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Leveraging open-source large language models for clinical information extraction in resource-constrained settings.

Luc Builtjes1, Joeran Bosma1, Mathias Prokop1

  • 1Department of Radiology and Nuclear Medicine, Radboud University Medical Center, 6525GA Nijmegen, The Netherlands.

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|October 3, 2025
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Summary
This summary is machine-generated.

Open-source large language models (LLMs) show strong zero-shot performance in extracting information from Dutch clinical texts. Models like Llama-3.3-70B excel, especially in regression tasks, offering a viable alternative for NLP challenges.

Keywords:
artificial intelligenceinformation storage and retrievallarge language modelsnatural language processing

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Area of Science:

  • Natural Language Processing (NLP)
  • Artificial Intelligence (AI)
  • Clinical Informatics

Background:

  • Clinical information extraction from Dutch medical reports is challenging due to language barriers and limited resources.
  • Open-source generative large language models (LLMs) offer potential solutions for automated text analysis.

Purpose of the Study:

  • To evaluate the zero-shot performance of open-source generative LLMs on clinical information extraction from Dutch medical reports.
  • To assess LLM capabilities across classification, regression, and named entity recognition (NER) tasks using the DRAGON benchmark.

Main Methods:

  • Developed the llm_extractinator framework for scalable, open-source clinical text information extraction.
  • Evaluated 9 multilingual LLMs on 28 DRAGON benchmark tasks in a zero-shot setting.
  • Investigated the impact of in-context translation to English on model performance.

Main Results:

  • Llama-3.3-70B achieved the highest utility score (0.760), with other models like Phi-4-14B and Qwen-2.5-14B also performing well.
  • LLMs outperformed or matched a fine-tuned RoBERTa baseline on 17 tasks, particularly in regression and structured classification.
  • Named entity recognition (NER) performance was consistently low across all models, and translation to English generally reduced performance.

Conclusions:

  • Open-source generative LLMs demonstrate significant zero-shot capabilities for clinical NLP tasks, especially in structured inference.
  • Models around 14B parameters offer a good balance of performance and computational cost, though larger models lead.
  • Native language support is crucial, as translation to English negatively impacts performance, highlighting the value for low-resource and multilingual settings.