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Augmenting Large Language Models via Vector Embeddings to Improve Domain-Specific Responsiveness
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A Hybrid Natural Language Processing Platform for Multi-Site RWD Studies.

Kento Sugimoto1, Yasushi Matsumura1,2, Shoya Wada1,3

  • 1Department of Medical Informatics, Osaka University Graduate School of Medicine, Osaka, Japan.

Studies in Health Technology and Informatics
|August 8, 2025
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Summary

This study introduces a hybrid platform for efficient real-world data (RWD) analysis using natural language processing (NLP). It significantly speeds up processing while protecting patient privacy in multi-site research.

Keywords:
Distributed SystemNatural Language ProcessingRadiology ReportReal-World Data

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Area of Science:

  • Health Informatics
  • Computational Linguistics
  • Data Science

Background:

  • Real-world data (RWD) from electronic medical records is crucial for healthcare research.
  • Integrating unstructured free-text clinical data presents significant challenges.
  • High computational costs and privacy concerns hinder natural language processing (NLP) implementation in multi-site RWD studies.

Purpose of the Study:

  • To propose a hybrid platform for efficient and privacy-preserving information extraction from free-text clinical data.
  • To facilitate effective data integration across multiple institutions in RWD studies.
  • To address the computational and privacy challenges associated with NLP in healthcare research.

Main Methods:

  • Development of a hybrid platform integrating centralized NLP processing with privacy protection.
  • Comparative experiments evaluating the hybrid platform against a fully distributed method.
  • Utilizing 500 sample reports for performance assessment.

Main Results:

  • The central NLP processing server demonstrated significantly superior performance, processing reports in 0.12 seconds compared to 64.23 seconds for on-site servers.
  • The central server showed minimal and consistent increases in processing time irrespective of report length, indicating efficiency and scalability.
  • The hybrid platform effectively addressed privacy and data governance issues.

Conclusions:

  • The developed hybrid platform enhances computational efficiency for NLP tasks in RWD studies.
  • The platform successfully tackles privacy and data governance challenges in multi-site research.
  • This approach facilitates effective information extraction from free-text clinical data across institutions.