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Peer-Reviewed Publication
Commun Med (Lond)2025;5(1):536.November 22, 2025Journal Article

Real-world validation of a multimodal LLM-powered pipeline for high-accuracy clinical trial patient matching.

Anatole Callies1, Quentin Bodinier2, Philippe Ravaud2,3,4, Kourosh Davarpanah2
1Inato, Paris, France. anatole.callies@inato.com.
2Inato, Paris, France.
3Center for Research in Epidemiology and Statistics (CRESS), Université Paris Cité and Université Sorbonne Paris Nord, INSERM, INRAE, F-75004, Paris, France.
4Centre d'epidémiologie clinique, AP-HP, Hôpital Hôtel Dieu, F-75004, Paris, France.

Abstract

BACKGROUND: Patient recruitment in clinical trials is hindered by complex eligibility criteria and labor-intensive chart reviews. Prior research using text-only models has struggled to address this problem in a reliable and scalable way due to (1) limited reasoning capabilities, (2) information loss from converting visual records to text, and (3) lack of a generic EHR integration to extract patien…

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