CARE-AD: a multi-agent large language model framework for Alzheimer's disease prediction using longitudinal clinical notes
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Summary
This summary is machine-generated.A new multi-agent large language model (LLM) framework, CARE-AD, shows promise for predicting Alzheimer's disease (AD) onset using electronic health records. This approach improves early AD risk assessment accuracy compared to single-model methods.
Area Of Science
- Artificial Intelligence in Medicine
- Computational Neuroscience
- Clinical Informatics
Background
- Large language models (LLMs) demonstrate potential across various fields but have limited application in complex clinical prediction.
- Early prediction of Alzheimer's disease (AD) is crucial for timely intervention and management.
Purpose Of The Study
- To introduce CARE-AD, a novel multi-agent LLM framework for forecasting Alzheimer's disease onset.
- To evaluate the efficacy of CARE-AD in analyzing longitudinal electronic health record (EHR) notes for early AD risk assessment.
Main Methods
- Developed CARE-AD, a framework utilizing specialized LLM agents for extracting AD-relevant signs and symptoms from EHR notes.
- Emulated a collaborative diagnostic process by assigning domain-specific evaluation tasks to individual LLM agents.
- Conducted a retrospective evaluation comparing CARE-AD against baseline single-model approaches.
Main Results
- CARE-AD achieved higher accuracy (0.53) in predicting AD risk 10 years prior to diagnosis compared to baseline models (0.26-0.45).
- The multi-agent system demonstrated superior performance in analyzing longitudinal EHR data for AD risk forecasting.
Conclusions
- Multi-agent LLM systems are feasible for supporting early Alzheimer's disease risk assessment.
- CARE-AD's performance highlights the potential of integrating advanced AI into clinical decision support workflows for neurodegenerative diseases.
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