让医疗问答模型同时提取答案并分类,提升临床决策支持效率。
Clinical QA 2.0: Multi-Task Learning for Answer Extraction and Categorization
- 采用多任务学习联合训练答案抽取与医学类别分类。
- 在emrQA数据集上提升F1分数2.2%,分类准确率达90.7%。
- 适合需要结构化医疗信息输出的临床AI系统开发者。
临床问答(CQA)在医疗决策中至关重要,帮助医生从电子病历(EMRs)中提取相关信息。尽管基于Transformer的模型如BERT、BioBERT和ClinicalBERT已在CQA中达到顶尖性能,但现有模型缺乏对提取答案进行分类的能力,而这对于结构化检索、内容过滤和医疗决策支持极为关键。为此,我们提出一种多任务学习(MTL)框架,联合训练用于答案抽取和医学分类的CQA模型。除预测答案片段外,模型还将回答分类为五个标准化医学类别:诊断、药物、症状、操作和检验报告。该分类使输出更具结构性和可解释性,提升临床QA模型在真实医疗场景中的实用性。我们在emrQA这一大规模医疗问答数据集上评估该方法,结果表明MTL相比标准微调将F1分数提升2.2%,同时在答案分类上达到90.7%的准确率。这些发现表明,MTL不仅提升了CQA性能,还引入了有效的分类机制与结构化医疗信息检索方案。
原文摘要 · Abstract (English)
Clinical Question Answering (CQA) plays a crucial role in medical decision-making, enabling physicians to extract relevant information from Electronic Medical Records (EMRs). While transformer-based models such as BERT, BioBERT, and ClinicalBERT have demonstrated state-of-the-art performance in CQA, existing models lack the ability to categorize extracted answers, which is critical for structured retrieval, content filtering, and medical decision support. To address this limitation, we introduce a Multi-Task Learning (MTL) framework that jointly trains CQA models for both answer extraction and medical categorization. In addition to predicting answer spans, our model classifies responses into five standardized medical categories: Diagnosis, Medication, Symptoms, Procedure, and Lab Reports. This categorization enables more structured and interpretable outputs, making clinical QA models more useful in real-world healthcare settings. We evaluate our approach on emrQA, a large-scale dataset for medical question answering. Results show that MTL improves F1-score by 2.2% compared to standard fine-tuning, while achieving 90.7% accuracy in answer categorization. These findings suggest that MTL not only enhances CQA performance but also introduces an effective mechanism for categorization and structured medical information retrieval.
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