结合地理位置数据,用大模型提升阿尔茨海默病早期风险预测准确率
Leveraging Geolocation in Clinical Records to Improve Alzheimer's Disease Diagnosis Using DMV Framework
- 用Llama3-70B和GPT-4o分析临床文本,将语言特征映射为连续风险评分
- 加入地理位置信息后,预测误差比之前模型降低28.57%(Llama3-70B)和33.47%(GPT-4o)
- 适合关注环境因素与疾病关联的临床研究者和精准医疗团队
阿尔茨海默病(AD)早期检测对及时干预和改善患者预后至关重要。本文提出一种基于DMV框架的方法,采用Llama3-70B和GPT-4o作为嵌入模型,分析临床记录并预测与早期AD发病相关的连续风险评分。将任务建模为回归问题,通过捕捉临床笔记中语言特征(输入)与特定主题类别下相关AD风险目标变量(数据值)之间的关系。引入包含地理位置数据在内的多维度特征集,以获取潜在与AD相关的环境背景信息。实验表明,整合地理位置信息后,预测早期AD风险评分的误差相较于先前模型分别降低了28.57%(Llama3-70B)和33.47%(GPT-4o)。结果表明,该融合方法可提升AD风险评估的预测准确性,支持临床环境中的早期诊断与干预。此外,该框架整合地理信息的能力,有助于构建更全面的风险评估模型,帮助医疗人员更好地理解并应对推动AD发展的环境因素。
原文摘要 · Abstract (English)
Alzheimer's Disease (AD) early detection is critical for enabling timely intervention and improving patient outcomes. This paper presents a DMV framework using Llama3-70B and GPT-4o as embedding models to analyze clinical notes and predict a continuous risk score associated with early AD onset. Framing the task as a regression problem, we model the relationship between linguistic features in clinical notes (inputs) and a target variable (data value) that answers specific questions related to AD risk within certain topic categories. By leveraging a multi-faceted feature set that includes geolocation data, we capture additional environmental context potentially linked to AD. Our results demonstrate that the integration of the geolocation information significantly decreases the error of predicting early AD risk scores over prior models by 28.57% (Llama3-70B) and 33.47% (GPT4-o). Our findings suggest that this combined approach can enhance the predictive accuracy of AD risk assessment, supporting early diagnosis and intervention in clinical settings. Additionally, the framework's ability to incorporate geolocation data provides a more comprehensive risk assessment model that could help healthcare providers better understand and address environmental factors contributing to AD development.
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