DIRI: Adversarial Patient Reidentification with Large Language Models for Evaluating Clinical Text Anonymization
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arXiv
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| Autores principales: | , , , , , , |
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| Formato: | Preprint |
| Publicado: |
2024
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| _version_ | 1866916448891305984 |
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| author | Morris, John X. Campion, Thomas R. Nutheti, Sri Laasya Peng, Yifan Raj, Akhil Zabih, Ramin Cole, Curtis L. |
| author_facet | Morris, John X. Campion, Thomas R. Nutheti, Sri Laasya Peng, Yifan Raj, Akhil Zabih, Ramin Cole, Curtis L. |
| contents | Sharing protected health information (PHI) is critical for furthering biomedical research. Before data can be distributed, practitioners often perform deidentification to remove any PHI contained in the text. Contemporary deidentification methods are evaluated on highly saturated datasets (tools achieve near-perfect accuracy) which may not reflect the full variability or complexity of real-world clinical text and annotating them is resource intensive, which is a barrier to real-world applications. To address this gap, we developed an adversarial approach using a large language model (LLM) to re-identify the patient corresponding to a redacted clinical note and evaluated the performance with a novel De-Identification/Re-Identification (DIRI) method. Our method uses a large language model to reidentify the patient corresponding to a redacted clinical note. We demonstrate our method on medical data from Weill Cornell Medicine anonymized with three deidentification tools: rule-based Philter and two deep-learning-based models, BiLSTM-CRF and ClinicalBERT. Although ClinicalBERT was the most effective, masking all identified PII, our tool still reidentified 9% of clinical notes Our study highlights significant weaknesses in current deidentification technologies while providing a tool for iterative development and improvement. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2410_17035 |
| institution | arXiv |
| publishDate | 2024 |
| record_format | arxiv |
| spellingShingle | DIRI: Adversarial Patient Reidentification with Large Language Models for Evaluating Clinical Text Anonymization Morris, John X. Campion, Thomas R. Nutheti, Sri Laasya Peng, Yifan Raj, Akhil Zabih, Ramin Cole, Curtis L. Computation and Language Sharing protected health information (PHI) is critical for furthering biomedical research. Before data can be distributed, practitioners often perform deidentification to remove any PHI contained in the text. Contemporary deidentification methods are evaluated on highly saturated datasets (tools achieve near-perfect accuracy) which may not reflect the full variability or complexity of real-world clinical text and annotating them is resource intensive, which is a barrier to real-world applications. To address this gap, we developed an adversarial approach using a large language model (LLM) to re-identify the patient corresponding to a redacted clinical note and evaluated the performance with a novel De-Identification/Re-Identification (DIRI) method. Our method uses a large language model to reidentify the patient corresponding to a redacted clinical note. We demonstrate our method on medical data from Weill Cornell Medicine anonymized with three deidentification tools: rule-based Philter and two deep-learning-based models, BiLSTM-CRF and ClinicalBERT. Although ClinicalBERT was the most effective, masking all identified PII, our tool still reidentified 9% of clinical notes Our study highlights significant weaknesses in current deidentification technologies while providing a tool for iterative development and improvement. |
| title | DIRI: Adversarial Patient Reidentification with Large Language Models for Evaluating Clinical Text Anonymization |
| topic | Computation and Language |
| url | https://arxiv.org/abs/2410.17035 |