Open research questions in Machine Learning in Healthcare
333 unresolved questions extracted from the limitations and future-work sections of 760 Machine Learning in Healthcare papers in our library. Each links back to the study that raised it.
What the literature leaves open
Further research on the application of Actuarial NAM in other domains, - Investigation of other methods to ensure monotonicity, - Exploration of other techniques to reduce computational cost
The lack of interpretability in deep learning models for general insurance pricing, - The need for a model that offers transparent and interpretable results while retaining strong predictive power, - The limitations of traditional actuarial models in capturing complex relationships between variables
Data scarcity, - Domain heterogeneity, - Limited interpretability, - Lack of prospective outcome-based validation, - Unverified generalization beyond over-simplified benchmark settings
Coordinated subspecialist AI systems that are transparent, safe, and clinically grounded, - Development of FMs that can reason about anatomy, disease progression, and treatment response beyond statistical pattern matching
further research on empirical prompt testing, - investigation of the applicability of this prompting strategy to other clinical domains, - development of more advanced prompt engineering techniques, - exploration of the use of LLMs in other data extraction tasks
Developing a scalable pipeline for data extraction from clinical letters through resource-efficient prompt engineering · 2026 · DOIThe lack of a scalable, systematic, and automated approach to data extraction from clinical letters. The limitations of traditional supervised machine learning and rule-based systems for data extraction. The need for a resource-efficient and high-performance pipeline for data extraction.
Developing a scalable pipeline for data extraction from clinical letters through resource-efficient prompt engineering · 2026 · DOIfurther development of SAFE-AI to address other clinical applications, - investigation of SAFE-AI in other medical domains
A medically grounded LLM agent–based tool to detect patient safety events in medical records · 2026 · DOIThe gap in current methods is the tendency of LLMs to hallucinate and fabricate information, which can be misleading and dangerous in clinical settings. The gap is also the lack of a reliable and accurate method for detecting patient safety events using LLMs. The paper identifies the need for a method that combines the strengths of clinical expert knowledge with LLMs to minimize hallucinations.
A medically grounded LLM agent–based tool to detect patient safety events in medical records · 2026 · DOILive birth is a complex multifactorial long-term outcome affected by many maternal variables not recorded in routine clinical data, - Predictive accuracy is inherently limited and results in moderate AUC values, - The study was retrospective and anonymized
Development and external validation of a three-stage model to predict live birth after fresh IVF/ICSI embryo transfer · 2026 · DOIMost existing models are limited to single time-point data and lack integration of sequential clinical information. Traditional prediction tools are limited by subjectivity, linear assumptions, and an inability to capture complex interactions. Live birth after IVF/ICSI depends on sustained implantation and multiple maternal variables not recorded in routine clinical data.
Development and external validation of a three-stage model to predict live birth after fresh IVF/ICSI embryo transfer · 2026 · DOIFindings are limited to the studied population and may require external validation for broader applicability, - Model performance may be affected by dataset imbalance, - Performance may be limited by small sample sizes and requires careful handling
Collaborative deep neural network for survival prediction of hepatitis patients using electronic health records · 2026 · DOIThe increasing volume of data in EHRs means they are becoming more valuable for data-driven healthcare research. Sophisticated analytical techniques are progressively required to capture meaningful patterns and support predictive modeling. Recent advances in deep learning (DL) techniques have demonstrated the capability to learn feature representations from data and enhance model performance across diverse fields.
Collaborative deep neural network for survival prediction of hepatitis patients using electronic health records · 2026 · DOIThe need for a validated predictive engine that can provide personalized predictions. The lack of a Mother-Child AI agent that can predict disease risks for mothers and infants.
Prediction of maternal and infant outcomes from longitudinal electronic health records with a Mother-Child AI agent · 2026 · DOIPrivacy concerns regarding the use of sensitive patient data. Liability issues related to the use of AI-based tools. The need for a high level of encryption to protect patient data.
Privacy concerns regarding the use of sensitive patient data, - Certain regulations have to be adhered to, - The issue of liability remains unclear, - The use of AI models can be complicated and inhibited in some situations
We were limited by the scope of data in this initial study and focused on openly available datasets.
Bridging the Version Gap: Multi-version Training Improves ICD Code Prediction, Especially for Rare Codes · 2026These results demonstrate that correctness assessment is an integral component of clinical UE evaluation and should be validated before UE methods are compared.
Rethinking Correctness for Uncertainty Estimation in Clinical Prediction with Vision-Language Models · 2026Prior work has localized EM in model weights, activations, and training documents, but it remains unclear which training tokens carry the relevant fine-tuning signal.
TAME: Token Attribution and Masking for Emergent misalignment · 2026These findings suggest that while classical ensemble methods remain difficult to outperform on tabular thyroid data, both classical and deep learning models exhibit a clinically meaningful age-based bias that warrants attention before deployment in screening contexts.
Deep Learning-Based Thyroid Disease Prediction with Fairness-Aware Evaluation: A Comparative Study Against Classical Machine Learning Approaches · 2026 · DOIFurthermore, the efficacy of metaheuristic optimization in stabilizing these complex architectures remains systematically under-investigated.
HHO-optimized VAE-transformer framework for robust clinical phenotyping and EHR reconciliation in diabetes management · 2026 · DOIThe clinician must reconcile conflicting evidence, weigh competing risks, and factor in social constraints.
Cognitive alignment in cardiovascular AI: designing predictive models that think with, not just for, clinicians · 2025 · DOIFuture research will focus on enhancing scalability and interpretability for broader clinical applications.
Artificial intelligence-driven translational medicine: a machine learning framework for predicting disease outcomes and optimizing patient-centric care · 2025 · DOICurrent challenges arise from the limited inclusion of structured SDoH information within electronic health record (EHR) systems, often due to the lack of standardized diagnosis codes.
On the development and validation of large language model-based classifiers for identifying social determinants of health · 2024 · DOIAlthough a large number of computational methods are designed to screen novel microbe-disease associations, the accurate and efficient methods are still lacking due to data inconsistence, underutilization of prior information, and model performance.
Predicting microbe–disease association based on graph autoencoder and inductive matrix completion with multi-similarities fusion · 2024 · DOITraditional clinical decision support systems often rely on rule-based approaches that struggle to effectively integrate and interpret complex multimodal data. The lack of a holistic, interpretable, and scalable solution for clinical decision support.
ARTIFICIAL INTELLIGENCE DRIVEN CLINICAL DECISION SUPPORT SYSTEMS: OPPORTUNTIES, FUTURE AND DIRECTIONS · 2026 · DOI
Most-cited papers in Machine Learning in Healthcare
- The Inevitable Application of Big Data to Health Care · JAMA · 2013 · 1,353 citations
- PROBAST+AI: an updated quality, risk of bias, and applicability assessment tool for prediction models using regression or artificial intelligence methods · BMJ · 2025 · 727 citations
- Evaluation of clinical prediction models (part 1): from development to external validation · BMJ · 2024 · 510 citations
- Interpreting Incremental Value of Markers Added to Risk Prediction Models · American Journal of Epidemiology · 2012 · 450 citations
- Machine learning for identifying Randomized Controlled Trials: An evaluation and practitioner's guide · Research Synthesis Methods · 2018 · 375 citations
- Developing clinical prediction models: a step-by-step guide · BMJ · 2024 · 336 citations
- Towards Generalist Biomedical AI · NEJM AI · 2024 · 333 citations
- A framework for knowledge-based temporal abstraction · Artificial Intelligence · 1997 · 314 citations
- ChatGPT for shaping the future of dentistry: the potential of multi-modal large language model · International Journal of Oral Science · 2023 · 287 citations
- Machine learning, statistical learning and the future of biological research in psychiatry · Psychological Medicine · 2016 · 265 citations
Most recent work
- Scaling medical AI across clinical contexts · Nature Medicine · 2026
- Multimodal graph neural networks in healthcare: a review of fusion strategies across biomedical domains · Frontiers in Artificial Intelligence · 2026
- MentalQLM: A Lightweight Large Language Model for Mental Healthcare Based on Instruction Tuning and Dual LoRA Modules · IEEE Journal of Biomedical and Health Informatics · 2026
- A scalable framework for evaluating health language models · npj Digital Medicine · 2026
- A transformer-based survival model for prediction of all-cause mortality in patients with heart failure: a multi-cohort study · npj Digital Medicine · 2026
- Mitigating Data Bias in Healthcare AI With Self-Supervised Standardization · IEEE Journal of Biomedical and Health Informatics · 2026
- A clinical environment simulator for dynamic AI evaluation · Nature Medicine · 2026
- CancerLLM: a large language model in cancer domain · npj Digital Medicine · 2026
- Five tenets for advancing evidence-based precision medicine · Nature Medicine · 2026
- Agentic AI in Healthcare: Opportunities, Challenges, and Future Directions · ACM Computing Surveys · 2026
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