Enhancing Summarization Performance through Transformer-Based Prompt Engineering in Automated Medical Reporting

Customized medical prompts enable Large Language Models (LLM) to effectively address medical dialogue summarization. The process of medical reporting is often time-consuming for healthcare professionals. Implementing medical dialogue summarization techniques presents a viable solution to alleviate this time constraint by generating automated medical reports. The effectiveness of LLMs in this process is significantly influenced by the formulation of the prompt, which plays a crucial role in determining the quality and relevance of the generated reports. In this research, we used a combination of two distinct prompting strategies, known as shot prompting and pattern prompting to enhance the performance of automated medical reporting. The evaluation of the automated medical reports is carried out using the ROUGE score and a human evaluation with the help of an expert panel. The two-shot prompting approach in combination with scope and domain context outperforms other methods and achieves the highest score when compared to the human reference set by a general practitioner. However, the automated reports are approximately twice as long as the human references, due to the addition of both redundant and relevant statements that are added to the report.

Comparative Experimentation of Accuracy Metrics in Automated Medical Reporting: The Case of Otitis Consultations

Generative Artificial Intelligence (AI) can be used to automatically generate medical reports based on transcripts of medical consultations. The aim is to reduce the administrative burden that healthcare professionals face. The accuracy of the generated reports needs to be established to ensure their correctness and usefulness. There are several metrics for measuring the accuracy of AI generated reports, but little work has been done towards the application of these metrics in medical reporting. A comparative experimentation of 10 accuracy metrics has been performed on AI generated medical reports against their corresponding General Practitioner's (GP) medical reports concerning Otitis consultations. The number of missing, incorrect, and additional statements of the generated reports have been correlated with the metric scores. In addition, we introduce and define a Composite Accuracy Score which produces a single score for comparing the metrics within the field of automated medical reporting. Findings show that based on the correlation study and the Composite Accuracy Score, the ROUGE-L and Word Mover's Distance metrics are the preferred metrics, which is not in line with previous work. These findings help determine the accuracy of an AI generated medical report, which aids the development of systems that generate medical reports for GPs to reduce the administrative burden.