Dirk Jäger

Dyke Ferber, Lars Hilgers, Isabella C. Wiest et al.

Matching cancer patients to clinical trials is essential for advancing treatment and patient care. However, the inconsistent format of medical free text documents and complex trial eligibility criteria make this process extremely challenging and time-consuming for physicians. We investigated whether the entire trial matching process - from identifying relevant trials among 105,600 oncology-related clinical trials on clinicaltrials.gov to generating criterion-level eligibility matches - could be automated using Large Language Models (LLMs). Using GPT-4o and a set of 51 synthetic Electronic Health Records (EHRs), we demonstrate that our approach identifies relevant candidate trials in 93.3% of cases and achieves a preliminary accuracy of 88.0% when matching patient-level information at the criterion level against a baseline defined by human experts. Utilizing LLM feedback reveals that 39.3% criteria that were initially considered incorrect are either ambiguous or inaccurately annotated, leading to a total model accuracy of 92.7% after refining our human baseline. In summary, we present an end-to-end pipeline for clinical trial matching using LLMs, demonstrating high precision in screening and matching trials to individual patients, even outperforming the performance of qualified medical doctors. Our fully end-to-end pipeline can operate autonomously or with human supervision and is not restricted to oncology, offering a scalable solution for enhancing patient-trial matching in real-world settings.

Nektarios A. Valous, Eckhard Hitzer, Dragoş Duşe et al.

Hypercomplex image processing extends conventional techniques in a unified paradigm encompassing algebraic and geometric principles. This work leverages quaternions and the two-dimensional orthogonal planes split framework (splitting of a quaternion - representing a pixel - into pairs of orthogonal 2D planes) for natural/biomedical image analysis through the following computational workflows and outcomes: natural/biomedical image re-colorization, natural image de-colorization, natural/biomedical image contrast enhancement, computational re-staining and stain separation in histological images, and performance gains in machine/deep learning pipelines for histological images. The workflows are analyzed separately for natural and biomedical images to showcase the effectiveness of the proposed approaches. The proposed workflows can regulate color appearance (e.g. with alternative renditions and grayscale conversion) and image contrast, be part of automated image processing pipelines (e.g. isolating stain components, boosting learning models), and assist in digital pathology applications (e.g. enhancing biomarker visibility, enabling colorblind-friendly renditions). Employing only basic arithmetic and matrix operations, this work offers a computationally accessible methodology - in the hypercomplex domain - that showcases versatility and consistency across image processing tasks and a range of computer vision and biomedical applications. The proposed non-data-driven methods achieve comparable or better results (particularly in cases involving well-known methods) to those reported in the literature, showcasing the potential of robust theoretical frameworks with practical effectiveness. Results, methods, and limitations are detailed alongside discussion of promising extensions, emphasizing the potential of feature-rich mathematical/computational frameworks for natural and biomedical images.