arXiv:2502.20988cs.AIcs.CL2025-02中稿 · publication in Kno…被引 6

梳理医学大模型如何融入临床知识,助力诊疗决策。

Reviewing Clinical Knowledge in Medical Large Language Models: Training and Beyond

  • 通过知识图谱与检索增强生成,融合真实医疗数据提升模型可信度。
  • 对比学术与工业界应用差异,揭示实际落地挑战。
  • 聚焦可解释性与知识溯源,适合医疗AI研究者参考。

医学大语言模型在诊断辅助和治疗建议等场景中广泛应用,亟需具备准确的医学知识并提供可追溯的决策过程。本文系统回顾了将临床知识(涵盖疾病病因、预后、诊断与治疗等)嵌入训练型、知识图谱支持型及检索增强生成型医学LLMs的多种方法。首先从医学数据库与数据集收集可靠知识源;其次评估基于专用数据集及外部知识源(如知识图谱、文献资料)的集成策略;进一步讨论模型在产业中的实际应用,分析学术研究与工业实践间的差距。最后提出适用于相关任务的评估体系,并指出该领域面临的潜在挑战。本综述不追求全面覆盖,而是精选代表性成果,反映当前研究与工业实践的真实面貌,强调方法多样性而非完整性。

原文摘要 · Abstract (English)

The large-scale development of large language models (LLMs) in medical contexts, such as diagnostic assistance and treatment recommendations, necessitates that these models possess accurate medical knowledge and deliver traceable decision-making processes. Clinical knowledge, encompassing the insights gained from research on the causes, prognosis, diagnosis, and treatment of diseases, has been extensively examined within real-world medical practices. Recently, there has been a notable increase in research efforts aimed at integrating this type of knowledge into LLMs, encompassing not only traditional text and multimodal data integration but also technologies such as knowledge graphs (KGs) and retrieval-augmented generation (RAG). In this paper, we review the various initiatives to embed clinical knowledge into training-based, KG-supported, and RAG-assisted LLMs. We begin by gathering reliable knowledge sources from the medical domain, including databases and datasets. Next, we evaluate implementations for integrating clinical knowledge through specialized datasets and collaborations with external knowledge sources such as KGs and relevant documentation. Furthermore, we discuss the applications of the developed medical LLMs in the industrial sector to assess the disparity between models developed in academic settings and those in industry. We conclude the survey by presenting evaluation systems applicable to relevant tasks and identifying potential challenges facing this field. In this review, we do not aim for completeness, since any ostensibly complete review would soon be outdated. Our goal is to illustrate diversity by selecting representative and accessible items from current research and industry practices, reflecting real-world situations rather than claiming completeness. Thus, we emphasize showcasing diverse approaches.

医学AI知识融合大模型可解释性

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