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Autori principali: Li, Michelle M., Reis, Ben Y., Rodman, Adam, Cai, Tianxi, Dagan, Noa, Balicer, Ran D., Loscalzo, Joseph, Kohane, Isaac S., Zitnik, Marinka
Natura: Preprint
Pubblicazione: 2025
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Accesso online:https://arxiv.org/abs/2506.10157
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author Li, Michelle M.
Reis, Ben Y.
Rodman, Adam
Cai, Tianxi
Dagan, Noa
Balicer, Ran D.
Loscalzo, Joseph
Kohane, Isaac S.
Zitnik, Marinka
author_facet Li, Michelle M.
Reis, Ben Y.
Rodman, Adam
Cai, Tianxi
Dagan, Noa
Balicer, Ran D.
Loscalzo, Joseph
Kohane, Isaac S.
Zitnik, Marinka
contents Medical AI, including clinical language models, vision-language models, and multimodal health record models, already summarizes notes, answers questions, and supports decisions. Their adaptation to new populations, specialties, or care settings often relies on fine-tuning, prompting, or retrieval from external knowledge bases. These strategies can scale poorly and risk contextual errors: outputs that appear plausible but miss critical patient or situational information. We envision context switching as a solution. Context switching adjusts model reasoning at inference without retraining. Generative models can tailor outputs to patient biology, care setting, or disease. Multimodal models can reason on notes, laboratory results, imaging, and genomics, even when some data are missing or delayed. Agent models can coordinate tools and roles based on tasks and users. In each case, context switching enables medical AI to adapt across specialties, populations, and geographies. It requires advances in data design, model architectures, and evaluation frameworks, and establishes a foundation for medical AI that scales to infinitely many contexts while remaining reliable and suited to real-world care.
format Preprint
id arxiv_https___arxiv_org_abs_2506_10157
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle One Patient, Many Contexts: Scaling Medical AI with Contextual Intelligence
Li, Michelle M.
Reis, Ben Y.
Rodman, Adam
Cai, Tianxi
Dagan, Noa
Balicer, Ran D.
Loscalzo, Joseph
Kohane, Isaac S.
Zitnik, Marinka
Artificial Intelligence
Computation and Language
Medical AI, including clinical language models, vision-language models, and multimodal health record models, already summarizes notes, answers questions, and supports decisions. Their adaptation to new populations, specialties, or care settings often relies on fine-tuning, prompting, or retrieval from external knowledge bases. These strategies can scale poorly and risk contextual errors: outputs that appear plausible but miss critical patient or situational information. We envision context switching as a solution. Context switching adjusts model reasoning at inference without retraining. Generative models can tailor outputs to patient biology, care setting, or disease. Multimodal models can reason on notes, laboratory results, imaging, and genomics, even when some data are missing or delayed. Agent models can coordinate tools and roles based on tasks and users. In each case, context switching enables medical AI to adapt across specialties, populations, and geographies. It requires advances in data design, model architectures, and evaluation frameworks, and establishes a foundation for medical AI that scales to infinitely many contexts while remaining reliable and suited to real-world care.
title One Patient, Many Contexts: Scaling Medical AI with Contextual Intelligence
topic Artificial Intelligence
Computation and Language
url https://arxiv.org/abs/2506.10157