arXiv:2507.04026cs.CL2025-07被引 1

用AI助手帮癌症患者准备诊疗问诊,提升沟通效率。

Patient-Centered RAG for Oncology Visit Aid Following the Ottawa Decision Guide

  • 将决策指南转化为动态RAG流程,引导患者补知识、明需求。
  • 用户测试显示系统易用性高,生成内容相关性强且临床可信度达6.82。
  • 适合关注医患沟通质量的临床医生与医疗AI研发者。

在癌症治疗中,有效沟通至关重要,但患者常难以为复杂诊疗会话做好准备。本文提出一种以患者为中心的交互式检索增强生成系统,协助患者从无知状态转变为就诊准备就绪。系统将奥特拉个人决策指南改造为动态的检索增强生成工作流,帮助用户填补知识空白、厘清个人价值观,并生成针对即将到来诊疗的有用问题。以局部前列腺癌为例,我们对患者和临床专家进行了用户研究。结果表明,系统具有高可用性(UMUX均值=6.0/7)、生成内容强相关性(均值=6.7/7)、极少需要修改,且临床忠实度高(均值=6.82/7)。本研究展示了将患者中心设计与语言模型结合,在肿瘤科临床准备中的巨大潜力。

原文摘要 · Abstract (English)

Effective communication is essential in cancer care, yet patients often face challenges in preparing for complex medical visits. We present an interactive, Retrieval-augmented Generation-assisted system that helps patients progress from uninformed to visit-ready. Our system adapts the Ottawa Personal Decision Guide into a dynamic retrieval-augmented generation workflow, helping users bridge knowledge gaps, clarify personal values and generate useful questions for their upcoming visits. Focusing on localized prostate cancer, we conduct a user study with patients and a clinical expert. Results show high system usability (UMUX Mean = 6.0 out of 7), strong relevance of generated content (Mean = 6.7 out of 7), minimal need for edits, and high clinical faithfulness (Mean = 6.82 out of 7). This work demonstrates the potential of combining patient-centered design with language models to enhance clinical preparation in oncology care.

医患沟通RAG肿瘤科

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