Multimodal Large Language Models for Breast Ultrasound Report Auditing: Workflow-Error Detection, False-Positive Burden, and Limits of Key-Image Interpretation.
Aug 2026· Journal of imaging informatics in medicine· 0 citations· 13 references
Medicine
TL;DR
Multimodal input improved LLM-based breast ultrasound workflow-error detection, with gains concentrated in errors involving image-displayed cues, however, model-specific overcalling and the inferior performance of key-image input compared with physician-interpreted findings warrant caution in clinical implementation.
It is suggested that domain-specific training matters more than model scale for PET/CT report error detection, supporting compact models as an accurate and computationally efficient approach to automated radiology report quality assurance.
Hermione Warr, Harry Anthony, Lilli J. Freischem et al.· 0 citations
Purpose: To compare four multimodal large language models (MLLMs) with radiologists of varying expertise in breast density assessment, BI-RADS assessment, biopsy candidacy determination, and continuous malignancy probability estimation using digital mammography (DM) and contrast-enhanced mammography (CEM). Methods: Thi...
A. Ardakani, A. Mohammadi, T. Y. Kuzan et al.· 0 citations
The addition of clinical information was associated with a numeric trend toward higher diagnostic accuracy overall, but this trend was heterogeneous across models and disease types, and no statistically significant improvement was demonstrated after adjustment for multiple comparisons.
Jin-Qi Zhang, Xiao-Yi Wang, Yanfeng Zhao et al.· Journal of Medical Internet...· 0 citations
Publicly available multimodal LLMs showed measurable but heterogeneous performance in grayscale ultrasound-based thyroid nodule classification, but none of the models matched senior radiologist-level performance.
Abbreviated breast MRI is a feasible and time-efficient approach with consistent diagnostic performance across readers for evaluating suspicious MC, and MIP-only evaluation, does not appear to provide sufficient diagnostic reliability.
P. Pöschke, E. Wenkel, C. Schulmeyer et al.· Anticancer Research· 0 citations
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