arXiv:2505.00008cs.CLcs.AI2025-05中稿 · the Journal of Bio…综述被引 15

用NLP识别和纠正医疗错误、谣言与幻觉,提升健康信息可靠性。

A Scoping Review of Natural Language Processing in Addressing Medically Inaccurate Information: Errors, Misinformation, and Hallucination

  • 整合错误、谣言、幻觉的检测与修正方法,统一技术路径。
  • 6类任务中展现潜力,但数据隐私与评估标准仍存挑战。
  • 适合医疗AI安全、公共卫生传播与可信AI研究者参考。

本综述旨在探讨自然语言处理(NLP)在检测、纠正和缓解医学不准确信息(包括错误、谣言与幻觉)方面的潜力与挑战。通过统合这些概念,强调其共同的方法论基础及其对医疗健康的独特影响。目标是推动患者安全、改善公共健康传播,并支持更可靠、透明的医疗NLP应用发展。采用遵循PRISMA指南的范围综述方法,分析2020至2024年间五个数据库中的研究,按主题、任务、文档类型、数据集、模型及评估指标分类。结果显示,NLP在以下六项任务中展现出潜力:(1) 错误检测;(2) 错误修正;(3) 谣言检测;(4) 谣言修正;(5) 幻觉检测;(6) 幻觉缓解。然而,在数据隐私、上下文依赖性和评估标准方面仍面临挑战。结论指出,尽管已有进展,仍需加强真实世界数据集建设、优化上下文建模方法并改进幻觉管理,以确保医疗NLP应用的可靠性和透明性。

原文摘要 · Abstract (English)

Objective: This review aims to explore the potential and challenges of using Natural Language Processing (NLP) to detect, correct, and mitigate medically inaccurate information, including errors, misinformation, and hallucination. By unifying these concepts, the review emphasizes their shared methodological foundations and their distinct implications for healthcare. Our goal is to advance patient safety, improve public health communication, and support the development of more reliable and transparent NLP applications in healthcare. Methods: A scoping review was conducted following PRISMA guidelines, analyzing studies from 2020 to 2024 across five databases. Studies were selected based on their use of NLP to address medically inaccurate information and were categorized by topic, tasks, document types, datasets, models, and evaluation metrics. Results: NLP has shown potential in addressing medically inaccurate information on the following tasks: (1) error detection (2) error correction (3) misinformation detection (4) misinformation correction (5) hallucination detection (6) hallucination mitigation. However, challenges remain with data privacy, context dependency, and evaluation standards. Conclusion: This review highlights the advancements in applying NLP to tackle medically inaccurate information while underscoring the need to address persistent challenges. Future efforts should focus on developing real-world datasets, refining contextual methods, and improving hallucination management to ensure reliable and transparent healthcare applications.

医疗NLP信息准确性幻觉检测综述

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