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Updated: Apr 10, 2026

Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness
Published on: December 6, 2024
Expert guided natural language processing using one-class classification
Erel Joffe1, Emily J Pettigrew2, Jorge R Herskovic3
1School of Biomedical Informatics, The University of Texas Health Science Center at Houston, Texas Department of Hematology and Bone Marrow Transplantation, Tel Aviv Medical Center, Tel Aviv Israel.
One-class classification (1C-SVMs) using expert-selected text snippets significantly improves breast cancer identification in clinical notes, outperforming traditional methods on imbalanced datasets.
Area of Science:
- Biomedical Informatics
- Natural Language Processing
- Machine Learning
Background:
- Automated phenotype identification from clinical notes is crucial for data reuse.
- This study explores expert-guided feature selection combined with one-class classification for text processing.
Purpose of the Study:
- Compare one-class classification to binary classification.
- Evaluate expert-selected text snippets for feature utility.
- Assess model robustness against irrelevant text.
Main Methods:
- Trained one-class support vector machines (1C-SVMs) and two-class SVMs (2C-SVMs) to detect breast cancer mentions.
- Utilized manually annotated notes (88 positive, 88 negative) for comparison.
- Evaluated models on balanced and imbalanced datasets (10,000 records, 1.4% prevalence).
Main Results:
- On balanced data, 1C-SVMs with snippets matched 2C-SVMs on whole notes (F=0.92).
- On imbalanced data, 1C-SVMs significantly outperformed 2C-SVMs (F=0.61 vs. F=0.17), driven by improved precision.
Conclusions:
- One-class SVMs trained on expert-selected text sections excel over traditional binary classifiers on imbalanced clinical data.
- This approach enhances the identification of low-prevalence phenotypes in real-world datasets.
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