通过语音处理和大型语言模型增强临床文档:对LAOS系统的研究
Yupeng Xu1, Huixun Jia1, Maolin Wang2
1Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Eye Diseases, Shanghai Key Laboratory of Fundus Diseases, Shanghai Engineering Center for Visual Science and Photomedicine, Shanghai Gene Therapy Center, Shanghai, China.
NPJ digital medicine
|November 29, 2025
概括
本研究介绍了基于LLM的辅助眼科系统 (LAOS),以提高临床文档的效率和准确性. 该系统使用大型语言模型 (LLM) 和音频处理来减少临床医生的工作量和倦怠.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
背景情况:
- 电子健康记录 (EHR) 增加了临床医生的认知工作量,特别是在眼科.
- 眼科医生处理的咨询次数是眼科医生的1.6倍,这加重了文档负担.
研究的目的:
- 介绍基于LLM的辅助眼科系统 (LAOS).
- 使用LLM和音频处理提高临床文档的准确性和效率.
主要方法:
- 拉奥斯集成了语音识别,检索增强生成 (RAG) 和低级适应 (LoRA).
- 系统将临床对话转换为有结构的文档,具有动态知识检索.
- 在入院报告,手术记录和出院摘要上进行评估.
主要成果:
- 洛杉矶在文档完整性,准确性和效率方面取得了显著的改善.
- 定量指标 (BLEU,ROUGE-L,BERT评分) 和医生验证证实了有效性.
- 该系统显示了减轻医生倦怠和改善医疗保健服务的潜力.
结论:
- 像LAOS这样的语音支持的LLM系统可以优化临床文档.
- 劳斯提供了一个有前途的解决方案,以减少认知负载和提高医疗保健质量.
- 需要进一步的研究来平衡文档的全面性和简洁性.
更多相关视频
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.4K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.4K
Methods of Documentation VI: Case Management Model
839
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
839
Language Development
806
Children master language quickly and with relative ease, supported by both biological predisposition and reinforcement. B. F. Skinner (1957) proposed that language is learned through reinforcement, while Noam Chomsky (1965) argued that language acquisition mechanisms are biologically determined.
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
The critical period for language acquisition suggests that the ability to acquire language is at its peak early in life. As people age, this proficiency decreases. Language development begins very...
806
Methods of Documentation VII: EMR
1.4K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.4K
Larynx
4.0K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
4.0K
Components of Language
723
Language, whether spoken, signed, or written, consists of specific components: lexicon and grammar. The lexicon is the vocabulary of a language, comprising its words. Grammar is the set of rules used to convey meaning through the lexicon. For example, English grammar adds “-ed” to most verbs to indicate past tense. Words are formed by combining phonemes, which are the basic sound units of a language. Different languages have different sets of phonemes (e.g., “ah” vs.
723


