summary length
Leveraging LLMs for Predicting Unknown Diagnoses from Clinical Notes
Albassam, Dina, Cross, Adam, Zhai, Chengxiang
Electronic Health Records (EHRs) often lack explicit links between medications and diagnoses, making clinical decision-making and research more difficult. Even when links exist, diagnosis lists may be incomplete, especially during early patient visits. Discharge summaries tend to provide more complete information, which can help infer accurate diagnoses, especially with the help of large language models (LLMs). This study investigates whether LLMs can predict implicitly mentioned diagnoses from clinical notes and link them to corresponding medications. We address two research questions: (1) Does majority voting across diverse LLM configurations outperform the best single configuration in diagnosis prediction? (2) How sensitive is majority voting accuracy to LLM hyperparameters such as temperature, top-p, and summary length? To evaluate, we created a new dataset of 240 expert-annotated medication-diagnosis pairs from 20 MIMIC-IV notes. Using GPT-3.5 Turbo, we ran 18 prompting configurations across short and long summary lengths, generating 8568 test cases. Results show that majority voting achieved 75 percent accuracy, outperforming the best single configuration at 66 percent. No single hyperparameter setting dominated, but combining deterministic, balanced, and exploratory strategies improved performance. Shorter summaries generally led to higher accuracy.In conclusion, ensemble-style majority voting with diverse LLM configurations improves diagnosis prediction in EHRs and offers a promising method to link medications and diagnoses in clinical texts.
Behavioral Analysis of Information Salience in Large Language Models
Trienes, Jan, Schlรถtterer, Jรถrg, Li, Junyi Jessy, Seifert, Christin
Large Language Models (LLMs) excel at text summarization, a task that requires models to select content based on its importance. However, the exact notion of salience that LLMs have internalized remains unclear. To bridge this gap, we introduce an explainable framework to systematically derive and investigate information salience in LLMs through their summarization behavior. Using length-controlled summarization as a behavioral probe into the content selection process, and tracing the answerability of Questions Under Discussion throughout, we derive a proxy for how models prioritize information. Our experiments on 13 models across four datasets reveal that LLMs have a nuanced, hierarchical notion of salience, generally consistent across model families and sizes. While models show highly consistent behavior and hence salience patterns, this notion of salience cannot be accessed through introspection, and only weakly correlates with human perceptions of information salience.
LR-Sum: Summarization for Less-Resourced Languages
Palen-Michel, Chester, Lignos, Constantine
This preprint describes work in progress on LR-Sum, a new permissively-licensed dataset created with the goal of enabling further research in automatic summarization for less-resourced languages. LR-Sum contains human-written summaries for 40 languages, many of which are less-resourced. We describe our process for extracting and filtering the dataset from the Multilingual Open Text corpus (Palen-Michel et al., 2022). The source data is public domain newswire collected from from Voice of America websites, and LR-Sum is released under a Creative Commons license (CC BY 4.0), making it one of the most openly-licensed multilingual summarization datasets. We describe how we plan to use the data for modeling experiments and discuss limitations of the dataset.
Generating Multiple-Length Summaries via Reinforcement Learning for Unsupervised Sentence Summarization
Hyun, Dongmin, Wang, Xiting, Park, Chanyoung, Xie, Xing, Yu, Hwanjo
Sentence summarization shortens given texts while maintaining core contents of the texts. Unsupervised approaches have been studied to summarize texts without human-written summaries. However, recent unsupervised models are extractive, which remove words from texts and thus they are less flexible than abstractive summarization. In this work, we devise an abstractive model based on reinforcement learning without ground-truth summaries. We formulate the unsupervised summarization based on the Markov decision process with rewards representing the summary quality. To further enhance the summary quality, we develop a multi-summary learning mechanism that generates multiple summaries with varying lengths for a given text, while making the summaries mutually enhance each other. Experimental results show that the proposed model substantially outperforms both abstractive and extractive models, yet frequently generating new words not contained in input texts.
BudgetLongformer: Can we Cheaply Pretrain a SotA Legal Language Model From Scratch?
Niklaus, Joel, Giofrรฉ, Daniele
Pretrained transformer models have achieved state-of-the-art results in many tasks and benchmarks recently. Many state-of-the-art Language Models (LMs), however, do not scale well above the threshold of 512 input tokens. In specialized domains though (such as legal, scientific or biomedical), models often need to process very long text (sometimes well above 10000 tokens). Even though many efficient transformers have been proposed (such as Longformer, BigBird or FNet), so far, only very few such efficient models are available for specialized domains. Additionally, since the pretraining process is extremely costly in general - but even more so as the sequence length increases - it is often only in reach of large research labs. One way of making pretraining cheaper is the Replaced Token Detection (RTD) task, by providing more signal during training, since the loss can be computed over all tokens. In this work, we train Longformer models with the efficient RTD task on legal data to showcase that pretraining efficient LMs is possible using much less compute. We evaluate the trained models on challenging summarization tasks requiring the model to summarize long texts to show to what extent the models can achieve good performance on downstream tasks. We find that both the small and base models outperform their baselines on the in-domain BillSum and out-of-domain PubMed tasks in their respective parameter range. We publish our code and models for research purposes.
A Focused Study on Sequence Length for Dialogue Summarization
Wang, Bin, Zhang, Chen, Wei, Chengwei, Li, Haizhou
Output length is critical to dialogue summarization systems. The dialogue summary length is determined by multiple factors, including dialogue complexity, summary objective, and personal preferences. In this work, we approach dialogue summary length from three perspectives. First, we analyze the length differences between existing models' outputs and the corresponding human references and find that summarization models tend to produce more verbose summaries due to their pretraining objectives. Second, we identify salient features for summary length prediction by comparing different model settings. Third, we experiment with a length-aware summarizer and show notable improvement on existing models if summary length can be well incorporated. Analysis and experiments are conducted on popular DialogSum and SAMSum datasets to validate our findings.
A Character-Level Length-Control Algorithm for Non-Autoregressive Sentence Summarization
Liu, Puyuan, Zhang, Xiang, Mou, Lili
Sentence summarization aims at compressing a long sentence into a short one that keeps the main gist, and has extensive real-world applications such as headline generation. In previous work, researchers have developed various approaches to improve the ROUGE score, which is the main evaluation metric for summarization, whereas controlling the summary length has not drawn much attention. In our work, we address a new problem of explicit character-level length control for summarization, and propose a dynamic programming algorithm based on the Connectionist Temporal Classification (CTC) model. Results show that our approach not only achieves higher ROUGE scores but also yields more complete sentences.