MedSyn: LLM-based Synthetic Medical Text Generation Framework

TL;DR

MedSyn framework combines LLM and MKG to generate synthetic medical text, improving ICD code prediction accuracy by 17.8%.

cs.CL 🔴 Advanced 2024-08-04 6 views
Gleb Kumichev Pavel Blinov Yulia Kuzkina Vasily Goncharov Galina Zubkova Nikolai Zenovkin Aleksei Goncharov Andrey Savchenko
synthetic data medical text generation ICD code prediction large language model medical knowledge graph

Key Findings

Methodology

The MedSyn framework integrates large language models (e.g., GPT-4 and fine-tuned LLaMA) with a Medical Knowledge Graph (MKG) to generate synthetic clinical notes. The MKG samples medical information for prompts, demonstrating the effectiveness of synthetic data in ICD code prediction tasks.

Key Results

  • Synthetic data improved classification accuracy of vital ICD codes by 17.8% in prediction tasks.
  • Generated over 41k synthetic clinical notes in Russian covering 219 ICD-10 codes.
  • Fine-tuned LLaMA model performed on par with or surpassed GPT-4 on specific datasets.

Significance

This study offers a novel solution to data scarcity in privacy-sensitive medical domains. By generating synthetic data, researchers can conduct large-scale analysis and model training without compromising patient privacy.

Technical Contribution

The MedSyn framework is the first to combine LLMs with MKG for synthetic medical text generation, providing a new method that enhances ICD code prediction accuracy.

Novelty

This is the first framework to combine LLM and MKG for synthetic medical text generation in a Russian context, significantly improving data diversity and accuracy.

Limitations

  • Synthetic data may contain minor factual errors, affecting applicability in certain clinical scenarios.
  • Limited Russian MKG resources may impact the accuracy of generated texts.

Future Work

Future work will expand the MKG's scope, improve the quality of synthetic data, and explore applications in other languages and medical fields.

AI Executive Summary

In the medical field, data scarcity and privacy issues have long challenged researchers. Existing solutions often fail to provide sufficient data while safeguarding privacy.

The MedSyn framework combines large language models with a medical knowledge graph to generate synthetic clinical notes. This method excels in ICD code prediction tasks, significantly enhancing classification accuracy.

Experimental results show that synthetic data can effectively improve model performance without compromising privacy, especially in the Russian context. However, the accuracy and diversity of synthetic data still need further enhancement.

Deep Analysis

Background

With the advancement of NLP technologies, synthetic data generation has gained attention in the medical field. However, existing methods often rely on real data, posing privacy risks.

Core Problem

The scarcity of medical data and privacy issues limit the application of NLP technologies in the medical field. How to generate high-quality synthetic data while protecting privacy is a key challenge.

Innovation

The MedSyn framework provides a new method for synthetic data generation by combining LLMs with MKG. This method not only increases data diversity but also significantly improves model performance in ICD code prediction tasks.

Methodology

  • �� Sample medical information from MKG as prompts.
  • �� Use GPT-4 and fine-tuned LLaMA to generate synthetic clinical notes.
  • �� Evaluate the effectiveness of synthetic data in ICD code prediction tasks.

Experiments

Experiments used the RuMedPrime dataset to validate the effectiveness of synthetic data in ICD code prediction tasks through comparisons with real data.

Results

Synthetic data improved classification accuracy of vital ICD codes by 17.8%. The fine-tuned LLaMA model performed on par with or surpassed GPT-4 on specific datasets.

Applications

The framework can be used to generate multilingual synthetic medical texts, supporting medical research and clinical decision systems development.

Limitations & Outlook

Synthetic data may contain minor factual errors, affecting applicability in certain clinical scenarios. Future work will expand the MKG's scope and improve data quality.

Plain Language Accessible to non-experts

Imagine you're cooking in a kitchen. You have a recipe (medical knowledge graph) and need some ingredients (medical information). You use a smart assistant (large language model) to help you select ingredients based on the recipe and create a new dish (synthetic clinical notes). This way, you can try different dishes (generate diverse medical texts) without revealing the real recipe.

ELI14 Explained like you're 14

Imagine you're playing a game where you need to create a virtual character. You have a character template (medical knowledge graph) and need to choose the character's skills and equipment (medical information). You use a super-smart assistant (large language model) to help you select the best skills and equipment to create a brand-new character (synthetic clinical notes). This way, you can try different game strategies (generate diverse medical texts) without using real characters.

Glossary

Large Language Model (LLM)

An AI model capable of generating natural language text.

Used for generating synthetic medical text.

Medical Knowledge Graph (MKG)

A structured database containing medical information.

Used for sampling medical information.

ICD Code

International Classification of Diseases code used to identify diseases.

Used to evaluate the effectiveness of synthetic data.

Synthetic Data

Simulated data generated by AI.

Used to address data scarcity issues.

Fine-tuning

Further training a model on a specific task to improve performance.

Used to enhance LLaMA model performance.

Open Questions Unanswered questions from this research

  • 1 How to improve the authenticity of synthetic data without compromising data privacy?
  • 2 How to expand MKG to cover more medical domains?

Applications

Immediate Applications

Clinical Decision Support

Generate synthetic clinical notes to aid doctors in diagnosis and treatment decisions.

Long-term Vision

Multilingual Medical Research

Generate multilingual synthetic data to support global medical research and collaboration.

Abstract

Generating synthetic text addresses the challenge of data availability in privacy-sensitive domains such as healthcare. This study explores the applicability of synthetic data in real-world medical settings. We introduce MedSyn, a novel medical text generation framework that integrates large language models with a Medical Knowledge Graph (MKG). We use MKG to sample prior medical information for the prompt and generate synthetic clinical notes with GPT-4 and fine-tuned LLaMA models. We assess the benefit of synthetic data through application in the ICD code prediction task. Our research indicates that synthetic data can increase the classification accuracy of vital and challenging codes by up to 17.8% compared to settings without synthetic data. Furthermore, to provide new data for further research in the healthcare domain, we present the largest open-source synthetic dataset of clinical notes for the Russian language, comprising over 41k samples covering 219 ICD-10 codes.

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