Yousef Khan

Yousef Khan, Ahmed Abdeen Hamed

Addressing the global challenge of breast cancer, this research explores the fusion of generative AI, focusing on ChatGPT 3.5 turbo model, and the intricacies of breast cancer risk assessment. The research aims to evaluate ChatGPT's reasoning capabilities, emphasizing its potential to process rules and provide explanations for screening recommendations. The study seeks to bridge the technology gap between intelligent machines and clinicians by demonstrating ChatGPT's unique proficiency in natural language reasoning. The methodology employs a supervised prompt-engineering approach to enforce detailed explanations for ChatGPT's recommendations. Synthetic use cases, generated algorithmically, serve as the testing ground for the encoded rules, evaluating the model's processing prowess. Findings highlight ChatGPT's promising capacity in processing rules comparable to Expert System Shells, with a focus on natural language reasoning. The research introduces the concept of reinforcement explainability, showcasing its potential in elucidating outcomes and facilitating user-friendly interfaces for breast cancer risk assessment.

Paulina Tworek, Miłosz Bargieł, Yousef Khan et al.

Extracting structured medical insights from unstructured clinical text using Natural Language Processing (NLP) remains an open challenge in healthcare, particularly in non-English contexts where resources are scarce. This study presents a comparative analysis of NLP low-compute rule-based methods and Large Language Models (LLMs) for information extraction from electronic health records (EHR) obtained from the Voivodeship Rehabilitation Hospital for Children in Ameryka, Poland. We evaluate both approaches by extracting patient demographics, clinical findings, and prescribed medications while examining the effects of lack of text normalisation and translation-induced information loss. Results demonstrate that rule-based methods provide higher accuracy in information retrieval tasks, particularly for age and sex extraction. However, LLMs offer greater adaptability and scalability, excelling in drug name recognition. The effectiveness of the LLMs was compared with texts originally in Polish and those translated into English, assessing the impact of translation. These findings highlight the trade-offs between accuracy, normalisation, and computational cost when deploying NLP in healthcare settings. We argue for hybrid approaches that combine the precision of rule-based systems with the adaptability of LLMs, offering a practical path toward more reliable and resource-efficient clinical NLP in real-world hospitals.