Good to see MedGemma, a unified, open, transparent foundation model by @Google published @NatureMedicine today, with diverse medical image-language capabilities (Figure), can run on a smartphone, weights @huggingface https://
nature.com/articles/s4159
1-026-04626-w
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@erictopol
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MedGemma open medical foundation model published in Nature Medicine
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AI retina imaging predicts preeclampsia and pregnancy vascular risks
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The richness of the retina photo or OCT predictive data, as interpretable by AI, but not expert physicians, is extraordinary. Today a new report on retina AI for preeclampsia and pregnancy vascular risks @NatureBiotech https://
nature.com/articles/s4158
7-026-03303-0
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My summary of the key 15 publications -

Nolla Health launches AI Derm photo-to-prescription product
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For your comments. Today @nollahealth introduced their AI Derm product which goes from user photo to prescription in Utah.
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FDA-approved AI predicts 5-year breast cancer risk from mammograms
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A "normal" mammogram interpreted by AI can accurately forecast high-risk of breast cancer in the next 5 years. Approved by FDA, now becoming available. But it should be free and part of every mammogram readout.
Front page @nytimes today, by @RoniNYTimes gift link -

RCT: Patient-facing chatbot improves lung diagnosis accuracy
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A randomized trial of a patient-facing chatbot vs web based search enhanced accuracy of diagnosis of lung conditions This is one of the first RCTs for public chatbot assessment in healthcare https://
nature.com/articles/s4436
0-026-00189-9
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AI stress testing finds vulnerabilities in EPIC health records
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EPIC maintains ~325 million electronic records and used AI stress testing to detect privacy and security vulnerabilities to AI. The risks are substantial amidst efforts to amp up defense.
gift link, by @CFRowland https://
nytimes.com/2026/09/30/bus
iness/ai-epic-health-records-privacy.html?unlocked_article_code=1.FlE.DnDS.AyT48cZFU7Jm&smid=url-share
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Frontier models improve but insufficient for reliable medical use
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Thanks for running our open-source work on current frontier models “The results are: the most capable models today (GPT-5.5 Pro) did outperform the best models from before (79/100 vs 69/100), but did not improve enough to be considered sufficient for reliable medical use.” Read
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Generative AI Designs Optimal Burger for Taste, Nutrition, and Environment
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Generative AI design of the best burger for its taste, nutrition, and for the environment
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Burden of proof to show current models are not susceptible
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That’s incorrect. The burden of proof lies in demonstrating current models are not susceptible to the same issues we identified. To assume otherwise is blind faith in untested models
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Frontier AI models fail medical reasoning stress test, study finds
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We stress tested many frontier AI models for multimodal medical reasoning (including GPT-5, Claude 3.5, Gemini 2.5 Pro). They’re not ready. Faulty reasoning, use of inappropriate shortcuts, hallucinations. Published today @NatureMedicine https://
nature.com/articles/s4159
1-026-04501-8
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