimodal learning tasks using benchmark datasets like LIDC-IDRI, NLST, and MIMIC-CXR. Applications span pulmonary nodule detection, gene mutation prediction, multi-omics integration, and personalized treatment planning, with emerging evidence of clinical deployment and validation. Finally, we discuss current limitations in generalizability, interpretability, and regulatory compliance, proposing future directions for building scalable, explainable, and clinically integrated AI systems. Our review underscores the transformative potential of large AI models to personalize and optimize lung cancer care.
title A Narrative Review on Large AI Models in Lung Cancer Screening, Diagnosis, and Treatment Planning
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2506.07236