Leveraging Large Language Models for Rare Disease Named Entity Recognition
This addresses the problem of limited labeled data for rare disease NER, offering scalable alternatives for biomedical applications, though it is incremental as it applies existing LLM methods to a specific domain.
The study tackled rare disease named entity recognition (NER) by evaluating GPT-4o with prompt-based strategies, achieving competitive or superior performance compared to BioClinicalBERT and setting new state-of-the-art results with task-level fine-tuning.
Named Entity Recognition (NER) in the rare disease domain poses unique challenges due to limited labeled data, semantic ambiguity between entity types, and long-tail distributions. In this study, we evaluate the capabilities of GPT-4o for rare disease NER under low-resource settings, using a range of prompt-based strategies including zero-shot prompting, few-shot in-context learning, retrieval-augmented generation (RAG), and task-level fine-tuning. We design a structured prompting framework that encodes domain-specific knowledge and disambiguation rules for four entity types. We further introduce two semantically guided few-shot example selection methods to improve in-context performance while reducing labeling effort. Experiments on the RareDis Corpus show that GPT-4o achieves competitive or superior performance compared to BioClinicalBERT, with task-level fine-tuning yielding new state-of-the-art (SOTA) results. Cost-performance analysis reveals that few-shot prompting delivers high returns at low token budgets, while RAG offers marginal additional benefit. An error taxonomy highlights common failure modes such as boundary drift and type confusion, suggesting opportunities for post-processing and hybrid refinement. Our results demonstrate that prompt-optimized LLMs can serve as effective, scalable alternatives to traditional supervised models in biomedical NER, particularly in rare disease applications where annotated data is scarce.