Yu Hou

Ying Liu, Haozhu Wang, Huixue Zhou et al.

Reinforcement learning (RL) has emerged as a powerful approach for tackling complex medical decision-making problems such as treatment planning, personalized medicine, and optimizing the scheduling of surgeries and appointments. It has gained significant attention in the field of Natural Language Processing (NLP) due to its ability to learn optimal strategies for tasks such as dialogue systems, machine translation, and question-answering. This paper presents a review of the RL techniques in NLP, highlighting key advancements, challenges, and applications in healthcare. The review begins by visualizing a roadmap of machine learning and its applications in healthcare. And then it explores the integration of RL with NLP tasks. We examined dialogue systems where RL enables the learning of conversational strategies, RL-based machine translation models, question-answering systems, text summarization, and information extraction. Additionally, ethical considerations and biases in RL-NLP systems are addressed.

Shuang Zhou, Jiashuo Wang, Zidu Xu et al.

Explainable disease diagnosis, which leverages patient information (e.g., signs and symptoms) and computational models to generate probable diagnoses and reasonings, offers clear clinical values. However, when clinical notes encompass insufficient evidence for a definite diagnosis, such as the absence of definitive symptoms, diagnostic uncertainty usually arises, increasing the risk of misdiagnosis and adverse outcomes. Although explicitly identifying and explaining diagnostic uncertainties is essential for trustworthy diagnostic systems, it remains under-explored. To fill this gap, we introduce ConfiDx, an uncertainty-aware large language model (LLM) created by fine-tuning open-source LLMs with diagnostic criteria. We formalized the task and assembled richly annotated datasets that capture varying degrees of diagnostic ambiguity. Evaluating ConfiDx on real-world datasets demonstrated that it excelled in identifying diagnostic uncertainties, achieving superior diagnostic performance, and generating trustworthy explanations for diagnoses and uncertainties. To our knowledge, this is the first study to jointly address diagnostic uncertainty recognition and explanation, substantially enhancing the reliability of automatic diagnostic systems.

Zaifu Zhan, Shuang Zhou, Xiaoshan Zhou et al.

Objectives: We aim to dynamically retrieve informative demonstrations, enhancing in-context learning in multimodal large language models (MLLMs) for disease classification. Methods: We propose a Retrieval-Augmented In-Context Learning (RAICL) framework, which integrates retrieval-augmented generation (RAG) and in-context learning (ICL) to adaptively select demonstrations with similar disease patterns, enabling more effective ICL in MLLMs. Specifically, RAICL examines embeddings from diverse encoders, including ResNet, BERT, BioBERT, and ClinicalBERT, to retrieve appropriate demonstrations, and constructs conversational prompts optimized for ICL. We evaluated the framework on two real-world multi-modal datasets (TCGA and IU Chest X-ray), assessing its performance across multiple MLLMs (Qwen, Llava, Gemma), embedding strategies, similarity metrics, and varying numbers of demonstrations. Results: RAICL consistently improved classification performance. Accuracy increased from 0.7854 to 0.8368 on TCGA and from 0.7924 to 0.8658 on IU Chest X-ray. Multi-modal inputs outperformed single-modal ones, with text-only inputs being stronger than images alone. The richness of information embedded in each modality will determine which embedding model can be used to get better results. Few-shot experiments showed that increasing the number of retrieved examples further enhanced performance. Across different similarity metrics, Euclidean distance achieved the highest accuracy while cosine similarity yielded better macro-F1 scores. RAICL demonstrated consistent improvements across various MLLMs, confirming its robustness and versatility. Conclusions: RAICL provides an efficient and scalable approach to enhance in-context learning in MLLMs for multimodal disease classification.

Zaifu Zhan, Shuang Zhou, Huixue Zhou et al.

The advancement of Large Language Models (LLMs) has significantly impacted biomedical Natural Language Processing (NLP), enhancing tasks such as named entity recognition, relation extraction, event extraction, and text classification. In this context, the DeepSeek series of models have shown promising potential in general NLP tasks, yet their capabilities in the biomedical domain remain underexplored. This study evaluates multiple DeepSeek models (Distilled-DeepSeek-R1 series and Deepseek-LLMs) across four key biomedical NLP tasks using 12 datasets, benchmarking them against state-of-the-art alternatives (Llama3-8B, Qwen2.5-7B, Mistral-7B, Phi-4-14B, Gemma-2-9B). Our results reveal that while DeepSeek models perform competitively in named entity recognition and text classification, challenges persist in event and relation extraction due to precision-recall trade-offs. We provide task-specific model recommendations and highlight future research directions. This evaluation underscores the strengths and limitations of DeepSeek models in biomedical NLP, guiding their future deployment and optimization.

Zaifu Zhan, Shuang Zhou, Min Zeng et al.

Large language models have demonstrated remarkable capabilities in biomedical natural language processing, yet their rapid growth in size and computational requirements present a major barrier to adoption in healthcare settings where data privacy precludes cloud deployment and resources are limited. In this study, we systematically evaluated the impact of quantization on 12 state-of-the-art large language models, including both general-purpose and biomedical-specific models, across eight benchmark datasets covering four key tasks: named entity recognition, relation extraction, multi-label classification, and question answering. We show that quantization substantially reduces GPU memory requirements-by up to 75%-while preserving model performance across diverse tasks, enabling the deployment of 70B-parameter models on 40GB consumer-grade GPUs. In addition, domain-specific knowledge and responsiveness to advanced prompting methods are largely maintained. These findings provide significant practical and guiding value, highlighting quantization as a practical and effective strategy for enabling the secure, local deployment of large yet high-capacity language models in biomedical contexts, bridging the gap between technical advances in AI and real-world clinical translation.