ImpressionGPT: An Iterative Optimizing Framework for Radiology Report Summarization with ChatGPT

The 'Impression' section of a radiology report is a critical basis for communication between radiologists and other physicians, and it is typically written by radiologists based on the 'Findings' section. However, writing numerous impressions can be laborious and error-prone for radiologists. Although recent studies have achieved promising results in automatic impression generation using large-scale medical text data for pre-training and fine-tuning pre-trained language models, such models often require substantial amounts of medical text data and have poor generalization performance. While large language models (LLMs) like ChatGPT have shown strong generalization capabilities and performance, their performance in specific domains, such as radiology, remains under-investigated and potentially limited. To address this limitation, we propose ImpressionGPT, which leverages the in-context learning capability of LLMs by constructing dynamic contexts using domain-specific, individualized data. This dynamic prompt approach enables the model to learn contextual knowledge from semantically similar examples from existing data. Additionally, we design an iterative optimization algorithm that performs automatic evaluation on the generated impression results and composes the corresponding instruction prompts to further optimize the model. The proposed ImpressionGPT model achieves state-of-the-art performance on both MIMIC-CXR and OpenI datasets without requiring additional training data or fine-tuning the LLMs. This work presents a paradigm for localizing LLMs that can be applied in a wide range of similar application scenarios, bridging the gap between general-purpose LLMs and the specific language processing needs of various domains.

FreeLM: Fine-Tuning-Free Language Model

Pre-trained language models (PLMs) have achieved remarkable success in NLP tasks. Despite the great success, mainstream solutions largely follow the pre-training then finetuning paradigm, which brings in both high deployment costs and low training efficiency. Nevertheless, fine-tuning on a specific task is essential because PLMs are only pre-trained with language signal from large raw data. In this paper, we propose a novel fine-tuning-free strategy for language models, to consider both language signal and teacher signal. Teacher signal is an abstraction of a battery of downstream tasks, provided in a unified proposition format. Trained with both language and strong task-aware teacher signals in an interactive manner, our FreeLM model demonstrates strong generalization and robustness. FreeLM outperforms large models e.g., GPT-3 and InstructGPT, on a range of language understanding tasks in experiments. FreeLM is much smaller with 0.3B parameters, compared to 175B in these models.

Instruction-ViT: Multi-Modal Prompts for Instruction Learning in ViT

Prompts have been proven to play a crucial role in large language models, and in recent years, vision models have also been using prompts to improve scalability for multiple downstream tasks. In this paper, we focus on adapting prompt design based on instruction tuning into a visual transformer model for image classification which we called Instruction-ViT. The key idea is to implement multi-modal prompts (text or image prompt) related to category information to guide the fine-tuning of the model. Based on the experiments of several image captionining tasks, the performance and domain adaptability were improved. Our work provided an innovative strategy to fuse multi-modal prompts with better performance and faster adaptability for visual classification models.

Prompt Engineering for Healthcare: Methodologies and Applications

This review will introduce the latest advances in prompt engineering in the field of natural language processing (NLP) for the medical domain. First, we will provide a brief overview of the development of prompt engineering and emphasize its significant contributions to healthcare NLP applications such as question-answering systems, text summarization, and machine translation. With the continuous improvement of general large language models, the importance of prompt engineering in the healthcare domain is becoming increasingly prominent. The aim of this article is to provide useful resources and bridges for healthcare NLP researchers to better explore the application of prompt engineering in this field. We hope that this review can provide new ideas and inspire ample possibilities for research and application in medical NLP.

Asymptotic Behaviors and Phase Transitions in Projected Stochastic Approximation: A Jump Diffusion Approach

In this paper we consider linearly constrained optimization problems and propose a loopless projection stochastic approximation (LPSA) algorithm. It performs the projection with probability $p_n$ at the $n$-th iteration to ensure feasibility. Considering a specific family of the probability $p_n$ and step size $\eta_n$, we analyze our algorithm from an asymptotic and continuous perspective. Using a novel jump diffusion approximation, we show that the trajectories connecting those properly rescaled last iterates weakly converge to the solution of specific stochastic differential equations (SDEs). By analyzing SDEs, we identify the asymptotic behaviors of LPSA for different choices of $(p_n, \eta_n)$. We find that the algorithm presents an intriguing asymptotic bias-variance trade-off and yields phase transition phenomenons, according to the relative magnitude of $p_n$ w.r.t. $\eta_n$. This finding provides insights on selecting appropriate ${(p_n, \eta_n)}_{n \geq 1}$ to minimize the projection cost. Additionally, we propose the Debiased LPSA (DLPSA) as a practical application of our jump diffusion approximation result. DLPSA is shown to effectively reduce projection complexity compared to vanilla LPSA.

Differentiate ChatGPT-generated and Human-written Medical Texts

Background: Large language models such as ChatGPT are capable of generating grammatically perfect and human-like text content, and a large number of ChatGPT-generated texts have appeared on the Internet. However, medical texts such as clinical notes and diagnoses require rigorous validation, and erroneous medical content generated by ChatGPT could potentially lead to disinformation that poses significant harm to healthcare and the general public. Objective: This research is among the first studies on responsible and ethical AIGC (Artificial Intelligence Generated Content) in medicine. We focus on analyzing the differences between medical texts written by human experts and generated by ChatGPT, and designing machine learning workflows to effectively detect and differentiate medical texts generated by ChatGPT. Methods: We first construct a suite of datasets containing medical texts written by human experts and generated by ChatGPT. In the next step, we analyze the linguistic features of these two types of content and uncover differences in vocabulary, part-of-speech, dependency, sentiment, perplexity, etc. Finally, we design and implement machine learning methods to detect medical text generated by ChatGPT. Results: Medical texts written by humans are more concrete, more diverse, and typically contain more useful information, while medical texts generated by ChatGPT pay more attention to fluency and logic, and usually express general terminologies rather than effective information specific to the context of the problem. A BERT-based model can effectively detect medical texts generated by ChatGPT, and the F1 exceeds 95%.

ChatABL: Abductive Learning via Natural Language Interaction with ChatGPT

Large language models (LLMs) such as ChatGPT have recently demonstrated significant potential in mathematical abilities, providing valuable reasoning paradigm consistent with human natural language. However, LLMs currently have difficulty in bridging perception, language understanding and reasoning capabilities due to incompatibility of the underlying information flow among them, making it challenging to accomplish tasks autonomously. On the other hand, abductive learning (ABL) frameworks for integrating the two abilities of perception and reasoning has seen significant success in inverse decipherment of incomplete facts, but it is limited by the lack of semantic understanding of logical reasoning rules and the dependence on complicated domain knowledge representation. This paper presents a novel method (ChatABL) for integrating LLMs into the ABL framework, aiming at unifying the three abilities in a more user-friendly and understandable manner. The proposed method uses the strengths of LLMs' understanding and logical reasoning to correct the incomplete logical facts for optimizing the performance of perceptual module, by summarizing and reorganizing reasoning rules represented in natural language format. Similarly, perceptual module provides necessary reasoning examples for LLMs in natural language format. The variable-length handwritten equation deciphering task, an abstract expression of the Mayan calendar decoding, is used as a testbed to demonstrate that ChatABL has reasoning ability beyond most existing state-of-the-art methods, which has been well supported by comparative studies. To our best knowledge, the proposed ChatABL is the first attempt to explore a new pattern for further approaching human-level cognitive ability via natural language interaction with ChatGPT.

MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Models

The recent GPT-4 has demonstrated extraordinary multi-modal abilities, such as directly generating websites from handwritten text and identifying humorous elements within images. These features are rarely observed in previous vision-language models. We believe the primary reason for GPT-4's advanced multi-modal generation capabilities lies in the utilization of a more advanced large language model (LLM). To examine this phenomenon, we present MiniGPT-4, which aligns a frozen visual encoder with a frozen LLM, Vicuna, using just one projection layer. Our findings reveal that MiniGPT-4 possesses many capabilities similar to those exhibited by GPT-4 like detailed image description generation and website creation from hand-written drafts. Furthermore, we also observe other emerging capabilities in MiniGPT-4, including writing stories and poems inspired by given images, providing solutions to problems shown in images, teaching users how to cook based on food photos, etc. In our experiment, we found that only performing the pretraining on raw image-text pairs could produce unnatural language outputs that lack coherency including repetition and fragmented sentences. To address this problem, we curate a high-quality, well-aligned dataset in the second stage to finetune our model using a conversational template. This step proved crucial for augmenting the model's generation reliability and overall usability. Notably, our model is highly computationally efficient, as we only train a projection layer utilizing approximately 5 million aligned image-text pairs. Our code, pre-trained model, and collected dataset are available at https://minigpt-4.github.io/.

Exploring the Trade-Offs: Unified Large Language Models vs Local Fine-Tuned Models for Highly-Specific Radiology NLI Task

Recently, ChatGPT and GPT-4 have emerged and gained immense global attention due to their unparalleled performance in language processing. Despite demonstrating impressive capability in various open-domain tasks, their adequacy in highly specific fields like radiology remains untested. Radiology presents unique linguistic phenomena distinct from open-domain data due to its specificity and complexity. Assessing the performance of large language models (LLMs) in such specific domains is crucial not only for a thorough evaluation of their overall performance but also for providing valuable insights into future model design directions: whether model design should be generic or domain-specific. To this end, in this study, we evaluate the performance of ChatGPT/GPT-4 on a radiology NLI task and compare it to other models fine-tuned specifically on task-related data samples. We also conduct a comprehensive investigation on ChatGPT/GPT-4's reasoning ability by introducing varying levels of inference difficulty. Our results show that 1) GPT-4 outperforms ChatGPT in the radiology NLI task; 2) other specifically fine-tuned models require significant amounts of data samples to achieve comparable performance to ChatGPT/GPT-4. These findings demonstrate that constructing a generic model that is capable of solving various tasks across different domains is feasible.