arXiv:2505.04284cs.CLcs.AI2025-05被引 6

针对癌症用药不良反应,实现多患者报告的分组摘要生成。

GASCADE: Grouped Summarization of Adverse Drug Event for Enhanced Cancer Pharmacovigilance

  • 用大模型提取信息,再用T5模型生成分组摘要。
  • 在自制数据集上显著优于现有方法,人类评估更优。
  • 适合药物安全监测与个性化治疗研究者使用。

在癌症治疗中,对患者用药后报告的不良药物事件(ADEs)进行总结,对于提升药物警戒水平和优化用药决策至关重要。现有研究多聚焦于一般疾病,缺乏对癌症领域的针对性。本文提出癌症不良药物反应分组摘要任务,并构建了多标签癌症不良药物反应与摘要数据集(MCADRS),包含患者关于药物疗效和副作用的报告,以及药物名、不良反应、严重程度、反应性质等标注,及每种药物的不良反应摘要。为此,我们提出GASCADE框架,结合大语言模型的信息抽取能力与T5编码器-解码器结构的摘要生成能力。首次将直接偏好优化等先进对齐技术应用于编码器-解码器模型,基于合成数据完成摘要任务。大量实验表明,GASCADE在多种指标上表现优异,经自动评估与人工评价双重验证。该多任务方法有助于提升药物决策质量,深化对患者关切的理解,推动个性化、响应式癌症医疗发展。代码与数据集已公开。

原文摘要 · Abstract (English)

In the realm of cancer treatment, summarizing adverse drug events (ADEs) reported by patients using prescribed drugs is crucial for enhancing pharmacovigilance practices and improving drug-related decision-making. While the volume and complexity of pharmacovigilance data have increased, existing research in this field has predominantly focused on general diseases rather than specifically addressing cancer. This work introduces the task of grouped summarization of adverse drug events reported by multiple patients using the same drug for cancer treatment. To address the challenge of limited resources in cancer pharmacovigilance, we present the MultiLabeled Cancer Adverse Drug Reaction and Summarization (MCADRS) dataset. This dataset includes pharmacovigilance posts detailing patient concerns regarding drug efficacy and adverse effects, along with extracted labels for drug names, adverse drug events, severity, and adversity of reactions, as well as summaries of ADEs for each drug. Additionally, we propose the Grouping and Abstractive Summarization of Cancer Adverse Drug events (GASCADE) framework, a novel pipeline that combines the information extraction capabilities of Large Language Models (LLMs) with the summarization power of the encoder-decoder T5 model. Our work is the first to apply alignment techniques, including advanced algorithms like Direct Preference Optimization, to encoder-decoder models using synthetic datasets for summarization tasks. Through extensive experiments, we demonstrate the superior performance of GASCADE across various metrics, validated through both automated assessments and human evaluations. This multitasking approach enhances drug-related decision-making and fosters a deeper understanding of patient concerns, paving the way for advancements in personalized and responsive cancer care. The code and dataset used in this work are publicly available.

药物警戒文本摘要癌症治疗

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