Volume 2, Issue 3
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Commentary
Review
Methodology
Integration of IUR
Ethics and law
Guidelines and consensus

Commentary

Commentary
Open Access
Exploration of the application of did in metaverse medicine
GAO Chengshi
GAO Chengshi
13838001036@163.com
Anhui Stack Alley Technology Co., Ltd, Chizhou 247100, Anhui, China
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The emergence of metaverse medicine has introduced critical challenges in patient identity management, data privacy, and cross-institutional data sharing. Decentralized identity (DID), a blockchain-based identity framework, provides a verifiable, trustworthy, and user-controlled solution for these challenges. This paper presents a systematic analysis of DID’s technical principles, architectural designs, and applications in healthcare, reviewing both international and domestic implementations. It further examines associated risks and challenges across technical, legal, ethical, and industrial dimensions. Future directions are discussed, including the integration of DID with privacy-preserving computing, digital twins, and AI healthcare assistants, the development of globally interoperable virtual hospital identity systems, multi-party governance models, and interdisciplinary research initiatives. The findings indicate that DID effectively addresses the triad of identity trustworthiness, privacy control, and data shareability, offering foundational support for the secure, compliant, and efficient advancement of metaverse medicine.


Key Words: decentralized identity (DID); privacy protection; data sharing; cross-institution interoperability; digital twin; multi-party governance

Commentary
Open Access
Building the future of Alzheimer’s disease: an AI-driven metaverse from early diagnosis to personalized intervention
LIN Jixian
LIN Jixian
Department of Neurology, Central Hospital of Minhang District, Shanghai, Shanghia 201199
,
WANG Hua
WANG Hua
Department of Information, Central Hospital of Minhang District, Shanghai, Shanghai 201199
,
TANG Luojia
TANG Luojia
tang.luojia@zs-hospital.sh.cn
Department of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032; President’s Office, Central Hospital of Minhang District, Shanghai, Shanghai 201199
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Alzheimer’s disease (AD), as a major global public health crisis, faces multiple challenges including difficulties in early diagnosis, limited therapeutic options, and heavy caregiving burdens. The deep integration of artificial intelligence (AI) and metaverse technologies offers innovative solutions for comprehensive AD management. Immersive environments combined with AI analytics enable early screening and risk stratification; digital twins and adaptive algorithms facilitate personalized digital interventions that may slow disease progression; while immersive simulation training provides efficient support for caregivers and healthcare professionals, enhancing care quality and decision-making capacity. The AI-driven metaverse will reshape AD diagnosis, treatment, and caregiving systems, opening new pathways to overcome current obstacles.


Keywords: Alzheimer's disease; metaverse; artificial intelligence; digital therapy; digital twin

Review

Review
Open Access
Application and progress of virtual reality in cardiopulmonary resuscitation training: challenges and prospects
GAN Shunxuan
GAN Shunxuan
33971873@qq.com
Nanjing Baituo Visual Technology Co., Ltd, Nanjing 210019, Jiangsu, China
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Cardiopulmonary resuscitation (CPR) is a critical life-saving skill, and its widespread adoption is closely associated with the survival rate of out-of-hospital cardiac arrest. However, traditional CPR training remains several limitations. With the rapid development of artificial intelligence, virtual reality (VR), augmented reality, and metaverse-related technologies, immersive training has emerged as a promising innovation in medical education, particularly in CPR instruction. This article reviews the research progress and challenges of VR-based CPR system, and provides ideas for future technology development.


Keywords: cardiopulmonary resuscitation; virtual reality; metaverse; medical education; immersive training; artificial intelligence; skill transfer

Methodology

Methodology
Open Access
A comparative study plan on the clinical application effects of large language models and specialized GPTs in OSA consultation and management
LU Junyu
LU Junyu
The Fifth People’s Hospital of Chongqing, Chongqing 400062, China
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CAI Qinyi
CAI Qinyi
Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai Engineer & Technology Research Center of Internet of Things for Respiratory Medicine, Shanghai Respiratory Research Institution, Shanghai 200032, China
,
BAI Chunxue
BAI Chunxue
bai.chunxue@zs-hospital.sh.cn
Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai Engineer & Technology Research Center of Internet of Things for Respiratory Medicine, Shanghai Respiratory Research Institution, Shanghai 200032, China
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This research plan aims to compare the clinical application effects of large language models (such as DeepSeekGPT) and specialized disease GPT (such as BAIMGPT) in the consultation and management of obstructive sleep apnea (OSA). A multicenter real-world research design is adopted, involving 1000 OSA patients or high-risk individuals. Through user cross-sectional evaluations and third-party expert reviews, the performance of the two models in aspects such as convenience, friendliness, security, accuracy of problem understanding, accuracy of answers, voice interaction, visual empowerment, and the degree of patient needs is assessed. The research focuses on the roles of the two models in OSA screening, diagnostic accuracy, and personalized prevention and treatment, and explores their potential in enhancing patient education, doctor training, and coverage of primary medical care. The research results will provide empirical evidence for the optimized application of artificial intelligence technology in OSA diagnosis and treatment, and promote the development of precision medicine and health management.


Key Words: obstructive sleep apnea; BAIMGPT; DeepSeek GPT

Methodology
Open Access
A comparative study of the significance of GPT-enabled counseling and management of pulmonary nodules
YANG Dawei
YANG Dawei
Department of Respiratory and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Department of Respiratory and Critical Care Medicine, Zhongshan Hospital, Fudan University, Xiamen 361000, China; Shanghai Respiratory Internet of Things Medical Engineering Technology Research Center, Shanghai Institute of Respiratory Diseases, China Lung Cancer Prevention and Treatment Alliance, Shanghai 200032, China
,
WANG Yuan
WANG Yuan
Department of Respiratory and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
BAI Chunxue
BAI Chunxue
bai.chunxue@ zs-hospital.sh.cn
Department of Respiratory and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China; Department of Respiratory and Critical Care Medicine, Zhongshan Hospital, Fudan University, Xiamen 361000, China; Shanghai Respiratory Internet of Things Medical Engineering Technology Research Center, Shanghai Institute of Respiratory Diseases, China Lung Cancer Prevention and Treatment Alliance, Shanghai 200032, China
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This study aims to compare the clinical value of a general large language model (DeepSeek GPT) and a disease-specific optimized model (BAIMGPT) in pulmonary nodule consultation and management. Through a multicenter real-world study, 1,000 patients with pulmonary nodules from 12 hospitals will be recruited for a randomized self-controlled trial evaluating the performance of the two models across eight dimensions: convenience, friendliness, sense of security, accuracy in question comprehension, response professionalism, voice interaction, visual empowerment, and demand level. The core methodologies include dual user evaluation, third-party blinded review, and endpoint assessment. The study was expected to validate BAIMGPT’s advantages in improving screening awareness, personalized management, and physician-patient trust, providing evidence-based support for AIpowered early lung cancer screening. The protocol has passed ethical review, with anonymized data processing ensuring both innovation and safety.


Key Words: plmonary nodule; BAIMGPT; DeepSeek GPT

Integration of IUR

Integration of IUR
Open Access
Named entity recognition in chinese electronic medical records based on large language models
CHENG Jie
CHENG Jie
Southwest Minzu University, College of Electrical Engineering, Chengdu 610041, Sichuan, China
,
LIU Duyu
LIU Duyu
liuduyu10000@163.com
Southwest Minzu University, College of Electrical Engineering, Chengdu 610041, Sichuan, China
,
CHEN Sixu
CHEN Sixu
Southwest Minzu University, College of Electrical Engineering, Chengdu 610041, Sichuan, China
,
QIAN Shuyu
QIAN Shuyu
Southwest Minzu University, College of Electrical Engineering, Chengdu 610041, Sichuan, China
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Named Entity Recognition, as a core task in Natural Language Processing, plays a crucial role in identifying medical entities such as diseases and symptoms in Electronic Medical Records, which is of great significance for clinical decision support and the construction of medical knowledge bases. However, traditional methods rely heavily on large amounts of annotated data and complex models, resulting in high training and inference costs. This paper proposes a generative medical NER method that integrates semantic retrieval and prompt learning with large language models. First, a sentence-level vector database is constructed to semantically encode EMRs for retrievable representations. Then, based on the input sentence, semantic similarity retrieval is performed, and similar examples are dynamically injected into a prompt template to guide the model in entity extraction. Finally, entity type annotation results are generated through structured special markers, enabling direct decoding output. Experimental results demonstrate that the proposed method performs well on both a self-constructed EMR dataset and the Ruijin Hospital diabetes dataset, and exhibits strong robustness and transferability, especially in low-resource scenarios.


Key Words: named entity recognition; electronic medical records; large language models

Ethics and law

Ethics and law
Open Access
Reconstruction of scientific ethics and norms for the medical use of artificial intelligence tools
BAI Chunxue
BAI Chunxue
Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
JIA Zejun
JIA Zejun
Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
YANG Dawei
YANG Dawei
Zhongshan Hospital, Fudan University, Shanghai 200032, China
,
GAO Chengshi
GAO Chengshi
13838001036@163.com
Anhui Stack Alley Technology Co., Ltd, Chizhou 247100, Anhui, China
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With the rapid development of artificial intelligence, AI tools have demonstrated significant value in medical research and academic writing, enhancing efficiency in data processing, literature retrieval, manuscript drafting, visualization, and interdisciplinary collaboration. Beyond serving as auxiliary tools, AI is increasingly becoming a research partner, contributing to hypothesis generation, experimental design, and multimodal data analysis, thereby fostering a paradigm shift toward“ human–AI coresearch”. Typical applications include rapid drafting of medical manuscripts, research integrity checks, and automated generation of imaging reports and scientific figures. However, the widespread adoption of AI also raises challenges concerning authorship, data traceability, content reliability, and privacy protection. International guidelines such as the ICMJE Recommendations and public statements from Science and Nature explicitly emphasize that AI tools cannot be listed as authors, that their use must be transparently disclosed, and that ultimate responsibility lies with human researchers. Therefore, it is urgent to establish a normative framework centered on transparency, accountability, verifiability, and compliant openness, ensuring that AI delivers both efficiency and innovation while laying the foundation for a sustainable research ecosystem in the digital era.


Key Words: artificial intelligence; medical research paradigm; data-driven science; generative models; research ethics

Guidelines and consensus

Guidelines and consensus
Open Access
Expert consensus on artificial intelligence care in China
Chinese Alliance Against Lung Cancer
Chinese Alliance Against Lung Cancer
,
Shanghai Engineer & Technology Research Center of Internet of Things for RespiratoryMedicine
Shanghai Engineer & Technology Research Center of Internet of Things for RespiratoryMedicine
,
The Expert Group for Empowering Lung Cancer Screening Management in Primary Hospitals of the International Associationfor Metaverse Medicine
The Expert Group for Empowering Lung Cancer Screening Management in Primary Hospitals of the International Associationfor Metaverse Medicine
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With the acceleration of population aging and the increasing shortage of medical resources, artificial intelligence (AI) technology has shown great potential in the field of medical care. Integrating advanced technologies such as machine learning, natural language processing, and computer vision, AI has created innovative solutions in disease monitoring, rehabilitation assistance, elderly care, and mental health. The essence of AI care lies in the application of modern information technology and AI algorithms to provide intelligent support for disease prevention, monitoring, rehabilitation and daily health management. Its goal is to achieve roundthe clock monitoring and personalized management of patients by reducing labor costs and improving the efficiency of medical resource utilization. In this process, security, humanization, privacy protection, fairness and accessibility, as well as transparency and explainability, constitute the five basic principles of AI care, leading the development of technology in the right direction. In practical applications, AI monitors physiological indicators in real time through wearable devices to warn of health risks. Intelligent robots and VR technology provide customized guidance for rehabilitation patients; AI chatbots have become a new way of psychological comfort. At the same time, AI also plays an important role in optimizing care processes and improving administrative efficiency. However, the promotion of AI care will encounter multiple challenges such as technical obstacles, social acceptance, and policies and regulations, and it urgently needs the joint help of technological innovation, ethical guidance, policy adjustment, and multi-party collaboration. When promoting the application, it is necessary to establish clear data collection and analysis standards, manual review mechanisms, equipment security guarantees, and clear identification of AI identities. At the ethical and legal level, AI care needs to draw a clear line between technical and medical responsibility, ensure transparency of informed consent, and provide special protections for vulnerable groups. In addition, data quality, continuous learning, and multidisciplinary collaboration are also key factors driving the advancement of AI care technology. In the face of technical limitations, insufficient social acceptance, and lagging policies and regulations, the future development of AI care should focus on technological innovation, ethics education, policy improvement, and international cooperation.


Key Words: artificial intelligence; machine learning; natural language processing; healthy; care; ethics

Metaverse in Medicine
ISSN: 3006-4236
ZENTIME PUBLISHING CORPORATION LIMITED