Nature, Published online: 04 March 2026; doi:10.1038/d41586-026-00645-2

To meet the growing demand for radiology artificial-intelligence tools, a 3D vision–language model called Merlin was trained on abdominal computed-tomography scans, radiology reports and electronic health records. Merlin demonstrated stronger off-the-shelf performance than did other vision–language models across three hospital sites distinct from the initial training centre, highlighting its potential for broader clinical adoption.

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