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Mar 11

Accelerating Clinical Evidence Synthesis with Large Language Models

Synthesizing clinical evidence largely relies on systematic reviews of clinical trials and retrospective analyses from medical literature. However, the rapid expansion of publications presents challenges in efficiently identifying, summarizing, and updating clinical evidence. Here, we introduce TrialMind, a generative artificial intelligence (AI) pipeline for facilitating human-AI collaboration in three crucial tasks for evidence synthesis: study search, screening, and data extraction. To assess its performance, we chose published systematic reviews to build the benchmark dataset, named TrialReviewBench, which contains 100 systematic reviews and the associated 2,220 clinical studies. Our results show that TrialMind excels across all three tasks. In study search, it generates diverse and comprehensive search queries to achieve high recall rates (Ours 0.711-0.834 v.s. Human baseline 0.138-0.232). For study screening, TrialMind surpasses traditional embedding-based methods by 30% to 160%. In data extraction, it outperforms a GPT-4 baseline by 29.6% to 61.5%. We further conducted user studies to confirm its practical utility. Compared to manual efforts, human-AI collaboration using TrialMind yielded a 71.4% recall lift and 44.2% time savings in study screening and a 23.5% accuracy lift and 63.4% time savings in data extraction. Additionally, when comparing synthesized clinical evidence presented in forest plots, medical experts favored TrialMind's outputs over GPT-4's outputs in 62.5% to 100% of cases. These findings show the promise of LLM-based approaches like TrialMind to accelerate clinical evidence synthesis via streamlining study search, screening, and data extraction from medical literature, with exceptional performance improvement when working with human experts.

Benchmarks for Pirá 2.0, a Reading Comprehension Dataset about the Ocean, the Brazilian Coast, and Climate Change

Pir\'a is a reading comprehension dataset focused on the ocean, the Brazilian coast, and climate change, built from a collection of scientific abstracts and reports on these topics. This dataset represents a versatile language resource, particularly useful for testing the ability of current machine learning models to acquire expert scientific knowledge. Despite its potential, a detailed set of baselines has not yet been developed for Pir\'a. By creating these baselines, researchers can more easily utilize Pir\'a as a resource for testing machine learning models across a wide range of question answering tasks. In this paper, we define six benchmarks over the Pir\'a dataset, covering closed generative question answering, machine reading comprehension, information retrieval, open question answering, answer triggering, and multiple choice question answering. As part of this effort, we have also produced a curated version of the original dataset, where we fixed a number of grammar issues, repetitions, and other shortcomings. Furthermore, the dataset has been extended in several new directions, so as to face the aforementioned benchmarks: translation of supporting texts from English into Portuguese, classification labels for answerability, automatic paraphrases of questions and answers, and multiple choice candidates. The results described in this paper provide several points of reference for researchers interested in exploring the challenges provided by the Pir\'a dataset.

Learning How To Ask: Cycle-Consistency Refines Prompts in Multimodal Foundation Models

When LLMs perform zero-shot inference, they typically use a prompt with a task specification, and generate a completion. However, there is no work to explore the possibility of the reverse - going from completion to task specification. In this paper, we employ both directions to perform cycle-supervised learning entirely in-context. Our goal is to create a forward map f : X -> Y (e.g. image -> generated caption), coupled with a backward map g : Y -> X (e.g. caption -> generated image) to construct a cycle-consistency "loss" (formulated as an update to the prompt) to enforce g(f(X)) ~= X. The technique, called CyclePrompt, uses cycle-consistency as a free supervisory signal to iteratively craft the prompt. Importantly, CyclePrompt reinforces model performance without expensive fine-tuning, without training data, and without the complexity of external environments (e.g. compilers, APIs). We demonstrate CyclePrompt in two domains: code generation and image captioning. Our results on the HumanEval coding benchmark put us in first place on the leaderboard among models that do not rely on extra training data or usage of external environments, and third overall. Compared to the GPT4 baseline, we improve accuracy from 80.5% to 87.2%. In the vision-language space, we generate detailed image captions which outperform baseline zero-shot GPT4V captions, when tested against natural (VQAv2) and diagrammatic (FigureQA) visual question-answering benchmarks. To the best of our knowledge, this is the first use of self-supervised learning for prompting.