arXiv:2411.05042cs.CLcs.AI2024-11被引 6

用本地大模型让放射科报告更简洁清晰,提升医生查阅效率。

Improving Radiology Report Conciseness and Structure via Local Large Language Models

  • 用本地部署的Mixtral模型,先压缩再结构化,提升报告可读性。
  • 在814份报告上减少53%以上冗余词汇,关键信息更易提取。
  • 适合关注医疗报告自动化、数据安全的医院与研究者使用。

放射科报告常冗长无序,影响临床医生快速获取关键影像发现,增加漏诊风险。本回顾性研究旨在通过使报告更简洁、结构化来改进其质量,将发现按相关器官组织。我们利用机构内网部署的私有大语言模型(LLMs),确保数据安全并降低计算成本。基于迈克·弗特癌症中心七位认证主治放射科医师的814份报告数据,在LangChain框架中测试了五种提示策略。经评估,Mixtral LLM在遵循格式要求方面优于Llama等模型。最优策略为先压缩报告内容,再根据具体指令进行结构化整理,显著降低冗余度,同时提升清晰度。所有放射科医师及报告中,该方法使冗余词数减少超过53%。结果表明,本地部署的开源大模型有望有效优化放射科报告流程,生成更简洁、结构化的报告,从而提升信息检索效率,满足临床需求,改善工作流。

原文摘要 · Abstract (English)

Radiology reports are often lengthy and unstructured, posing challenges for referring physicians to quickly identify critical imaging findings while increasing the risk of missed information. This retrospective study aimed to enhance radiology reports by making them concise and well-structured, with findings organized by relevant organs. To achieve this, we utilized private large language models (LLMs) deployed locally within our institution's firewall, ensuring data security and minimizing computational costs. Using a dataset of 814 radiology reports from seven board-certified body radiologists at Moffitt Cancer Center, we tested five prompting strategies within the LangChain framework. After evaluating several models, the Mixtral LLM demonstrated superior adherence to formatting requirements compared to alternatives like Llama. The optimal strategy involved condensing reports first and then applying structured formatting based on specific instructions, reducing verbosity while improving clarity. Across all radiologists and reports, the Mixtral LLM reduced redundant word counts by more than 53%. These findings highlight the potential of locally deployed, open-source LLMs to streamline radiology reporting. By generating concise, well-structured reports, these models enhance information retrieval and better meet the needs of referring physicians, ultimately improving clinical workflows.

放射科报告大模型应用本地部署结构化生成

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