Centrala begrepp
Continuous pre-training of publicly available German language models on clinical and translated biomedical data can improve performance on specialized medical tasks compared to general domain models.
Sammanfattning
This study explores strategies for adapting German language models to the medical domain, primarily through continuous pre-training on clinical and translated biomedical data. Several new German biomedical and clinical language models were introduced, leveraging data from a major German hospital and translated English biomedical sources.
The key highlights and insights are:
- Continuous pre-training on clinical data or translated biomedical texts can improve the performance of general German language models on downstream medical tasks compared to models without domain-specific pre-training.
- The translation-based models achieved comparable or even better results than models trained on the private clinical dataset, suggesting that leveraging translated texts can be a reliable method for domain adaptation in medical NLP tasks.
- While models trained on clinical data showed a slight advantage in some tasks, the performance difference was often small, indicating that the presence of medical data is more crucial than its exact quality or proximity to the downstream task.
- The study highlights the effectiveness of transfer learning and the value of pre-trained models, as the continuous pre-training approach was less resource-intensive than training from scratch.
- The authors discuss important ethical considerations in deploying language models in healthcare, such as addressing biases, ensuring transparency and trust, and protecting patient privacy.
Statistik
The private clinical dataset consists of 3,060,845,169 tokens from 25,023,489 documents, making it the largest German clinical text dataset compiled for pre-training.
The public dataset includes approximately 45 million documents, comprising 5 million tokens from German PubMed abstracts, 1,700 million tokens from translated English PubMed abstracts, and 695 million tokens from translated MIMIC-III clinical notes.
Citat
"Continuous pre-training has demonstrated the ability to match or even exceed the performance of clinical models trained from scratch."
"Translation-based models will be made publicly available."
"Despite the performance and ease of distribution for translation-based models, it is important to recognize that in half of the tasks tested, models derived from private clinical data still performed better, highlighting the importance and effectiveness of large specialized data sources."