用于医疗保健数据增强的大型语言模型:以患者-试验匹配为例。

AMIA ... Annual Symposium proceedings. AMIA Symposium Pub Date : 2024-01-11 eCollection Date: 2023-01-01
Jiayi Yuan, Ruixiang Tang, Xiaoqian Jiang, Xia Hu
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引用次数: 0

摘要

将患者与合适的临床试验相匹配的过程对于推进医学研究和提供最佳护理至关重要。然而,目前的方法面临着数据标准化、伦理考虑以及电子健康记录(EHR)与临床试验标准之间缺乏互操作性等挑战。在本文中,我们利用大型语言模型(LLM)先进的自然语言生成能力来提高电子健康记录(EHR)与临床试验描述之间的兼容性,从而探索大型语言模型(LLM)应对这些挑战的潜力。我们为基于 LLM 的患者-试验匹配(LLM-PTM)提出了一种创新的隐私感知数据增强方法,这种方法既能平衡 LLM 的优势,又能确保敏感患者数据的安全性和保密性。我们的实验证明,使用所提出的 LLM-PTM 方法,性能平均提高了 7.32%,对新数据的通用性提高了 12.12%。此外,我们还介绍了案例研究,以进一步说明我们的方法的有效性,并加深对其基本原理的理解。
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Large Language Models for Healthcare Data Augmentation: An Example on Patient-Trial Matching.

The process of matching patients with suitable clinical trials is essential for advancing medical research and providing optimal care. However, current approaches face challenges such as data standardization, ethical considerations, and a lack of interoperability between Electronic Health Records (EHRs) and clinical trial criteria. In this paper, we explore the potential of large language models (LLMs) to address these challenges by leveraging their advanced natural language generation capabilities to improve compatibility between EHRs and clinical trial descriptions. We propose an innovative privacy-aware data augmentation approach for LLM-based patient-trial matching (LLM-PTM), which balances the benefits of LLMs while ensuring the security and confidentiality of sensitive patient data. Our experiments demonstrate a 7.32% average improvement in performance using the proposed LLM-PTM method, and the generalizability to new data is improved by 12.12%. Additionally, we present case studies to further illustrate the effectiveness of our approach and provide a deeper understanding of its underlying principles.

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