Extracting Patient History from Clinical Text: A Comparative Study of Clinical Large Language Models

主要内容

  1. 研究背景与目的:医疗记录的整理和分析耗费医护人员大量时间,自然语言处理(NLP)技术中的命名实体识别(NER)可将非结构化患者信息转换为结构化记录,助力医疗工作。临床大语言模型(cLLMs)在医疗领域应用广泛,但在识别患者详细病史实体(MHEs)方面研究有限。本研究旨在比较微调后的cLLMs识别与患者主诉(CC)、现病史(HPI)和既往、家族、社会史(PFSH)相关MHEs的性能,并通过错误分析探究影响模型准确性的文本特征。
  2. 研究方法
    • 数据来源与标注:使用Medical Transcription Sample Reports and Examples(MTSamples)中的61份门诊相关临床笔记,标注了1449个MHEs,涵盖多种笔记类型。标注工作由本科生初标,经多位作者审核。
    • 模型选择与微调:以零样本设置的GPT-4o为基线,微调7种cLLMs。采用两种微调方式,一种是基本微调,另一种是融入预识别基本医疗实体(BMEs)信息的微调。
    • 模型评估:从准确性评估和错误关联分析两方面评估微调后的cLLMs。准确性评估包括精确匹配、宽松匹配和错误分析;错误关联分析研究实体长度、笔记长度和分段对模型性能的影响。
  3. 研究结果
    • 模型准确性:微调后的GatorTron和GatorTronS性能最佳,融入
船载 OpenHarmony AIS 航海工作台:告警与防碰撞预警系统 船载OpenHarmony AIS航海工作台的告警与防碰撞系统,集成十余类告警(超速、偏航、会遇、SOS等),通过网格空间索引实现高效邻近判定,保障实时性。告警管理器统一调度规则、去重、通知与日志,支持悬浮球、语音、跑马灯、弹窗多渠道触达,确保航行安全。SOS紧急通道独立运行,避免干扰。系统设计强调性能优化与多场景适配,为航海安全提供核心支撑。 阅读详情

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深度学习工具包Deprecation notice.-----This toolbox is outdated and no longer maintained.There are much better tools available for deep learning than this toolbox, e.g. [Theano](http://deeplearning.net/software/theano/), [torch](http://torch.ch/) or [tensorflow](http://www.tensorflow.org/)I would suggest you use one of the tools mentioned above rather than use this toolbox.Best, Rasmus.DeepLearnToolbox================A Matlab toolbox for Deep Learning.Deep Learning is a new subfield of machine learning that focuses on learning deep hierarchical models of data.It is inspired by the human brain's apparent deep (layered, hierarchical) architecture.A good overview of the theory of Deep Learning theory is[Learning Deep Architectures for AI](http://www.iro.umontreal.ca/~bengioy/papers/ftml_book.pdf)For a more informal introduction, see the following videos by Geoffrey Hinton and Andrew Ng.* [The Next Generation of Neural Networks](http://www.youtube.com/watch?v=AyzOUbkUf3M) (Hinton, 2007)* [Recent Developments in Deep Learning](http://www.youtube.com/watch?v=VdIURAu1-aU) (Hinton, 2010)* [Unsupervised Feature Learning and Deep Learning](http://www.youtube.com/watch?v=ZmNOAtZIgIk) (Ng, 2011)If you use this toolbox in your research please cite [Prediction as a candidate for learning deep hierarchical models of data](http://www2.imm.dtu.dk/pubdb/views/publication_details.php?id=6284)```@MASTERSTHESIS\{IMM2012-06284, author = "R. 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Download.2. addpath(genpath('DeepLearnToolbox'));Example: Deep Belief Network---------------------```matlabfunction test_example_DBNload mnist_uint8;train_x = double(train_x) / 255;test_x = double(test_x) / 255;train_y = double(train_y);test_y = double(test_y);%% ex1 train a 100 hidden unit RBM and visualize its weightsrand('state',0)dbn.sizes = [100];opts.numepochs = 1;opts.batchsize = 100;opts.momentum = 0;opts.alpha = 1;dbn = dbnsetup(dbn, train_x, opts);dbn = dbntrain(dbn, train_x, opts);figure; visualize(dbn.rbm{1}.W'); % Visualize the RBM weights%% ex2 train a 100-100 hidden unit DBN and use its weights to initialize a NNrand('state',0)%train dbndbn.sizes = [100 100];opts.numepochs = 1;opts.batchsize = 100;opts.momentum = 0;opts.alpha = 1;dbn = dbnsetup(dbn, train_x, opts);dbn = dbntrain(dbn, train_x, opts);%unfold dbn to nnnn = dbnunfoldtonn(dbn, 10);nn.activation_function = 'sigm';%train nnopts.numepochs = 1;opts.batchsize = 100;nn = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.10, 'Too big error');```Example: Stacked Auto-Encoders---------------------```matlabfunction test_example_SAEload mnist_uint8;train_x = double(train_x)/255;test_x = double(test_x)/255;train_y = double(train_y);test_y = double(test_y);%% ex1 train a 100 hidden unit SDAE and use it to initialize a FFNN% Setup and train a stacked denoising autoencoder (SDAE)rand('state',0)sae = saesetup([784 100]);sae.ae{1}.activation_function = 'sigm';sae.ae{1}.learningRate = 1;sae.ae{1}.inputZeroMaskedFraction = 0.5;opts.numepochs = 1;opts.batchsize = 100;sae = saetrain(sae, train_x, opts);visualize(sae.ae{1}.W{1}(:,2:end)')% Use the SDAE to initialize a FFNNnn = nnsetup([784 100 10]);nn.activation_function = 'sigm';nn.learningRate = 1;nn.W{1} = sae.ae{1}.W{1};% Train the FFNNopts.numepochs = 1;opts.batchsize = 100;nn = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.16, 'Too big error');```Example: Convolutional Neural Nets---------------------```matlabfunction test_example_CNNload mnist_uint8;train_x = double(reshape(train_x',28,28,60000))/255;test_x = double(reshape(test_x',28,28,10000))/255;train_y = double(train_y');test_y = double(test_y');%% ex1 Train a 6c-2s-12c-2s Convolutional neural network %will run 1 epoch in about 200 second and get around 11% error. %With 100 epochs you'll get around 1.2% errorrand('state',0)cnn.layers = { struct('type', 'i') %input layer struct('type', 'c', 'outputmaps', 6, 'kernelsize', 5) %convolution layer struct('type', 's', 'scale', 2) %sub sampling layer struct('type', 'c', 'outputmaps', 12, 'kernelsize', 5) %convolution layer struct('type', 's', 'scale', 2) %subsampling layer};cnn = cnnsetup(cnn, train_x, train_y);opts.alpha = 1;opts.batchsize = 50;opts.numepochs = 1;cnn = cnntrain(cnn, train_x, train_y, opts);[er, bad] = cnntest(cnn, test_x, test_y);%plot mean squared errorfigure; plot(cnn.rL);assert(er<0.12, 'Too big error');```Example: Neural Networks---------------------```matlabfunction test_example_NNload mnist_uint8;train_x = double(train_x) / 255;test_x = double(test_x) / 255;train_y = double(train_y);test_y = double(test_y);% normalize[train_x, mu, sigma] = zscore(train_x);test_x = normalize(test_x, mu, sigma);%% ex1 vanilla neural netrand('state',0)nn = nnsetup([784 100 10]);opts.numepochs = 1; % Number of full sweeps through dataopts.batchsize = 100; % Take a mean gradient step over this many samples[nn, L] = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.08, 'Too big error');%% ex2 neural net with L2 weight decayrand('state',0)nn = nnsetup([784 100 10]);nn.weightPenaltyL2 = 1e-4; % L2 weight decayopts.numepochs = 1; % Number of full sweeps through dataopts.batchsize = 100; % Take a mean gradient step over this many samplesnn = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.1, 'Too big error');%% ex3 neural net with dropoutrand('state',0)nn = nnsetup([784 100 10]);nn.dropoutFraction = 0.5; % Dropout fraction opts.numepochs = 1; % Number of full sweeps through dataopts.batchsize = 100; % Take a mean gradient step over this many samplesnn = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.1, 'Too big error');%% ex4 neural net with sigmoid activation functionrand('state',0)nn = nnsetup([784 100 10]);nn.activation_function = 'sigm'; % Sigmoid activation functionnn.learningRate = 1; % Sigm require a lower learning rateopts.numepochs = 1; % Number of full sweeps through dataopts.batchsize = 100; % Take a mean gradient step over this many samplesnn = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.1, 'Too big error');%% ex5 plotting functionalityrand('state',0)nn = nnsetup([784 20 10]);opts.numepochs = 5; % Number of full sweeps through datann.output = 'softmax'; % use softmax outputopts.batchsize = 1000; % Take a mean gradient step over this many samplesopts.plot = 1; % enable plottingnn = nntrain(nn, train_x, train_y, opts);[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.1, 'Too big error');%% ex6 neural net with sigmoid activation and plotting of validation and training error% split training data into training and validation datavx = train_x(1:10000,:);tx = train_x(10001:end,:);vy = train_y(1:10000,:);ty = train_y(10001:end,:);rand('state',0)nn = nnsetup([784 20 10]); nn.output = 'softmax'; % use softmax outputopts.numepochs = 5; % Number of full sweeps through dataopts.batchsize = 1000; % Take a mean gradient step over this many samplesopts.plot = 1; % enable plottingnn = nntrain(nn, tx, ty, opts, vx, vy); % nntrain takes validation set as last two arguments (optionally)[er, bad] = nntest(nn, test_x, test_y);assert(er < 0.1, 'Too big error');```[![Bitdeli Badge](https://d2weczhvl823v0.cloudfront.net/rasmusbergpalm/deeplearntoolbox/trend.png)](https://bitdeli.com/free "Bitdeli Badge")

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