arXivDaily arXiv每日学术速递 周一至周五更新
arXiv周末暂无论文更新,休息一下吧,周末愉快~~
arXiv 2308.14321cs.CLcs.AI

利用医学知识图谱增强大语言模型进行诊断预测:设计与应用研究

Leveraging Medical Knowledge Graphs Into Large Language Models for Diagnosis Prediction: Design and Application Study

  • University of Colorado Anschutz Medical Campus(科罗拉多大学安舒茨医学园区)
  • University of Wisconsin–Madison(威斯康星大学麦迪逊分校)
  • University of Aberdeen(阿伯丁大学)
  • Boston Children's Hospital, Harvard Medical School(哈佛医学院波士顿儿童医院)
  • Loyola University Chicago(芝加哥洛约拉大学)

机构由 AI 辅助整理,请以论文原文为准。

Yanjun Gao, Ruizhe Li, Emma Croxford, John Caskey, Brian W Patterson, Matthew Churpek, Timothy Miller, Dmitriy Dligach, Majid Afshar

更新

AI总结:

本研究提出结合医学知识图谱(UMLS)与图模型Dr.Knows增强大语言模型,无需预训练即可提高自动诊断生成的准确性,并提供可解释的诊断路径,助力AI诊断决策支持系统。

AI中文摘要:

电子健康记录(EHRs)和常规文档记录实践在患者日常护理中发挥着至关重要的作用,提供了健康、诊断和治疗的整体记录。然而,复杂且冗长的EHR叙述使医疗服务提供者不堪重负,增加了诊断不准确的风险。尽管大语言模型(LLMs)已在各种语言任务中展示了其潜力,但它们在医疗领域的应用需要确保诊断错误的最小化和患者伤害的预防。在本文中,我们提出了一种创新方法,通过整合医学知识图谱(KG)和一种新颖的图模型——Dr.Knows(受临床诊断推理过程启发),来增强LLMs在自动诊断生成方面的能力。我们从美国国家医学图书馆的统一医学语言系统(UMLS)中提取KG,这是一个强大的生物医学知识库。我们的方法无需预训练,而是利用KG作为辅助工具,帮助解释和总结复杂的医学概念。使用真实世界的医院数据集,我们的实验结果表明,所提出的将LLMs与KG相结合的方法有潜力提高自动诊断生成的准确性。更重要的是,我们的方法提供了一条可解释的诊断路径,使我们更接近实现人工智能增强的诊断决策支持系统。

英文摘要:

Electronic Health Records (EHRs) and routine documentation practices play a vital role in patients' daily care, providing a holistic record of health, diagnoses, and treatment. However, complex and verbose EHR narratives overload healthcare providers, risking diagnostic inaccuracies. While Large Language Models (LLMs) have showcased their potential in diverse language tasks, their application in the healthcare arena needs to ensure the minimization of diagnostic errors and the prevention of patient harm. In this paper, we outline an innovative approach for augmenting the proficiency of LLMs in the realm of automated diagnosis generation, achieved through the incorporation of a medical knowledge graph (KG) and a novel graph model: Dr.Knows, inspired by the clinical diagnostic reasoning process. We derive the KG from the National Library of Medicine's Unified Medical Language System (UMLS), a robust repository of biomedical knowledge. Our method negates the need for pre-training and instead leverages the KG as an auxiliary instrument aiding in the interpretation and summarization of complex medical concepts. Using real-world hospital datasets, our experimental results demonstrate that the proposed approach of combining LLMs with KG has the potential to improve the accuracy of automated diagnosis generation. More importantly, our approach offers an explainable diagnostic pathway, edging us closer to the realization of AI-augmented diagnostic decision support systems.

补充信息

↑