将大型语言模型和文本嵌入模型进行比较,用于自动分类放射学报告中的文本,语义和关键变化
Maximilian Lindholz1, Alina Burdenski1, Richard Ruppel1
1Department of Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany.
European journal of radiology
|July 17, 2025
概括
大型语言模型 (LLM) 在对放射学报告的变化进行分类方面表现有前途,与专家评估保持一致. 这些AI工具可以通过识别文本,语义或临床可行的报告修改来支持同行评审.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 放射学工作流的优化 工作流的优化
背景情况:
- 放射学报告在工作流程中会发生变化,特别是在住院医生的草稿和主治医生的完成之间.
- 准确地分类这些变化对于质量保证和临床决策至关重要.
研究的目的:
- 探索大型语言模型 (LLM) 的有效性,并将技术嵌入到放射学报告中对变化的分类中.
- 将LLM的绩效与传统指标和人类专家评估进行比较.
主要方法:
- 评估了400个成年人CT报告,比较住院医生的草稿与主治医生的最终版本.
- 使用五分尺度评估变化 (没有变化至关键).
- 开源LLM (例如Qwen3-235B-A22B) 与传统指标 (词差异,Levenshtein,Jaccard) 和文本嵌入相似性的比较.
主要成果:
- 在人类评价者中,评价者之间的可靠性很好 (κ = 0.990).
- Qwen3-235B-A22B LLM实现了与人类评估的最高一致性 (κ = 0.822),超过了传统方法.
- 与LLM和经典指标相比,嵌入模型的性能明显较低.
结论:
- 临床医学仪表 (LLM),特别是Qwen3-235B-A22B,显示出对精确评估放射学报告中变化的临床意义的巨大潜力.
- 在这个任务中,LLM优于嵌入方法和传统的文本比较方法.
- 这些发现表明,LLM可以作为一种有价值的工具,以加强放射学中的同行评审过程.
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