Cybersecurity Threats and Mitigation Strategies for Large Language Models in Health Care.

Journal: Radiology. Artificial intelligence
Published Date:

Abstract

The integration of large language models (LLMs) into health care offers tremendous opportunities to improve medical practice and patient care. Besides being susceptible to biases and threats common to all artificial intelligence systems, LLMs pose unique cybersecurity risks that must be carefully evaluated before these AI models are deployed in health care. LLMs can be exploited in several ways, such as malicious attacks, privacy breaches, and unauthorized manipulation of patient data. Moreover, malicious actors could use LLMs to infer sensitive patient information from training data. Furthermore, manipulated or poisoned data fed into these models could change their results in a way that is beneficial for the malicious actors. This report presents the cybersecurity challenges posed by LLMs in health care and provides strategies for mitigation. By implementing robust security measures and adhering to best practices during the model development, training, and deployment stages, stakeholders can help minimize these risks and protect patient privacy. ©RSNA, 2025.

Authors

  • Tugba Akinci D'Antonoli
    Department of Radiology and Nuclear Medicine, University Hospital Basel, University of Basel, Basel, Switzerland.
  • Ali S Tejani
  • Bardia Khosravi
    Department of Radiology, Radiology Informatics Lab, Mayo Clinic, Rochester, MN 55905, United States.
  • Christian Bluethgen
    Stanford Center for Artificial Intelligence in Medicine and Imaging (AIMI), Stanford University, Sheffield, USA.
  • Felix Busch
    Institute for Diagnostic and Interventional Radiology, TUM School of Medicine and Health, TUM University Hospital Rechts der Isar, Technical University of Munich, Munich, Germany.
  • Keno K Bressem
    School of Medicine and Health, Institute for Cardiovascular Radiology and Nuclear Medicine, German Heart Center Munich, TUM University Hospital, Technical University of Munich, Munich, Germany.
  • Lisa Christine Adams
    Department of Radiology, School of Medicine, Stanford University, 725 Welch Road, Stanford, CA, 94304, USA.
  • Mana Moassefi
    Mayo Clinic Artificial Intelligence Lab, Department of Radiology, Mayo Clinic, 200 1st Street, S.W., Rochester, MN, 55905, USA.
  • Shahriar Faghani
    Mayo Clinic Artificial Intelligence Lab, Department of Radiology, Mayo Clinic, 200 1st Street, S.W., Rochester, MN, 55905, USA.
  • Judy Wawira Gichoya
    Department of Interventional Radiology, Oregon Health & Science University, Portland, Oregon; Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia.

Keywords

No keywords available for this article.