Large Language Models (LLMs) have transformed the Natural Language Processing (NLP) landscape with their remarkable ability to understand and generate human-like text. However, these models are prone to ``hallucinations'' -- outputs that do not align with factual reality or the input context. This paper introduces the Hallucinations Leaderboard, an open initiative to quantitatively measure and compare the tendency of each model to produce hallucinations. The leaderboard uses a comprehensive set of benchmarks focusing on different aspects of hallucinations, such as factuality and faithfulness, across various tasks, including question-answering, summarisation, and reading comprehension. Our analysis provides insights into the performance of different models, guiding researchers and practitioners in choosing the most reliable models for their applications.
The NLI4CT task assesses Natural Language Inference systems in predicting whether hypotheses entail or contradict evidence from Clinical Trial Reports. In this study, we evaluate various Large Language Models (LLMs) with multiple strategies, including Chain-of-Thought, In-Context Learning, and Parameter-Efficient Fine-Tuning (PEFT). We propose a PEFT method to improve the consistency of LLMs by merging adapters that were fine-tuned separately using triplet and language modelling objectives. We found that merging the two PEFT adapters improves the F1 score (+0.0346) and consistency (+0.152) of the LLMs. However, our novel methods did not produce more accurate results than GPT-4 in terms of faithfulness and consistency. Averaging the three metrics, GPT-4 ranks joint-first in the competition with 0.8328. Finally, our contamination analysis with GPT-4 indicates that there was no test data leakage.
Objective: To investigate GPT-3.5 in generating and coding medical documents with ICD-10 codes for data augmentation on low-resources labels. Materials and Methods: Employing GPT-3.5 we generated and coded 9,606 discharge summaries based on lists of ICD-10 code descriptions of patients with infrequent (generation) codes within the MIMIC-IV dataset. Combined with the baseline training set, this formed an augmented training set. Neural coding models were trained on baseline and augmented data and evaluated on a MIMIC-IV test set. We report micro- and macro-F1 scores on the full codeset, generation codes, and their families. Weak Hierarchical Confusion Matrices were employed to determine within-family and outside-of-family coding errors in the latter codesets. The coding performance of GPT-3.5 was evaluated both on prompt-guided self-generated data and real MIMIC-IV data. Clinical professionals evaluated the clinical acceptability of the generated documents. Results: Augmentation slightly hinders the overall performance of the models but improves performance for the generation candidate codes and their families, including one unseen in the baseline training data. Augmented models display lower out-of-family error rates. GPT-3.5 can identify ICD-10 codes by the prompted descriptions, but performs poorly on real data. Evaluators note the correctness of generated concepts while suffering in variety, supporting information, and narrative. Discussion and Conclusion: GPT-3.5 alone is unsuitable for ICD-10 coding. Augmentation positively affects generation code families but mainly benefits codes with existing examples. Augmentation reduces out-of-family errors. Discharge summaries generated by GPT-3.5 state prompted concepts correctly but lack variety, and authenticity in narratives. They are unsuitable for clinical practice.
Adapting pretrained language models to novel domains, such as clinical applications, traditionally involves retraining their entire set of parameters. However, this approach is increasingly proven to be impractical owing to the substantial computational requirements associated with training such large language models. To address this issue, Parameter-Efficient Fine-Tuning (PEFT) techniques offer a viable solution by selectively fine-tuning a small subset of additional parameters, significantly reducing the computational requirements for domain adaptation. In this study, we propose Clinical LLaMA-LoRA, a PEFT adapter layer built upon the open-sourced LLaMA model. Clinical LLaMA-LoRA is trained using clinical notes obtained from the MIMIC-IV database, thereby creating a specialised adapter designed for the clinical domain. Additionally, we propose a two-step PEFT framework which fuses Clinical LLaMA-LoRA with Downstream LLaMA-LoRA, another PEFT adapter specialised for downstream tasks. We evaluate this framework on multiple clinical outcome prediction datasets, comparing it to clinically trained language models. Our proposed framework achieves a state-of-the-art AUROC score averaged across all clinical downstream tasks. We observe substantial improvements of 6-9% AUROC score in the large-scale multilabel classification tasks, such as diagnoses and procedures classification.
Knowledge graphs are powerful tools for representing and organising complex biomedical data. Several knowledge graph embedding algorithms have been proposed to learn from and complete knowledge graphs. However, a recent study demonstrates the limited efficacy of these embedding algorithms when applied to biomedical knowledge graphs, raising the question of whether knowledge graph embeddings have limitations in biomedical settings. This study aims to apply state-of-the-art knowledge graph embedding models in the context of a recent biomedical knowledge graph, BioKG, and evaluate their performance and potential downstream uses. We achieve a three-fold improvement in terms of performance based on the HITS@10 score over previous work on the same biomedical knowledge graph. Additionally, we provide interpretable predictions through a rule-based method. We demonstrate that knowledge graph embedding models are applicable in practice by evaluating the best-performing model on four tasks that represent real-life polypharmacy situations. Results suggest that knowledge learnt from large biomedical knowledge graphs can be transferred to such downstream use cases. Our code is available at https://github.com/aryopg/biokge.
The SARS-CoV-2 pandemic has emphasised the importance of developing a universal vaccine that can protect against current and future variants of the virus. The present study proposes a novel conditional protein Language Model architecture, called Vaxformer, which is designed to produce natural-looking antigenicity-controlled SARS-CoV-2 spike proteins. We evaluate the generated protein sequences of the Vaxformer model using DDGun protein stability measure, netMHCpan antigenicity score, and a structure fidelity score with AlphaFold to gauge its viability for vaccine development. Our results show that Vaxformer outperforms the existing state-of-the-art Conditional Variational Autoencoder model to generate antigenicity-controlled SARS-CoV-2 spike proteins. These findings suggest promising opportunities for conditional Transformer models to expand our understanding of vaccine design and their role in mitigating global health challenges. The code used in this study is available at https://github.com/aryopg/vaxformer .