Abstract:Despite significant progress in applying large language models (LLMs) to the medical domain, several limitations still prevent them from practical applications. Among these are the constraints on model size and the lack of cohort-specific labeled datasets. In this work, we investigated the potential of improving a lightweight LLM, such as Llama 3.1-8B, through fine-tuning with datasets using synthetic labels. Two tasks are jointly trained by combining their respective instruction datasets. When the quality of the task-specific synthetic labels is relatively high (e.g., generated by GPT4- o), Llama 3.1-8B achieves satisfactory performance on the open-ended disease detection task, with a micro F1 score of 0.91. Conversely, when the quality of the task-relevant synthetic labels is relatively low (e.g., from the MIMIC-CXR dataset), fine-tuned Llama 3.1-8B is able to surpass its noisy teacher labels (micro F1 score of 0.67 v.s. 0.63) when calibrated against curated labels, indicating the strong inherent underlying capability of the model. These findings demonstrate the potential of fine-tuning LLMs with synthetic labels, offering a promising direction for future research on LLM specialization in the medical domain.
Abstract:The study examines the application of GPT-4V, a multi-modal large language model equipped with visual recognition, in detecting radiological findings from a set of 100 chest radiographs and suggests that GPT-4V is currently not ready for real-world diagnostic usage in interpreting chest radiographs.
Abstract:Segmentation of anatomical regions of interest such as vessels or small lesions in medical images is still a difficult problem that is often tackled with manual input by an expert. One of the major challenges for this task is that the appearance of foreground (positive) regions can be similar to background (negative) regions. As a result, many automatic segmentation algorithms tend to exhibit asymmetric errors, typically producing more false positives than false negatives. In this paper, we aim to leverage this asymmetry and train a diverse ensemble of models with very high recall, while sacrificing their precision. Our core idea is straightforward: A diverse ensemble of low precision and high recall models are likely to make different false positive errors (classifying background as foreground in different parts of the image), but the true positives will tend to be consistent. Thus, in aggregate the false positive errors will cancel out, yielding high performance for the ensemble. Our strategy is general and can be applied with any segmentation model. In three different applications (carotid artery segmentation in a neck CT angiography, myocardium segmentation in a cardiovascular MRI and multiple sclerosis lesion segmentation in a brain MRI), we show how the proposed approach can significantly boost the performance of a baseline segmentation method.