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Main Authors: Yeh, Chun-Hsiao, Wang, Jiayun, Graham, Andrew D., Liu, Andrea J., Tan, Bo, Chen, Yubei, Ma, Yi, Lin, Meng C.
Format: Preprint
Published: 2024
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Online Access:https://arxiv.org/abs/2410.00292
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author Yeh, Chun-Hsiao
Wang, Jiayun
Graham, Andrew D.
Liu, Andrea J.
Tan, Bo
Chen, Yubei
Ma, Yi
Lin, Meng C.
author_facet Yeh, Chun-Hsiao
Wang, Jiayun
Graham, Andrew D.
Liu, Andrea J.
Tan, Bo
Chen, Yubei
Ma, Yi
Lin, Meng C.
contents Accurate diagnosis of ocular surface diseases is critical in optometry and ophthalmology, which hinge on integrating clinical data sources (e.g., meibography imaging and clinical metadata). Traditional human assessments lack precision in quantifying clinical observations, while current machine-based methods often treat diagnoses as multi-class classification problems, limiting the diagnoses to a predefined closed-set of curated answers without reasoning the clinical relevance of each variable to the diagnosis. To tackle these challenges, we introduce an innovative multi-modal diagnostic pipeline (MDPipe) by employing large language models (LLMs) for ocular surface disease diagnosis. We first employ a visual translator to interpret meibography images by converting them into quantifiable morphology data, facilitating their integration with clinical metadata and enabling the communication of nuanced medical insight to LLMs. To further advance this communication, we introduce a LLM-based summarizer to contextualize the insight from the combined morphology and clinical metadata, and generate clinical report summaries. Finally, we refine the LLMs' reasoning ability with domain-specific insight from real-life clinician diagnoses. Our evaluation across diverse ocular surface disease diagnosis benchmarks demonstrates that MDPipe outperforms existing standards, including GPT-4, and provides clinically sound rationales for diagnoses.
format Preprint
id arxiv_https___arxiv_org_abs_2410_00292
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Insight: A Multi-Modal Diagnostic Pipeline using LLMs for Ocular Surface Disease Diagnosis
Yeh, Chun-Hsiao
Wang, Jiayun
Graham, Andrew D.
Liu, Andrea J.
Tan, Bo
Chen, Yubei
Ma, Yi
Lin, Meng C.
Computation and Language
Computer Vision and Pattern Recognition
Accurate diagnosis of ocular surface diseases is critical in optometry and ophthalmology, which hinge on integrating clinical data sources (e.g., meibography imaging and clinical metadata). Traditional human assessments lack precision in quantifying clinical observations, while current machine-based methods often treat diagnoses as multi-class classification problems, limiting the diagnoses to a predefined closed-set of curated answers without reasoning the clinical relevance of each variable to the diagnosis. To tackle these challenges, we introduce an innovative multi-modal diagnostic pipeline (MDPipe) by employing large language models (LLMs) for ocular surface disease diagnosis. We first employ a visual translator to interpret meibography images by converting them into quantifiable morphology data, facilitating their integration with clinical metadata and enabling the communication of nuanced medical insight to LLMs. To further advance this communication, we introduce a LLM-based summarizer to contextualize the insight from the combined morphology and clinical metadata, and generate clinical report summaries. Finally, we refine the LLMs' reasoning ability with domain-specific insight from real-life clinician diagnoses. Our evaluation across diverse ocular surface disease diagnosis benchmarks demonstrates that MDPipe outperforms existing standards, including GPT-4, and provides clinically sound rationales for diagnoses.
title Insight: A Multi-Modal Diagnostic Pipeline using LLMs for Ocular Surface Disease Diagnosis
topic Computation and Language
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2410.00292