排名(信息检索)
匹配(统计)
计算机科学
临床试验
召回
语言模型
人工智能
情报检索
自然语言处理
机器学习
医学
医学物理学
心理学
病理
认知心理学
作者
Qiao Jin,Zifeng Wang,Charalampos S. Floudas,Fangyuan Chen,Changlin Gong,Dara Bracken-Clarke,Elisabetta Xue,Yifan Yang,Jimeng Sun,Zhiyong Lu
标识
DOI:10.1038/s41467-024-53081-z
摘要
Abstract Patient recruitment is challenging for clinical trials. We introduce TrialGPT, an end-to-end framework for zero-shot patient-to-trial matching with large language models. TrialGPT comprises three modules: it first performs large-scale filtering to retrieve candidate trials (TrialGPT-Retrieval); then predicts criterion-level patient eligibility (TrialGPT-Matching); and finally generates trial-level scores (TrialGPT-Ranking). We evaluate TrialGPT on three cohorts of 183 synthetic patients with over 75,000 trial annotations. TrialGPT-Retrieval can recall over 90% of relevant trials using less than 6% of the initial collection. Manual evaluations on 1015 patient-criterion pairs show that TrialGPT-Matching achieves an accuracy of 87.3% with faithful explanations, close to the expert performance. The TrialGPT-Ranking scores are highly correlated with human judgments and outperform the best-competing models by 43.8% in ranking and excluding trials. Furthermore, our user study reveals that TrialGPT can reduce the screening time by 42.6% in patient recruitment. Overall, these results have demonstrated promising opportunities for patient-to-trial matching with TrialGPT.
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