# Large AI Models in Health Informatics: Applications, Challenges, and the Future

arXiv: https://arxiv.org/abs/2303.11568 · HTML: https://mlsanity.com/paper/2303.11568/

## Key facts

- Cited by 61 papers in the map (data through 14 Oct 2026).
- Builds on 191 of its 348 references that are in the map.
- First posted on arXiv 21 Mar 2023.

## Builds on (most cited first, 30 of 191)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [High-Resolution Image Synthesis with Latent Diffusion Models](https://mlsanity.com/paper/2112.10752/) (2021)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Proximal Policy Optimization Algorithms](https://mlsanity.com/paper/1707.06347/) (2017)
- [Exploring the Limits of Transfer Learning with a Unified Text-to-Text Transformer](https://mlsanity.com/paper/1910.10683/) (2019)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- [Chain-of-Thought Prompting Elicits Reasoning in Large Language Models](https://mlsanity.com/paper/2201.11903/) (2022)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [Deep Unsupervised Learning using Nonequilibrium Thermodynamics](https://mlsanity.com/paper/1503.03585/) (2015)
- [Hierarchical Text-Conditional Image Generation with CLIP Latents](https://mlsanity.com/paper/2204.06125/) (2022)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Photorealistic Text-to-Image Diffusion Models with Deep Language Understanding](https://mlsanity.com/paper/2205.11487/) (2022)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [PaLM: Scaling Language Modeling with Pathways](https://mlsanity.com/paper/2204.02311/) (2022)
- [Large Language Models are Zero-Shot Reasoners](https://mlsanity.com/paper/2205.11916/) (2022)
- [BLIP: Bootstrapping Language-Image Pre-training for Unified Vision-Language Understanding and Generation](https://mlsanity.com/paper/2201.12086/) (2022)
- [Zero-Shot Text-to-Image Generation](https://mlsanity.com/paper/2102.12092/) (2021)

## Built on by (most cited first, 30 of 61)

- [Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.12620/) (2023)
- [A Survey on Large Language Model Acceleration based on KV Cache Management](https://mlsanity.com/paper/2412.19442/) (2024)
- [A Survey of Large Language Models in Medicine: Progress, Application, and Challenge](https://mlsanity.com/paper/2311.05112/) (2023)
- [Large Models for Time Series and Spatio-Temporal Data: A Survey and Outlook](https://mlsanity.com/paper/2310.10196/) (2023)
- [LEGO-Prover: Neural Theorem Proving with Growing Libraries](https://mlsanity.com/paper/2310.00656/) (2023)
- [EHRSHOT: An EHR Benchmark for Few-Shot Evaluation of Foundation Models](https://mlsanity.com/paper/2307.02028/) (2023)
- [Foundation Model for Advancing Healthcare: Challenges, Opportunities, and Future Directions](https://mlsanity.com/paper/2404.03264/) (2024)
- [Detecting Multimedia Generated by Large AI Models: A Survey](https://mlsanity.com/paper/2402.00045/) (2024)
- [Generalist Vision Foundation Models for Medical Imaging: A Case Study of Segment Anything Model on Zero-Shot Medical Segmentation](https://mlsanity.com/paper/2304.12637/) (2023)
- [One Prompt Word is Enough to Boost Adversarial Robustness for Pre-trained Vision-Language Models](https://mlsanity.com/paper/2403.01849/) (2024)
- [A Comprehensive Survey of Large Language Models and Multimodal Large Language Models in Medicine](https://mlsanity.com/paper/2405.08603/) (2024)
- [BitDelta: Your Fine-Tune May Only Be Worth One Bit](https://mlsanity.com/paper/2402.10193/) (2024)
- [ChatCAD+: Towards a Universal and Reliable Interactive CAD using LLMs](https://mlsanity.com/paper/2305.15964/) (2023)
- [VLMPC: Vision-Language Model Predictive Control for Robotic Manipulation](https://mlsanity.com/paper/2407.09829/) (2024)
- [MEDCO: Medical Education Copilots Based on A Multi-Agent Framework](https://mlsanity.com/paper/2408.12496/) (2024)
- [Evaluation of GPT-3.5 and GPT-4 for supporting real-world information needs in healthcare delivery](https://mlsanity.com/paper/2304.13714/) (2023)
- [Effectiveness Assessment of Recent Large Vision-Language Models](https://mlsanity.com/paper/2403.04306/) (2024)
- [Lyra: Orchestrating Dual Correction in Automated Theorem Proving](https://mlsanity.com/paper/2309.15806/) (2023)
- [BioBridge: Bridging Biomedical Foundation Models via Knowledge Graphs](https://mlsanity.com/paper/2310.03320/) (2023)
- [VisionFM: a Multi-Modal Multi-Task Vision Foundation Model for Generalist Ophthalmic Artificial Intelligence](https://mlsanity.com/paper/2310.04992/) (2023)
- [Qilin-Med: Multi-stage Knowledge Injection Advanced Medical Large Language Model](https://mlsanity.com/paper/2310.09089/) (2023)
- [Label-Efficient Deep Learning in Medical Image Analysis: Challenges and Future Directions](https://mlsanity.com/paper/2303.12484/) (2023)
- [PULSAR at MEDIQA-Sum 2023: Large Language Models Augmented by Synthetic Dialogue Convert Patient Dialogues to Medical Records](https://mlsanity.com/paper/2307.02006/) (2023)
- [Dietary Assessment with Multimodal ChatGPT: A Systematic Analysis](https://mlsanity.com/paper/2312.08592/) (2023)
- [Multimodal Data Integration for Precision Oncology: Challenges and Future Directions](https://mlsanity.com/paper/2406.19611/) (2024)
- [Almanac Copilot: Towards Autonomous Electronic Health Record Navigation](https://mlsanity.com/paper/2405.07896/) (2024)
- [PhenoFlow: A Human-LLM Driven Visual Analytics System for Exploring Large and Complex Stroke Datasets](https://mlsanity.com/paper/2407.16329/) (2024)
- [Large Language Models Illuminate a Progressive Pathway to Artificial Healthcare Assistant: A Review](https://mlsanity.com/paper/2311.01918/) (2023)
- [LLaVA-Ultra: Large Chinese Language and Vision Assistant for Ultrasound](https://mlsanity.com/paper/2410.15074/) (2024)
- [Emerging Cyber Attack Risks of Medical AI Agents](https://mlsanity.com/paper/2504.03759/) (2025)

## Abstract (arXiv)

Large AI models, or foundation models, are models recently emerging with massive scales both parameter-wise and data-wise, the magnitudes of which can reach beyond billions. Once pretrained, large AI models demonstrate impressive performance in various downstream tasks. A prime example is ChatGPT, whose capability has compelled people's imagination about the far-reaching influence that large AI models can have and their potential to transform different domains of our lives. In health informatics, the advent of large AI models has brought new paradigms for the design of methodologies. The scale of multi-modal data in the biomedical and health domain has been ever-expanding especially since the community embraced the era of deep learning, which provides the ground to develop, validate, and advance large AI models for breakthroughs in health-related areas. This article presents a comprehensive review of large AI models, from background to their applications. We identify seven key sectors in which large AI models are applicable and might have substantial influence, including 1) bioinformatics; 2) medical diagnosis; 3) medical imaging; 4) medical informatics; 5) medical education; 6) public health; and 7) medical robotics. We examine their challenges, followed by a critical discussion about potential future directions and pitfalls of large AI models in transforming the field of health informatics.