Publications by authors named "I R Wiest"

Medical image classification requires labeled, task-specific datasets which are used to train deep learning networks de novo, or to fine-tune foundation models. However, this process is computationally and technically demanding. In language processing, in-context learning provides an alternative, where models learn from within prompts, bypassing the need for parameter updates.

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The WHO guidelines for classifying central nervous system (CNS) tumours are changing considerably with each release. The classification of CNS tumours is uniquely complex among most other solid tumours as it incorporates not just morphology, but also genetic and epigenetic features. Keeping current with these changes across medical fields can be challenging, even for clinical specialists.

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Article Synopsis
  • Recent advancements in large language models (LLMs) present significant opportunities for improving the management of multiple sclerosis (MS), particularly in producing and analyzing human-like text.
  • While AI integration into medical imaging and disease prognosis has gained attention, the specific application of LLMs in MS management is still largely uncharted territory.
  • Potential uses of LLMs include enhancing clinical decision-making for therapy selection, utilizing real-world data for research, and creating personalized educational resources for healthcare professionals and patients with MS.
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Most clinical information is encoded as free text, not accessible for quantitative analysis. This study presents an open-source pipeline using the local large language model (LLM) "Llama 2" to extract quantitative information from clinical text and evaluates its performance in identifying features of decompensated liver cirrhosis. The LLM identified five key clinical features in a zero- and one-shot manner from 500 patient medical histories in the MIMIC IV dataset.

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