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Formative Evaluation of Digital Health Interventions (3615) Natural Language Processing (1001) Electronic Health Records (1436) Machine Learning (2331) AI Language Models in Health Care (301) Applications of AI (397)

Published on in Vol 10 (2026)

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/90968, first published .
3D heart model with medical data, heart scan, and patient information

Supervised Fine-Tuning of Large Language Models With Chain-of-Thought Reasoning for Pediatric Heart Disease Detection in Unstructured Echocardiogram Reports: Algorithm Development and Validation

Supervised Fine-Tuning of Large Language Models With Chain-of-Thought Reasoning for Pediatric Heart Disease Detection in Unstructured Echocardiogram Reports: Algorithm Development and Validation

Authors of this article:

Haoming Shi1, 2, 3 Author Orcid Image ;   Justin B Long4, 5 Author Orcid Image ;   Michael C Fiedorek4, 5 Author Orcid Image ;   Hannah D Kilday4, 5 Author Orcid Image ;   Henry P Foote6 Author Orcid Image ;   Christoph P Hornik6 Author Orcid Image ;   Aditya Nagori2, 3 Author Orcid Image ;   Yifan Xiang1, 2, 3 Author Orcid Image ;   Rishikesan Kamaleswaran1, 2, 3 Author Orcid Image
Article Authors Cited by Tweetations Metrics

Haoming Shi   1, 2, 3 , MS ;   Justin B Long   4, 5 , MS, MD ;   Michael C Fiedorek   4, 5 , MD ;   Hannah D Kilday   4, 5 , MD ;   Henry P Foote   6 , MD ;   Christoph P Hornik   6 , MD, MPH, PhD ;   Aditya Nagori   2, 3 , PhD ;   Yifan Xiang   1, 2, 3 , MSE ;   Rishikesan Kamaleswaran   1, 2, 3 , PhD

1 Department of Biomedical Engineering, Duke University, Durham, NC, United States

2 Department of Surgery, Duke University School of Medicine, Durham, NC, United States

3 Department of Anesthesiology, Duke University School of Medicine, Durham, NC, United States

4 Department of Anesthesiology, Emory University School of Medicine, Atlanta, GA, United States

5 Department of Anesthesiology, Children’s Healthcare of Atlanta, Atlanta, GA, United States

6 Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States

Corresponding Author:

  • Haoming Shi, MS
  • Department of Biomedical Engineering
  • Duke University
  • 1427 Fitzpatrick Center Box 90281
  • Durham, NC 27708
  • United States
  • Phone: 1 9196695131
  • Email: haoming.shi@duke.edu