搜索结果：Case reports in nephrology

Rare diseases, including Inborn Errors of Metabolism (IEM), pose significant diagnostic challenges. Case reports serve as key but computationally underutilized resources to inform diagnosis. Clinical dense information extraction refers to organizing medical information into structured predefined categories. Large Language Models (LLMs) may enable scalable information extraction from case reports but are rarely evaluated for this task. We introduce CaseReportBench, an expert-annotated dataset for dense information extraction of case reports, focusing on IEMs. Using this dataset, we assess various models and prompting strategies, introducing novel approaches such as category-specific prompting and subheading-filtered data integration. Zero-shot chain-of-thought prompting offers little advantage over standard zero-shot prompting. Category-specific prompting improves alignment with the benchmark. The open-source model Qwen2.5-7B outperforms GPT-4o for this task. Our clinician evaluations show that LLMs can extract clinically relevant details from case reports, supporting rare disease diagnosis and management. We also highlight areas for improvement, such as LLMs' limitations in recogni

This article explores the potential of generative AI (GenAI) to support actuarial practice through four implemented case studies. It situates these case studies within the broader evolution of artificial intelligence in actuarial science, from early neural networks and machine learning to modern transformer-based GenAI systems. The first case study illustrates how large language models (LLMs) can improve claim cost prediction by extracting informative features from unstructured text for use in the underlying supervised learning task. The second case study demonstrates the automation of market comparisons using Retrieval-Augmented Generation to identify, extract, and structure relevant information from insurers' annual reports. The third case study highlights the capabilities of fine-tuned vision-enabled LLMs in classifying car damage types and extracting contextual information from images. The fourth case study presents a multi-agent system that autonomously migrates actuarial legacy code from R to Python and validates the translation against the original code's outputs. In addition to these case studies, we outline further GenAI applications in the insurance industry. Finally, we

In 2004, Dai, Lathrop, Lutz, and Mayordomo defined and investigated the finite-state dimension (a finite-state version of algorithmic dimension) of a sequence $S \in Σ^\infty$ and, in 2018, Case and Lutz defined and investigated the mutual (algorithmic) dimension between two sequences $S \in Σ^\infty$ and $T \in Σ^\infty$. In this paper, we propose a definition for the lower and upper finite-state mutual dimensions $mdim_{FS}(S:T)$ and $Mdim_{FS}(S:T)$ between two sequences $S \in Σ^\infty$ and $T \in Σ^\infty$ over an alphabet $Σ$. Intuitively, the finite-state dimension of a sequence $S \in Σ^\infty$ represents the density of finite-state information contained within $S$, while the finite-state mutual dimension between two sequences $S \in Σ^\infty$ and $T \in Σ^\infty$ represents the density of finite-state information shared by $S$ and $T$. Thus ``finite-state mutual dimension'' can be viewed as a ``finite-state'' version of mutual dimension and as a ``mutual'' version of finite-state dimension. The main results of this investigation are as follows. First, we show that finite-state mutual dimension, defined using information-lossless finite-state compressors, has all of the pro

Infectious disease forecasting is of great interest to the public health community and policymakers, since forecasts can provide insight into disease dynamics in the near future and inform interventions. Due to delays in case reporting, however, forecasting models may often underestimate the current and future disease burden. In this paper, we propose a general framework for addressing reporting delay in disease forecasting efforts with the goal of improving forecasts. We propose strategies for leveraging either historical data on case reporting or external internet-based data to estimate the amount of reporting error. We then describe several approaches for adapting general forecasting pipelines to account for under- or over-reporting of cases. We apply these methods to address reporting delay in data on dengue fever cases in Puerto Rico from 1990 to 2009 and to reports of influenza-like illness (ILI) in the United States between 2010 and 2019. Through a simulation study, we compare method performance and evaluate robustness to assumption violations. Our results show that forecasting accuracy and prediction coverage almost always increase when correction methods are implemented to

Timely identification of issue reports reflecting software vulnerabilities is crucial, particularly for Internet-of-Things (IoT) where analysis is slower than non-IoT systems. While Machine Learning (ML) and Large Language Models (LLMs) detect vulnerability-indicating issues in non-IoT systems, their IoT use remains unexplored. We are the first to tackle this problem by proposing two approaches: (1) combining ML and LLMs with Natural Language Processing (NLP) techniques to detect vulnerability-indicating issues of 21 Eclipse IoT projects and (2) fine-tuning a pre-trained BERT Masked Language Model (MLM) on 11,000 GitHub issues for classifying \vul. Our best performance belongs to a Support Vector Machine (SVM) trained on BERT NLP features, achieving an Area Under the receiver operator characteristic Curve (AUC) of 0.65. The fine-tuned BERT achieves 0.26 accuracy, emphasizing the importance of exposing all data during training. Our contributions set the stage for accurately detecting IoT vulnerabilities from issue reports, similar to non-IoT systems.

We report results of the CASE 2022 Shared Task 1 on Multilingual Protest Event Detection. This task is a continuation of CASE 2021 that consists of four subtasks that are i) document classification, ii) sentence classification, iii) event sentence coreference identification, and iv) event extraction. The CASE 2022 extension consists of expanding the test data with more data in previously available languages, namely, English, Hindi, Portuguese, and Spanish, and adding new test data in Mandarin, Turkish, and Urdu for Sub-task 1, document classification. The training data from CASE 2021 in English, Portuguese and Spanish were utilized. Therefore, predicting document labels in Hindi, Mandarin, Turkish, and Urdu occurs in a zero-shot setting. The CASE 2022 workshop accepts reports on systems developed for predicting test data of CASE 2021 as well. We observe that the best systems submitted by CASE 2022 participants achieve between 79.71 and 84.06 F1-macro for new languages in a zero-shot setting. The winning approaches are mainly ensembling models and merging data in multiple languages. The best two submissions on CASE 2021 data outperform submissions from last year for Subtask 1 and Su

Clinician skepticism toward opaque AI hinders adoption in high-stakes healthcare. We present AICare, an interactive and interpretable AI copilot for collaborative clinical decision-making. By analyzing longitudinal electronic health records, AICare grounds dynamic risk predictions in scrutable visualizations and LLM-driven diagnostic recommendations. Through a within-subjects counterbalanced study with 16 clinicians across nephrology and obstetrics, we comprehensively evaluated AICare using objective measures (task completion time and error rate), subjective assessments (NASA-TLX, SUS, and confidence ratings), and semi-structured interviews. Our findings indicate AICare's reduced cognitive workload. Beyond performance metrics, qualitative analysis reveals that trust is actively constructed through verification, with interaction strategies diverging by expertise: junior clinicians used the system as cognitive scaffolding to structure their analysis, while experts engaged in adversarial verification to challenge the AI's logic. This work offers design implications for creating AI systems that function as transparent partners, accommodating diverse reasoning styles to augment rather t

Background: A large number of neurology case reports have been published, but it is a challenging task for human medical experts to explore all of these publications. Text mining offers a computational approach to investigate neurology literature and capture meaningful patterns. The overarching goal of this study is to provide a new perspective on case reports of neurological disease and syndrome analysis over the last six decades using text mining. Methods: We extracted diseases and syndromes (DsSs) from more than 65,000 neurology case reports from 66 journals in PubMed over the last six decades from 1955 to 2017. Text mining was applied to reports on the detected DsSs to investigate high-frequency DsSs, categorize them, and explore the linear trends over the 63-year time frame. Results: The text mining methods explored high-frequency neurologic DsSs and their trends and the relationships between them from 1955 to 2017. We detected more than 18,000 unique DsSs and found 10 categories of neurologic DsSs. While the trend analysis showed the increasing trends in the case reports for top-10 high-frequency DsSs, the categories had mixed trends. Conclusion: Our study provided new insigh

Analyzing large volumes of case law to uncover evolving legal principles, across multiple cases, on a given topic is a demanding task for legal professionals. Structured topical reports provide an effective solution by summarizing key issues, principles, and judgments, enabling comprehensive legal analysis on a particular topic. While prior works have advanced query-based individual case summarization, none have extended to automatically generating multi-case structured reports. To address this, we introduce LexGenie, an automated LLM-based pipeline designed to create structured reports using the entire body of case law on user-specified topics within the European Court of Human Rights jurisdiction. LexGenie retrieves, clusters, and organizes relevant passages by topic to generate a structured outline and cohesive content for each section. Expert evaluation confirms LexGenie's utility in producing structured reports that enhance efficient, scalable legal analysis.

Chronic Kidney Disease (CKD) affects millions of people worldwide, yet its early detection remains challenging, especially in outpatient settings where laboratory-based renal biomarkers are often unavailable. In this work, we investigate the predictive potential of routinely collected non-renal clinical variables for CKD classification, including sociodemographic factors, comorbid conditions, and urinalysis findings. We introduce the Nephrology-Oriented Representation leArning (NORA) approach, which combines supervised contrastive learning with a nonlinear Random Forest classifier. NORA first derives discriminative patient representations from tabular EHR data, which are then used for downstream CKD classification. We evaluated NORA on a clinic-based EHR dataset from Riverside Nephrology Physicians. Our results demonstrated that NORA improves class separability and overall classification performance, particularly enhancing the F1-score for early-stage CKD. Additionally, we assessed the generalizability of NORA on the UCI CKD dataset, demonstrating its effectiveness for CKD risk stratification across distinct patient cohorts.

Timing of clinical events is central to characterization of patient trajectories, enabling analyses such as process tracing, forecasting, and causal reasoning. However, structured electronic health records capture few data elements critical to these tasks, while clinical reports lack temporal localization of events in structured form. We present a system that transforms case reports into textual time series-structured pairs of textual events and timestamps. We contrast manual and large language model (LLM) annotations (n=320 and n=390 respectively) of ten randomly-sampled PubMed open-access (PMOA) case reports (N=152,974) and assess inter-LLM agreement (n=3,103; N=93). We find that the LLM models have moderate event recall(O1-preview: 0.80) but high temporal concordance among identified events (O1-preview: 0.95). By establishing the task, annotation, and assessment systems, and by demonstrating high concordance, this work may serve as a benchmark for leveraging the PMOA corpus for temporal analytics.

In the face of an infectious disease, a key epidemiological measure is the basic reproduction number, which quantifies the average secondary infections caused by a single case in a susceptible population. In practice, the effective reproduction number, denoted as $R_t$, is widely used to assess the transmissibility of the disease at a given time $t$. Real-time estimating this metric is vital for understanding and managing disease outbreaks. Traditional statistical inference often relies on two assumptions. One is that samples are assumed to be drawn from a homogeneous population distribution, neglecting significant variations in individual transmission rates. The other is the ideal case reporting assumption, disregarding time delays between infection and reporting. In this paper, we thoroughly investigate these critical factors and assess their impact on estimating $R_t$. We first introduce negative binomial and Weibull distributions to characterize transmission rates and reporting delays, respectively, based on which observation and state equations are formulated. Then, we employ a Bayesian filtering for estimating $R_t$. Finally, validation using synthetic and empirical data demo

A set $S\subseteq V$ is a dominating set of $G$ if every vertex in $V - S$ is adjacent to at least one vertex in $S$. The domination number $γ(G)$ of $G$ equals the minimum cardinality of a dominating set $S$ in $G$; we say that such a set $S$ is a $γ$-set. A generalization of this is partial domination which was introduced in 2017 by Case, Hedetniemi, Laskar, and Lipman [3,2] . In partial domination a set $S$ is a $p$-dominating set if it dominates a proportion $p$ of the vertices in $V$. The p-domination number $γ_{p}(G)$ is the minimum cardinality of a $p$-dominating set in $G$. In this paper, we investigate further properties of partial dominating sets, particularly ones related to graph products and locating partial dominating sets. We also introduce the concept of a $p$-influencing set as the union of all $p$-dominating sets for a fixed $p$ and investigate some of its properties.

Purpose: We investigated the utilization of privacy-preserving, locally-deployed, open-source Large Language Models (LLMs) to extract diagnostic information from free-text cardiovascular magnetic resonance (CMR) reports. Materials and Methods: We evaluated nine open-source LLMs on their ability to identify diagnoses and classify patients into various cardiac diagnostic categories based on descriptive findings in 109 clinical CMR reports. Performance was quantified using standard classification metrics including accuracy, precision, recall, and F1 score. We also employed confusion matrices to examine patterns of misclassification across models. Results: Most open-source LLMs demonstrated exceptional performance in classifying reports into different diagnostic categories. Google's Gemma2 model achieved the highest average F1 score of 0.98, followed by Qwen2.5:32B and DeepseekR1-32B with F1 scores of 0.96 and 0.95, respectively. All other evaluated models attained average scores above 0.93, with Mistral and DeepseekR1-7B being the only exceptions. The top four LLMs outperformed our board-certified cardiologist (F1 score of 0.94) across all evaluation metrics in analyzing CMR reports.

In recent years, there have been significant breakthroughs in the field of natural language processing, particularly with the development of large language models (LLMs). These LLMs have showcased remarkable capabilities on various benchmarks. In the healthcare field, the exact role LLMs and other future AI models will play remains unclear. There is a potential for these models in the future to be used as part of adaptive physician training, medical co-pilot applications, and digital patient interaction scenarios. The ability of AI models to participate in medical training and patient care will depend in part on their mastery of the knowledge content of specific medical fields. This study investigated the medical knowledge capability of LLMs, specifically in the context of internal medicine subspecialty multiple-choice test-taking ability. We compared the performance of several open-source LLMs (Koala 7B, Falcon 7B, Stable-Vicuna 13B, and Orca Mini 13B), to GPT-4 and Claude 2 on multiple-choice questions in the field of Nephrology. Nephrology was chosen as an example of a particularly conceptually complex subspecialty field within internal medicine. The study was conducted to evalu

With the growth of global maritime transportation, energy optimization has become crucial for reducing costs and ensuring operational efficiency. Shaft power is the mechanical power transmitted from the engine to the shaft and directly impacts fuel consumption, making its accurate prediction a paramount step in optimizing vessel performance. Power consumption is highly correlated with ship parameters such as speed and shaft rotation per minute, as well as weather and sea conditions. Frequent access to this operational data can improve prediction accuracy. However, obtaining high-quality sensor data is often infeasible and costly, making alternative sources such as noon reports a viable option. In this paper, we propose a transfer learning-based approach for predicting vessels shaft power, where a model is initially trained on high-frequency data from a vessel and then fine-tuned with low-frequency daily noon reports from other vessels. We tested our approach on sister vessels (identical dimensions and configurations), a similar vessel (slightly larger with a different engine), and a different vessel (distinct dimensions and configurations). The experiments showed that the mean abso

The ability to estimate and predict pathogen variant dynamics can inform public health responses, including planning for increased transmission or severity, shifts in population immunity, or changes to vaccine or therapeutic effectiveness. The COVID-19 pandemic demonstrated the importance of monitoring SARS-CoV-2 variant evolution through viral genome sequencing, enabling predictive models to estimate variant frequencies in the recent past, present, and short-term future. Collaborative forecasting Hubs provided a valuable way to centralize predictive modeling of epidemiological indicators such as cases, hospitalizations, and deaths during the pandemic; however, none existed for variant dynamics. Here, we discuss the creation of the United States SARS-CoV-2 Variant Nowcast Hub, designed to solicit estimates of the relative abundance of a specified set of SARS-CoV-2 variants at the U.S. state level. We discuss the design decisions and challenges in building the Hub and its scoring procedures. Using submissions from the Hub's first respiratory virus season (nowcast dates October 9th, 2024 to June 4th, 2025), we evaluate five individual models and a baseline model. We found that the ba

We present a new corpus comprising annotations of medical entities in case reports, originating from PubMed Central's open access library. In the case reports, we annotate cases, conditions, findings, factors and negation modifiers. Moreover, where applicable, we annotate relations between these entities. As such, this is the first corpus of this kind made available to the scientific community in English. It enables the initial investigation of automatic information extraction from case reports through tasks like Named Entity Recognition, Relation Extraction and (sentence/paragraph) relevance detection. Additionally, we present four strong baseline systems for the detection of medical entities made available through the annotated dataset.

In medical imaging, access to data is commonly limited due to patient privacy restrictions and the issue that it can be difficult to acquire enough data in the case of rare diseases.[1] The purpose of this investigation was to develop a reusable open-source synthetic image generation pipeline, the GAN Image Synthesis Tool (GIST), that is easy to use as well as easy to deploy. The pipeline helps to improve and standardize AI algorithms in the digital health space by generating high quality synthetic image data that is not linked to specific patients. Its image generation capabilities include the ability to generate imaging of pathologies or injuries with low incidence rates. This improvement of digital health AI algorithms could improve diagnostic accuracy, aid in patient care, decrease medicolegal claims, and ultimately decrease the overall cost of healthcare. The pipeline builds on existing Generative Adversarial Networks (GANs) algorithms, and preprocessing and evaluation steps were included for completeness. For this work, we focused on ensuring the pipeline supports radiography, with a focus on synthetic knee and elbow x-ray images. In designing the pipeline, we evaluated the p