arXivDaily arXiv每日学术速递 周一至周五更新
arXiv 2509.04753cs.CLcs.AI

面向患者信息抽取的大语言模型研究:模型架构、微调策略与多任务指令微调

A Study of Large Language Models for Patient Information Extraction: Model Architecture, Fine-Tuning Strategy, and Multi-task Instruction Tuning

University of Florida(佛罗里达大学);Selfii

Cheng Peng, Xinyu Dong, Mengxian Lyu, Daniel Paredes, Yaoyun Zhang, Yonghui Wu

AI总结:

本研究围绕患者信息抽取任务,考察不同架构大语言模型、参数高效微调算法及多任务指令微调的效果,通过多数据集基准测试验证相关方法的抽取性能与泛化能力。

摘要:

自然语言处理(NLP)是从临床叙事文本中提取重要患者信息以支撑医疗应用的关键技术。大语言模型(LLM)的快速发展革新了临床领域的诸多NLP任务,但它们在患者信息抽取任务中的最优应用方式仍需进一步探索。本研究考察LLM在患者信息抽取中的有效性,重点关注用于构建鲁棒且可泛化的患者信息抽取系统的LLM架构、微调策略与多任务指令微调技术。本研究旨在探索将LLM用于临床概念与关系抽取任务的关键要点,包括:(1)仅编码器或仅解码器架构的LLM;(2)基于提示的参数高效微调(PEFT)算法;(3)多任务指令调优对少样本学习性能的影响。我们在5个数据集上对一系列LLM进行了基准测试,包括基于编码器的LLM(BERT、GatorTron)和基于解码器的LLM(GatorTronGPT、Llama 3.1、GatorTronLlama)。我们对比了传统全量微调与基于提示的PEFT方法。我们还探索了一种在4个数据集上融合两类任务的多任务指令微调框架,采用留一数据集策略评估其零样本和少样本学习性能。

英文摘要:

Natural language processing (NLP) is a key technology to extract important patient information from clinical narratives to support healthcare applications. The rapid development of large language models (LLMs) has revolutionized many NLP tasks in the clinical domain, yet their optimal use in patient information extraction tasks requires further exploration. This study examines LLMs' effectiveness in patient information extraction, focusing on LLM architectures, fine-tuning strategies, and multi-task instruction tuning techniques for developing robust and generalizable patient information extraction systems. This study aims to explore key concepts of using LLMs for clinical concept and relation extraction tasks, including: (1) encoder-only or decoder-only LLMs, (2) prompt-based parameter-efficient fine-tuning (PEFT) algorithms, and (3) multi-task instruction tuning on few-shot learning performance. We benchmarked a suite of LLMs, including encoder-based LLMs (BERT, GatorTron) and decoder-based LLMs (GatorTronGPT, Llama 3.1, GatorTronLlama), across five datasets. We compared traditional full-size fine-tuning and prompt-based PEFT. We explored a multi-task instruction tuning framework that combines both tasks across four datasets to evaluate the zero-shot and few-shot learning performance using the leave-one-dataset-out strategy.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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