Large Language Model Empowered Privacy-Protected Framework for PHI Annotation in Clinical Notes

Fuente: arXiv
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Auteurs principaux: Wu, Guanchen, Zheng, Linzhi, Xie, Han, Xiang, Zhen, Lu, Jiaying, Liu, Darren, Bold, Delgersuren, Li, Bo, Hu, Xiao, Yang, Carl
Format: Preprint
Publié: 2025
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author Wu, Guanchen
Zheng, Linzhi
Xie, Han
Xiang, Zhen
Lu, Jiaying
Liu, Darren
Bold, Delgersuren
Li, Bo
Hu, Xiao
Yang, Carl
author_facet Wu, Guanchen
Zheng, Linzhi
Xie, Han
Xiang, Zhen
Lu, Jiaying
Liu, Darren
Bold, Delgersuren
Li, Bo
Hu, Xiao
Yang, Carl
contents The de-identification of private information in medical data is a crucial process to mitigate the risk of confidentiality breaches, particularly when patient personal details are not adequately removed before the release of medical records. Although rule-based and learning-based methods have been proposed, they often struggle with limited generalizability and require substantial amounts of annotated data for effective performance. Recent advancements in large language models (LLMs) have shown significant promise in addressing these issues due to their superior language comprehension capabilities. However, LLMs present challenges, including potential privacy risks when using commercial LLM APIs and high computational costs for deploying open-source LLMs locally. In this work, we introduce LPPA, an LLM-empowered Privacy-Protected PHI Annotation framework for clinical notes, targeting the English language. By fine-tuning LLMs locally with synthetic notes, LPPA ensures strong privacy protection and high PHI annotation accuracy. Extensive experiments demonstrate LPPA's effectiveness in accurately de-identifying private information, offering a scalable and efficient solution for enhancing patient privacy protection.
format Preprint
id arxiv_https___arxiv_org_abs_2504_18569
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Large Language Model Empowered Privacy-Protected Framework for PHI Annotation in Clinical Notes
Wu, Guanchen
Zheng, Linzhi
Xie, Han
Xiang, Zhen
Lu, Jiaying
Liu, Darren
Bold, Delgersuren
Li, Bo
Hu, Xiao
Yang, Carl
Cryptography and Security
Artificial Intelligence
Machine Learning
The de-identification of private information in medical data is a crucial process to mitigate the risk of confidentiality breaches, particularly when patient personal details are not adequately removed before the release of medical records. Although rule-based and learning-based methods have been proposed, they often struggle with limited generalizability and require substantial amounts of annotated data for effective performance. Recent advancements in large language models (LLMs) have shown significant promise in addressing these issues due to their superior language comprehension capabilities. However, LLMs present challenges, including potential privacy risks when using commercial LLM APIs and high computational costs for deploying open-source LLMs locally. In this work, we introduce LPPA, an LLM-empowered Privacy-Protected PHI Annotation framework for clinical notes, targeting the English language. By fine-tuning LLMs locally with synthetic notes, LPPA ensures strong privacy protection and high PHI annotation accuracy. Extensive experiments demonstrate LPPA's effectiveness in accurately de-identifying private information, offering a scalable and efficient solution for enhancing patient privacy protection.
title Large Language Model Empowered Privacy-Protected Framework for PHI Annotation in Clinical Notes
topic Cryptography and Security
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2504.18569