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Accurate symptom-to-disease classification and clinically grounded treatment recommendations remain challenging, particularly in heterogeneous patient settings with high diagnostic risk. Existing large language model (LLM)-based systems…

Recent advancements in large language models (LLMs) have shown promise in generating psychotherapeutic dialogues, particularly in the context of motivational interviewing (MI). However, the inherent lack of transparency in LLM outputs…

计算与语言 · 计算机科学 2024-12-18 Xin Sun , Xiao Tang , Abdallah El Ali , Zhuying Li , Pengjie Ren , Jan de Wit , Jiahuan Pei , Jos A. Bosch

General Multimodal Large Language Models (MLLMs) often underperform in capturing domain-specific nuances in medical diagnosis, trailing behind fully supervised baselines. Although fine-tuning provides a remedy, the high costs of expert…

计算机视觉与模式识别 · 计算机科学 2026-03-31 Wenkai Zhao , Zipei Wang , Mengjie Fang , Di Dong , Jie Tian , Lingwei Zhang

Clinical decision-making is inherently complex, often influenced by cognitive biases, incomplete information, and case ambiguity. Large Language Models (LLMs) have shown promise as tools for supporting clinical decision-making, yet their…

Objectives: While Large Language Models (LLMs) have been widely used to assist clinicians and support patients, no existing work has explored dialogue systems for standard diagnostic interviews and assessments. This study aims to bridge the…

计算与语言 · 计算机科学 2025-05-01 Sichang Tu , Abigail Powers , Stephen Doogan , Jinho D. Choi

The rapid evolution of large language models (LLMs) has transformed conversational agents, enabling complex human-machine interactions. However, evaluation frameworks often focus on single tasks, failing to capture the dynamic nature of…

计算与语言 · 计算机科学 2025-02-10 Pietro Alessandro Aluffi , Patrick Zietkiewicz , Marya Bazzi , Matt Arderne , Vladimirs Murevics

As large language models (LLMs) advance in conversational and reasoning capabilities, their practical application in healthcare has become a critical research focus. However, there is a notable gap between the performance of medical LLMs on…

Clinical decision support requires not only correct answers but also clinically valid reasoning. We propose Differential Reasoning Learning (DRL), a framework that improves clinical agents by learning from reasoning discrepancies. From…

人工智能 · 计算机科学 2026-02-11 Jinsong Liu , Yuhang Jiang , Ramayya Krishnan , Rema Padman , Yiye Zhang , Jiang Bian

The use of large language models in medical dialogue generation has garnered significant attention, with a focus on improving response quality and fluency. While previous studies have made progress in optimizing model performance for…

计算与语言 · 计算机科学 2024-08-06 Chengfeng Dou , Zhi Jin , Wenpin Jiao , Haiyan Zhao , Yongqiang Zhao , Zhenwei Tao

LLMs are popular among clinicians for decision-support because of simple text-based interaction. However, their impact on clinicians' performance is ambiguous. Not knowing how clinicians use this new technology and how they compare it to…

人机交互 · 计算机科学 2026-02-02 Behnam Rahdari , Sameer Shaikh , Jonathan H Chen , Tobias Gerstenberg , Shriti Raj

While cognitive diagnosis (CD) effectively assesses students' knowledge mastery from structured test data, applying it to real-world teacher-student dialogues presents two fundamental challenges. Traditional CD models lack a suitable…

计算与语言 · 计算机科学 2025-10-15 Rui Jia , Yuang Wei , Ruijia Li , Yuan-Hao Jiang , Xinyu Xie , Yaomin Shen , Min Zhang , Bo Jiang

Recent advances in large language models (LLMs) have shown promising results in medical diagnosis, with some studies indicating superior performance compared to human physicians in specific scenarios. However, the diagnostic capabilities of…

人工智能 · 计算机科学 2025-03-24 Zhoujian Sun , Ziyi Liu , Cheng Luo , Jiebin Chu , Zhengxing Huang

Large language models (LLMs) hold significant potential for mental health support, capable of generating empathetic responses and simulating therapeutic conversations. However, existing LLM-based approaches often lack the clinical grounding…

计算与语言 · 计算机科学 2025-11-04 He Hu , Yucheng Zhou , Juzheng Si , Qianning Wang , Hengheng Zhang , Fuji Ren , Fei Ma , Laizhong Cui , Qi Tian

Clinical decision support systems require models that are not only highly accurate but also equitable and sensitive to the implications of missed diagnoses. In this study, we introduce a knowledge-guided in-context learning (ICL) framework…

机器学习 · 计算机科学 2025-07-28 Fatemeh Nazary , Yashar Deldjoo , Tommaso Di Noia , Eugenio di Sciascio

We present Clinical Camel, an open large language model (LLM) explicitly tailored for clinical research. Fine-tuned from LLaMA-2 using QLoRA, Clinical Camel achieves state-of-the-art performance across medical benchmarks among openly…

计算与语言 · 计算机科学 2023-08-21 Augustin Toma , Patrick R. Lawler , Jimmy Ba , Rahul G. Krishnan , Barry B. Rubin , Bo Wang

We propose DISC-MedLLM, a comprehensive solution that leverages Large Language Models (LLMs) to provide accurate and truthful medical response in end-to-end conversational healthcare services. To construct high-quality Supervised…

计算与语言 · 计算机科学 2023-08-29 Zhijie Bao , Wei Chen , Shengze Xiao , Kuang Ren , Jiaao Wu , Cheng Zhong , Jiajie Peng , Xuanjing Huang , Zhongyu Wei

In clinical operations, teamwork can be the crucial factor that determines the final outcome. Prior studies have shown that sufficient collaboration is the key factor that determines the outcome of an operation. To understand how the team…

计算与语言 · 计算机科学 2025-06-17 Naihao Deng , Kapotaksha Das , Rada Mihalcea , Vitaliy Popov , Mohamed Abouelenien

The advent of Large Language Models (LLMs) has ushered in a new era for design science in Information Systems, demanding a paradigm shift in tailoring LLMs design for business contexts. We propose and test a novel framework to customize…

计算机与社会 · 计算机科学 2024-05-15 Wen Wang , Zhenyue Zhao , Tianshu Sun

Large language models (LLMs) enabled dialogue systems have become one of the central modes in human-machine interaction, which bring about vast amounts of conversation logs and increasing demand for dialogue generation. The dialogue's…

计算与语言 · 计算机科学 2025-06-02 Minzheng Wang , Xinghua Zhang , Kun Chen , Nan Xu , Haiyang Yu , Fei Huang , Wenji Mao , Yongbin Li

There is growing interest in using machine learning (ML) to support clinical diagnosis, but most approaches rely on static, fully observed datasets and fail to reflect the sequential, resource-aware reasoning clinicians use in practice.…

人工智能 · 计算机科学 2025-11-18 Silas Ruhrberg Estévez , Nicolás Astorga , Mihaela van der Schaar