用专家模型模拟中医问诊,主动提问提升诊断准确率。
DoPI: Doctor-like Proactive Interrogation LLM for Traditional Chinese Medicine
- 构建引导与专家双模型,动态生成问诊问题。
- 问诊准确率达84.68%,显著提升沟通效率。
- 专为中医设计,适合医疗AI研究者参考。
通过多轮对话与知识图谱增强中医诊断中的问诊能力,是现代AI系统面临的重大挑战。当前大型语言模型虽有进展,但在医学应用中仍存在多轮对话与主动提问能力不足的问题,制约其在真实诊断场景中的实用性。为此,本文提出面向中医领域的新型大模型系统DoPI,采用引导模型与专家模型协同架构:引导模型基于知识图谱与患者进行多轮对话,动态生成问题以高效提取关键症状;专家模型则依托深层中医专业知识提供最终诊断与治疗方案。此外,本研究构建了一个多轮医患对话数据集,用于模拟真实问诊场景,并提出一种不依赖人工真实咨询数据的新评估方法。实验结果表明,DoPI系统在问诊结果上的准确率达到84.68%,显著提升了模型在诊断过程中的交互能力,同时保持专业水准。
原文摘要 · Abstract (English)
Enhancing interrogation capabilities in Traditional Chinese Medicine (TCM) diagnosis through multi-turn dialogues and knowledge graphs presents a significant challenge for modern AI systems. Current large language models (LLMs), despite their advancements, exhibit notable limitations in medical applications, particularly in conducting effective multi-turn dialogues and proactive questioning. These shortcomings hinder their practical application and effectiveness in simulating real-world diagnostic scenarios. To address these limitations, we propose DoPI, a novel LLM system specifically designed for the TCM domain. The DoPI system introduces a collaborative architecture comprising a guidance model and an expert model. The guidance model conducts multi-turn dialogues with patients and dynamically generates questions based on a knowledge graph to efficiently extract critical symptom information. Simultaneously, the expert model leverages deep TCM expertise to provide final diagnoses and treatment plans. Furthermore, this study constructs a multi-turn doctor-patient dialogue dataset to simulate realistic consultation scenarios and proposes a novel evaluation methodology that does not rely on manually collected real-world consultation data. Experimental results show that the DoPI system achieves an accuracy rate of 84.68 percent in interrogation outcomes, significantly enhancing the model's communication ability during diagnosis while maintaining professional expertise.
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