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Enhancing Phenotype Recognition in Clinical Notes Using Large Language Models: PhenoBCBERT and PhenoGPT.

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  • 1Raymond G. Perelman Center for Cellular and Molecular Therapeutics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

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Summary

New AI models, PhenoBCBERT and PhenoGPT, improve recognition of genetic disease phenotypes in clinical notes by expanding Human Phenotype Ontology (HPO) terms, aiding disease analysis.

Keywords:
Human Phenotype Ontologyclinical noteselectronic health recordsnamed entity recognitiontransformer

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Area of Science:

  • Computational biology
  • Medical informatics
  • Genetics

Background:

  • Human Phenotype Ontology (HPO) provides standardized phenotype vocabulary for genetic diseases.
  • Existing phenotype recognition tools struggle with comprehensive term capture, limiting clinical note analysis.

Approach:

  • Developed PhenoBCBERT and PhenoGPT using large language models (LLMs) to automate phenotype term detection.
  • Expanded HPO vocabularies by identifying terms beyond current HPO coverage.
  • Compared LLM-based models against PhenoTagger for performance evaluation.

Key Points:

  • PhenoBCBERT and PhenoGPT identify a broader range of phenotype concepts, including novel ones.
  • Models demonstrated strong performance in biomedical literature case studies.
  • Evaluated architectural and accuracy differences between BERT-based and GPT-based LLMs.

Conclusions:

  • LLM-based models significantly enhance automated phenotype detection in clinical texts.
  • Improved phenotype recognition facilitates more robust downstream analyses of human diseases.
  • These models offer a powerful tool for advancing genetic disease research and clinical applications.