用大模型自动生成医生问诊对话,高效收集诊断所需信息
A Two-Stage Proactive Dialogue Generator for Efficient Clinical Information Collection Using Large Language Model
- 分两阶段生成问诊对话,结合病史与逻辑推理
- 在真实医疗数据集上实现专业、安全、流畅的对话
- 适合临床辅助系统研发者和医学AI研究者参考
高效的医患互动是成功疾病诊断的关键。问诊过程中,医生需获取症状、既往手术史等超出检验数据的补充信息以提升诊断准确性,但传统方式耗时且效率低,可通过计算机辅助优化。为此,我们提出一种诊断对话系统,自动完成患者信息采集。通过利用病史与对话逻辑,医生代理可进行多轮临床提问,有效收集关键诊断信息。得益于双阶段推荐结构、精心设计的排序准则及交互式患者代理,模型克服了对话生成中探索不足与灵活性差的问题。在真实医疗对话数据集上的实验表明,该模型生成的问诊内容能模仿真实医生的交流风格,在流畅性、专业性和安全性方面表现优异,同时高效获取相关诊断信息。
原文摘要 · Abstract (English)
Efficient patient-doctor interaction is among the key factors for a successful disease diagnosis. During the conversation, the doctor could query complementary diagnostic information, such as the patient's symptoms, previous surgery, and other related information that goes beyond medical evidence data (test results) to enhance disease diagnosis. However, this procedure is usually time-consuming and less-efficient, which can be potentially optimized through computer-assisted systems. As such, we propose a diagnostic dialogue system to automate the patient information collection procedure. By exploiting medical history and conversation logic, our conversation agents, particularly the doctor agent, can pose multi-round clinical queries to effectively collect the most relevant disease diagnostic information. Moreover, benefiting from our two-stage recommendation structure, carefully designed ranking criteria, and interactive patient agent, our model is able to overcome the under-exploration and non-flexible challenges in dialogue generation. Our experimental results on a real-world medical conversation dataset show that our model can generate clinical queries that mimic the conversation style of real doctors, with efficient fluency, professionalism, and safety, while effectively collecting relevant disease diagnostic information.
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