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Published on in Vol 28 (2026)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/104092, first published .
Medical professionals review AI-powered medical imaging analysis on multiple computer screens.

Fine-Tuning, Retrieval-Augmented Generation, and Hybrid Adaptation of Language Models for Clinical Decision-Making in Health Care: Systematic Review

Fine-Tuning, Retrieval-Augmented Generation, and Hybrid Adaptation of Language Models for Clinical Decision-Making in Health Care: Systematic Review

Anshum Patel   1 , MD ;   Yugant Khand   2 , MBBS ;   Sai Krishna Vallamchetla   2 , MD ;   Pengze Li   3 , PhD ;   Cui Tao   3 , PhD ;   Joseph Cheung   1, 3 , MD, MS

1 Division of Pulmonary, Allergy and Sleep Medicine, Mayo Clinic, Jacksonville, FL, United States

2 Department of Neurology, Mayo Clinic in Florida, Jacksonville, FL, United States

3 Department of Artificial Intelligence and Informatics, Mayo Clinic in Florida, Jacksonville, FL, United States

Corresponding Author:

  • Joseph Cheung, MD, MS
  • Division of Pulmonary, Allergy and Sleep Medicine
  • Mayo Clinic
  • 4500 San Pablo Road South
  • Jacksonville, FL
  • United States
  • Phone: 1 904-953-2000
  • Email: Cheung.Joseph@mayo.edu