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Evaluating Prompt Optimization Techniques for Biomedical Natural Language Inference on Clinical Trial Reports


Core Concepts
Prompt optimization techniques, including zero-shot chain-of-thought and dynamic one-shot prompting, can significantly enhance the performance of large language models on biomedical natural language inference tasks involving clinical trial reports.
Abstract
The authors present a baseline for the SemEval 2024 Task 2 challenge, which aims to assess the inference relationship between pairs of clinical trial report sections and statements. They explore three prompting optimization techniques to address this task: OPRO approach: Iterates over labeled examples to determine the most effective instruction. Zero-shot chain-of-thought (CoT) prompting: Allows the model to generate a chain of thought reasoning to answer the question. Dynamic one-shot CoT prompting: Selects a semantically similar example from the training dataset to enhance the performance of the NLI system. The authors evaluated these techniques using Mixtral-8x7B-Instruct, GPT3.5, Qwen-72b-chat, and Mistral-7B-Instruct language models. They found that the zero-shot CoT prompting approach achieved the best F1 score (0.70), while the dynamic one-shot prompting achieved the highest faithfulness (0.89) and consistency (0.71) scores. The authors also explored reformulation methods, such as rephrasing negative statements and paraphrasing statements, but did not observe significant improvements in inference accuracy. They suggest that preprocessing steps, such as enriching the clinical trial section with additional information and transforming negative statements into positive ones, could potentially improve the performance of the entailment task.
Stats
The average length of a statement is 19.5 words, and the average length of a clinical trial report section is 265 words.
Quotes
"We observed, in line with recent findings, that synthetic CoT prompts significantly enhance manually crafted ones." "Considering these limitations, we investigate hard prompt optimization techniques such as Chain-of-Thought prompting (Wei et al., 2023)." "We hypothesized that selecting one meaningful example from a set (statement, clinical trial report) with a correct reasoning path could enhance the performance of the NLI system."

Key Insights Distilled From

by Clém... at arxiv.org 05-06-2024

https://arxiv.org/pdf/2405.01942.pdf
CRCL at SemEval-2024 Task 2: Simple prompt optimizations

Deeper Inquiries

How can the preprocessing steps, such as enriching the clinical trial section and transforming negative statements, be further improved to enhance the performance of the entailment task

To further enhance the performance of the entailment task through preprocessing steps in the context of clinical trial sections and statements, several improvements can be considered: Semantic Enrichment: Instead of solely adding additional information to the clinical trial section, a more nuanced approach could involve leveraging domain-specific knowledge graphs or ontologies. By linking entities, relationships, and concepts within the clinical trial data to external knowledge sources, the model can gain a deeper understanding of the context, leading to more accurate entailment predictions. Fine-grained Negation Handling: While transforming negative statements into positive ones can be beneficial, a more sophisticated approach would involve capturing the nuanced semantics of negation. Implementing advanced negation detection techniques, such as syntactic parsing or semantic role labeling, can help the model better comprehend the negated information and its implications on entailment relationships. Contextual Embeddings: Utilizing contextual embeddings, such as BERT or RoBERTa, can capture the contextual nuances of clinical trial data more effectively. By fine-tuning these embeddings on biomedical text, the model can better grasp the intricate relationships between statements and clinical trial sections, leading to improved entailment performance. Data Augmentation: Introducing data augmentation techniques, such as back-translation or synonym replacement, can diversify the training data and expose the model to a wider range of linguistic variations. This can help mitigate data sparsity issues and enhance the model's robustness in handling diverse entailment scenarios. Domain-specific Pretrained Models: Training or fine-tuning pretrained language models on biomedical text corpora can enhance their understanding of domain-specific terminology and concepts. By incorporating domain knowledge during pretraining, the model can exhibit improved performance on entailment tasks related to clinical trials.

What other prompt optimization techniques, beyond the ones explored in this study, could be investigated to improve the faithfulness and consistency of the NLI system on biomedical datasets

Exploring additional prompt optimization techniques beyond those studied in the current research can further enhance the faithfulness and consistency of Natural Language Inference (NLI) systems on biomedical datasets: Adversarial Prompting: Introducing adversarial prompts that aim to deceive the model can help evaluate its robustness and generalization capabilities. By crafting prompts that lead to incorrect predictions, the model can be trained to be more discerning and accurate in its entailment judgments. Multi-step Prompting: Designing prompts that require the model to perform multi-step reasoning can simulate complex inference scenarios. By chaining together multiple prompts that build upon each other, the model can develop a more comprehensive understanding of interconnected concepts and relationships in biomedical data. Domain-specific Prompt Libraries: Creating specialized prompt libraries tailored to biomedical NLI tasks can provide the model with domain-specific cues and context. These prompts can encapsulate clinical trial-specific language patterns, terminologies, and logical structures, enabling the model to make more informed entailment decisions. Interactive Prompting: Implementing interactive prompting techniques where human annotators provide feedback on model predictions can refine the model's reasoning capabilities. By incorporating human-in-the-loop interactions, the model can learn from expert feedback and improve its entailment accuracy over time.

How can the prompt optimization techniques be extended to handle more complex biomedical reasoning tasks, such as those involving causal relationships or multi-step inferences

Extending prompt optimization techniques to handle more complex biomedical reasoning tasks, such as causal relationships or multi-step inferences, requires advanced strategies tailored to the intricacies of biomedical data: Causal Graph Prompting: Developing prompts that encode causal relationships within biomedical data can enable the model to reason causally. By structuring prompts based on causal graphs or Bayesian networks, the model can infer causal chains and dependencies, facilitating accurate entailment predictions in scenarios involving causality. Hierarchical Prompting: Implementing hierarchical prompts that guide the model through multi-level reasoning steps can address multi-step inference tasks. By breaking down complex reasoning processes into hierarchical prompts, the model can navigate through interconnected concepts and relationships, leading to more coherent and accurate entailment outcomes. Temporal Reasoning Prompts: Introducing prompts that incorporate temporal information, such as treatment timelines or disease progression, can enhance the model's ability to reason temporally. By integrating temporal cues into prompts, the model can capture the dynamic nature of biomedical events and make informed entailment decisions based on temporal sequences. Domain-specific Knowledge Integration: Leveraging domain-specific knowledge bases or ontologies within prompts can enrich the model's understanding of biomedical concepts. By embedding domain knowledge into prompts, the model can perform reasoning tasks that require domain expertise, such as drug interactions, treatment effects, or disease mechanisms, improving the accuracy of entailment predictions in complex biomedical scenarios.
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