用大模型分析罕见病文本,辅助诊断与研究。
Decoding Rarity: Large Language Models in the Diagnosis of Rare Diseases
- 利用大模型从医学文本中提取关键信息,支持罕见病诊断。
- 多模型对比实验验证了诊断建议的准确性与及时性。
- 适合临床研究者与医疗AI开发者参考。
近年来,人工智能尤其是大语言模型(LLMs)在罕见病研究中展现出巨大潜力。本文综述了LLMs在罕见病分析中的应用,重点探讨了如何利用文本数据挖掘对诊断、治疗和患者护理至关重要的洞察。尽管当前研究主要依赖文本数据,但融合基因组、影像和电子健康记录等多模态数据仍是一个前景广阔的前沿方向。论文回顾了基础性研究,展示了LLMs在信息识别、模拟智能对话系统以及实现准确及时诊断方面的应用。同时,讨论了部署过程中面临的数据隐私、模型可解释性及高质量、包容性数据集的需求等挑战。文中还介绍了针对不同疾病设计的结构化问卷,结合多个LLMs进行实验验证。最后展望了未来向真正多模态平台演进的方向,旨在整合多元数据以更全面理解罕见病,提升临床诊疗效果。
原文摘要 · Abstract (English)
Recent advances in artificial intelligence, particularly large language models LLMs, have shown promising capabilities in transforming rare disease research. This survey paper explores the integration of LLMs in the analysis of rare diseases, highlighting significant strides and pivotal studies that leverage textual data to uncover insights and patterns critical for diagnosis, treatment, and patient care. While current research predominantly employs textual data, the potential for multimodal data integration combining genetic, imaging, and electronic health records stands as a promising frontier. We review foundational papers that demonstrate the application of LLMs in identifying and extracting relevant medical information, simulating intelligent conversational agents for patient interaction, and enabling the formulation of accurate and timely diagnoses. Furthermore, this paper discusses the challenges and ethical considerations inherent in deploying LLMs, including data privacy, model transparency, and the need for robust, inclusive data sets. As part of this exploration, we present a section on experimentation that utilizes multiple LLMs alongside structured questionnaires, specifically designed for diagnostic purposes in the context of different diseases. We conclude with future perspectives on the evolution of LLMs towards truly multimodal platforms, which would integrate diverse data types to provide a more comprehensive understanding of rare diseases, ultimately fostering better outcomes in clinical settings.
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