Prakash Bisht

Chancellor R. Woolsey, Prakash Bisht, Joshua Rothman et al.

An important issue impacting healthcare is a lack of available experts. Machine learning (ML) models could resolve this by aiding in diagnosing patients. However, creating datasets large enough to train these models is expensive. We evaluated large language models (LLMs) for data creation. Using Autism Spectrum Disorders (ASD), we prompted ChatGPT and GPT-Premium to generate 4,200 synthetic observations to augment existing medical data. Our goal is to label behaviors corresponding to autism criteria and improve model accuracy with synthetic training data. We used a BERT classifier pre-trained on biomedical literature to assess differences in performance between models. A random sample (N=140) from the LLM-generated data was evaluated by a clinician and found to contain 83% correct example-label pairs. Augmenting data increased recall by 13% but decreased precision by 16%, correlating with higher quality and lower accuracy across pairs. Future work will analyze how different synthetic data traits affect ML outcomes.

Gondy Leroy, Prakash Bisht, Sai Madhuri Kandula et al.

Autism spectrum disorder (ASD) is a complex neurodevelopmental condition whose rising prevalence places increasing demands on a lengthy diagnostic process. Machine learning (ML) has shown promise in automating ASD diagnosis, but most existing models operate as black boxes and are typically trained on a single dataset, limiting their generalizability. In this study, we introduce a transparent and interpretable ML approach that leverages BioBERT, a state-of-the-art language model, to analyze unstructured clinical text. The model is trained to label descriptions of behaviors and map them to diagnostic criteria, which are then used to assign a final label (ASD or not). We evaluate transfer learning, the ability to transfer knowledge to new data, using two distinct real-world datasets. We trained on datasets sequentially and mixed together and compared the performance of the best models and their ability to transfer to new data. We also created a black-box approach and repeated this transfer process for comparison. Our transparent model demonstrated robust performance, with the mixed-data training strategy yielding the best results (97 % sensitivity, 98 % specificity). Sequential training across datasets led to a slight drop in performance, highlighting the importance of training data order. The black-box model performed worse (90 % sensitivity, 96 % specificity) when trained sequentially or with mixed data. Overall, our transparent approach outperformed the black-box approach. Mixing datasets during training resulted in slightly better performance and should be the preferred approach when practically possible. This work paves the way for more trustworthy, generalizable, and clinically actionable AI tools in neurodevelopmental diagnostics.