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byAK and the research community

Sep 17

A foundation model for human-AI collaboration in medical literature mining

Systematic literature review is essential for evidence-based medicine, requiring comprehensive analysis of clinical trial publications. However, the application of artificial intelligence (AI) models for medical literature mining has been limited by insufficient training and evaluation across broad therapeutic areas and diverse tasks. Here, we present LEADS, an AI foundation model for study search, screening, and data extraction from medical literature. The model is trained on 633,759 instruction data points in LEADSInstruct, curated from 21,335 systematic reviews, 453,625 clinical trial publications, and 27,015 clinical trial registries. We showed that LEADS demonstrates consistent improvements over four cutting-edge generic large language models (LLMs) on six tasks. Furthermore, LEADS enhances expert workflows by providing supportive references following expert requests, streamlining processes while maintaining high-quality results. A study with 16 clinicians and medical researchers from 14 different institutions revealed that experts collaborating with LEADS achieved a recall of 0.81 compared to 0.77 experts working alone in study selection, with a time savings of 22.6%. In data extraction tasks, experts using LEADS achieved an accuracy of 0.85 versus 0.80 without using LEADS, alongside a 26.9% time savings. These findings highlight the potential of specialized medical literature foundation models to outperform generic models, delivering significant quality and efficiency benefits when integrated into expert workflows for medical literature mining.

Novel Human Machine Interface via Robust Hand Gesture Recognition System using Channel Pruned YOLOv5s Model

Hand gesture recognition (HGR) is a vital component in enhancing the human-computer interaction experience, particularly in multimedia applications, such as virtual reality, gaming, smart home automation systems, etc. Users can control and navigate through these applications seamlessly by accurately detecting and recognizing gestures. However, in a real-time scenario, the performance of the gesture recognition system is sometimes affected due to the presence of complex background, low-light illumination, occlusion problems, etc. Another issue is building a fast and robust gesture-controlled human-computer interface (HCI) in the real-time scenario. The overall objective of this paper is to develop an efficient hand gesture detection and classification model using a channel-pruned YOLOv5-small model and utilize the model to build a gesture-controlled HCI with a quick response time (in ms) and higher detection speed (in fps). First, the YOLOv5s model is chosen for the gesture detection task. Next, the model is simplified by using a channel-pruned algorithm. After that, the pruned model is further fine-tuned to ensure detection efficiency. We have compared our suggested scheme with other state-of-the-art works, and it is observed that our model has shown superior results in terms of mAP (mean average precision), precision (\%), recall (\%), and F1-score (\%), fast inference time (in ms), and detection speed (in fps). Our proposed method paves the way for deploying a pruned YOLOv5s model for a real-time gesture-command-based HCI to control some applications, such as the VLC media player, Spotify player, etc., using correctly classified gesture commands in real-time scenarios. The average detection speed of our proposed system has reached more than 60 frames per second (fps) in real-time, which meets the perfect requirement in real-time application control.

Accelerating Clinical Evidence Synthesis with Large Language Models

Synthesizing clinical evidence largely relies on systematic reviews of clinical trials and retrospective analyses from medical literature. However, the rapid expansion of publications presents challenges in efficiently identifying, summarizing, and updating clinical evidence. Here, we introduce TrialMind, a generative artificial intelligence (AI) pipeline for facilitating human-AI collaboration in three crucial tasks for evidence synthesis: study search, screening, and data extraction. To assess its performance, we chose published systematic reviews to build the benchmark dataset, named TrialReviewBench, which contains 100 systematic reviews and the associated 2,220 clinical studies. Our results show that TrialMind excels across all three tasks. In study search, it generates diverse and comprehensive search queries to achieve high recall rates (Ours 0.711-0.834 v.s. Human baseline 0.138-0.232). For study screening, TrialMind surpasses traditional embedding-based methods by 30% to 160%. In data extraction, it outperforms a GPT-4 baseline by 29.6% to 61.5%. We further conducted user studies to confirm its practical utility. Compared to manual efforts, human-AI collaboration using TrialMind yielded a 71.4% recall lift and 44.2% time savings in study screening and a 23.5% accuracy lift and 63.4% time savings in data extraction. Additionally, when comparing synthesized clinical evidence presented in forest plots, medical experts favored TrialMind's outputs over GPT-4's outputs in 62.5% to 100% of cases. These findings show the promise of LLM-based approaches like TrialMind to accelerate clinical evidence synthesis via streamlining study search, screening, and data extraction from medical literature, with exceptional performance improvement when working with human experts.