CLIRQMMar 26, 2025

ProtoBERT-LoRA: Parameter-Efficient Prototypical Finetuning for Immunotherapy Study Identification

arXiv:2503.20179v1h-index: 5AMIA ... Annual Symposium proceedings. AMIA Symposium
Originality Incremental advance
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This work addresses a critical problem for cancer researchers by enabling more efficient identification of immunotherapy studies in low-resource settings, though it is incremental as it builds on existing methods like PubMedBERT and prototypical networks.

The paper tackled the challenge of identifying immune checkpoint inhibitor studies in genomic repositories by developing ProtoBERT-LoRA, a hybrid framework that achieved an F1-score of 0.624 on a test set and reduced manual review efforts by 82% when applied to unlabeled data.

Identifying immune checkpoint inhibitor (ICI) studies in genomic repositories like Gene Expression Omnibus (GEO) is vital for cancer research yet remains challenging due to semantic ambiguity, extreme class imbalance, and limited labeled data in low-resource settings. We present ProtoBERT-LoRA, a hybrid framework that combines PubMedBERT with prototypical networks and Low-Rank Adaptation (LoRA) for efficient fine-tuning. The model enforces class-separable embeddings via episodic prototype training while preserving biomedical domain knowledge. Our dataset was divided as: Training (20 positive, 20 negative), Prototype Set (10 positive, 10 negative), Validation (20 positive, 200 negative), and Test (71 positive, 765 negative). Evaluated on test dataset, ProtoBERT-LoRA achieved F1-score of 0.624 (precision: 0.481, recall: 0.887), outperforming the rule-based system, machine learning baselines and finetuned PubMedBERT. Application to 44,287 unlabeled studies reduced manual review efforts by 82%. Ablation studies confirmed that combining prototypes with LoRA improved performance by 29% over stand-alone LoRA.

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