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MedSlice: Fine-Tuned Large Language Models for Secure Clinical Note Sectioning
Davis, Joshua, Sounack, Thomas, Sciacca, Kate, Brain, Jessie M, Durieux, Brigitte N, Agaronnik, Nicole D, Lindvall, Charlotta
Extracting sections from clinical notes is crucial for downstream analysis but is challenging due to variability in formatting and labor-intensive nature of manual sectioning. While proprietary large language models (LLMs) have shown promise, privacy concerns limit their accessibility. This study develops a pipeline for automated note sectioning using open-source LLMs, focusing on three sections: History of Present Illness, Interval History, and Assessment and Plan. We fine-tuned three open-source LLMs to extract sections using a curated dataset of 487 progress notes, comparing results relative to proprietary models (GPT-4o, GPT-4o mini). Internal and external validity were assessed via precision, recall and F1 score. Fine-tuned Llama 3.1 8B outperformed GPT-4o (F1=0.92). On the external validity test set, performance remained high (F1= 0.85). Fine-tuned open-source LLMs can surpass proprietary models in clinical note sectioning, offering advantages in cost, performance, and accessibility.
Stable Diffusion Reference Only: Image Prompt and Blueprint Jointly Guided Multi-Condition Diffusion Model for Secondary Painting
Stable Diffusion and ControlNet have achieved excellent results in the field of image generation and synthesis. However, due to the granularity and method of its control, the efficiency improvement is limited for professional artistic creations such as comics and animation production whose main work is secondary painting. In the current workflow, fixing characters and image styles often need lengthy text prompts, and even requires further training through TextualInversion, DreamBooth or other methods, which is very complicated and expensive for painters. Therefore, we present a new method in this paper, Stable Diffusion Reference Only, a images-to-image self-supervised model that uses only two types of conditional images for precise control generation to accelerate secondary painting. The first type of conditional image serves as an image prompt, supplying the necessary conceptual and color information for generation. The second type is blueprint image, which controls the visual structure of the generated image. It is natively embedded into the original UNet, eliminating the need for ControlNet. We released all the code for the module and pipeline, and trained a controllable character line art coloring model at https://github.com/aihao2000/stable-diffusion-reference-only, that achieved state-of-the-art results in this field. This verifies the effectiveness of the structure and greatly improves the production efficiency of animations, comics, and fanworks.