系统性抗癌疗法时间表从电子医疗记录中提取文本:算法开发和验证
Jiarui Yao1, Eli Goldner1, Harry Hochheiser2
1Computational Health Informatics Program, Boston Children's Hospital, Harvard Medical School, 401 Park Drive, Boston, MA, 02115, United States, 1 7813545014.
JMIR bioinformatics and biotechnology
|December 4, 2025
概括
从电子病历 (EMR) 中自动提取系统性抗癌治疗 (SACT) 时间表至关重要. 一个精心调整的EntityBERT模型获得了93%的F1得分,在SACT时间线提取方面表现优于大型语言模型.
科学领域:
- 自然语言处理自然语言处理.
- 计算语言学 计算语言学
- 生物信息学是一种生物信息学.
背景情况:
- 系统性抗癌疗法 (SACT) 通常涉及复杂的药物组合和序列.
- 电子医疗记录 (EMR) 中的临床叙述包含详细的SACT时间表.
- 自动提取这些时间表是一个重大挑战.
研究的目的:
- 探索用于从EMR中的临床叙述中提取患者级SACT时间表的自动方法.
- 为了对比微调语言模型和大型语言模型 (LLM) 在此任务中的性能.
主要方法:
- 使用了两个数据集:THYME (结肠直肠癌) 和Chemotimelines共享任务 (卵巢,乳腺癌,黑色素瘤).
- 探索了微调较小的语言模型 (EntityBERT) 和LLM的少数镜头提示 (LLaMA,Mixtral).
- 评估了子任务1 (从注释输入构建时间表) 和子任务2 (直接从笔记提取) 的绩效.
主要成果:
- 精心调整的EntityBERT模型获得了93%的F1得分,超过了共享任务ChemoTimelines中最佳的子任务1结果 (90%).
- 实体BERT在子任务2.2中排名第二.
- LLM (LLaMA2,LLaMA3.1,Mixtral) 的表现低于微调模型,最好的LLM在共享任务数据集 (子任务1) 上获得77%的宏观F1得分.
结论:
- 语言模型的特定任务微调,如EntityBERT,对于从临床叙述中提取SACT时间表非常有效.
- 这种方法在这个专业任务上优于通用LLM.
- 这些发现有助于推进从EMR中提取自动化治疗时间表.
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