CoD, Towards an Interpretable Medical Agent using Chain of Diagnosis

Fuente: arXiv
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Auteurs principaux: Chen, Junying, Gui, Chi, Gao, Anningzhe, Ji, Ke, Wang, Xidong, Wan, Xiang, Wang, Benyou
Format: Preprint
Publié: 2024
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author Chen, Junying
Gui, Chi
Gao, Anningzhe
Ji, Ke
Wang, Xidong
Wan, Xiang
Wang, Benyou
author_facet Chen, Junying
Gui, Chi
Gao, Anningzhe
Ji, Ke
Wang, Xidong
Wan, Xiang
Wang, Benyou
contents The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.
format Preprint
id arxiv_https___arxiv_org_abs_2407_13301
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle CoD, Towards an Interpretable Medical Agent using Chain of Diagnosis
Chen, Junying
Gui, Chi
Gao, Anningzhe
Ji, Ke
Wang, Xidong
Wan, Xiang
Wang, Benyou
Computation and Language
Artificial Intelligence
Machine Learning
The field of medical diagnosis has undergone a significant transformation with the advent of large language models (LLMs), yet the challenges of interpretability within these models remain largely unaddressed. This study introduces Chain-of-Diagnosis (CoD) to enhance the interpretability of LLM-based medical diagnostics. CoD transforms the diagnostic process into a diagnostic chain that mirrors a physician's thought process, providing a transparent reasoning pathway. Additionally, CoD outputs the disease confidence distribution to ensure transparency in decision-making. This interpretability makes model diagnostics controllable and aids in identifying critical symptoms for inquiry through the entropy reduction of confidences. With CoD, we developed DiagnosisGPT, capable of diagnosing 9604 diseases. Experimental results demonstrate that DiagnosisGPT outperforms other LLMs on diagnostic benchmarks. Moreover, DiagnosisGPT provides interpretability while ensuring controllability in diagnostic rigor.
title CoD, Towards an Interpretable Medical Agent using Chain of Diagnosis
topic Computation and Language
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2407.13301