Evidence map›Paper›PMID 38622901›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2024

Constructing synthetic datasets with generative artificial intelligence to train large language models to classify acute renal failure from clinical notes.

Onkar Litake, Brian H Park, Jeffrey L Tully, Rodney A Gabriel

Abstract readComparative Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. What can you do with a large language model?Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Onkar LitakeDivision of Perioperative Informatics, Department of Anesthesiology, University of California, San Diego, La Jolla, CA 92037, United States.
Brian H ParkDivision of Perioperative Informatics, Department of Anesthesiology, University of California, San Diego, La Jolla, CA 92037, United States.
Jeffrey L TullyDivision of Perioperative Informatics, Department of Anesthesiology, University of California, San Diego, La Jolla, CA 92037, United States.ORCID 0000-0002-3537-6716
Rodney A GabrielDivision of Perioperative Informatics, Department of Anesthesiology, University of California, San Diego, La Jolla, CA 92037, United States.

Funding

Interdisciplinary Anesthesiology Research Training ProgramT32GM121318 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Hemal H Patel, DAVID M ROTH · 2017 to 2026
$1.5M
NIGMS NIH HHS T32 GM121318
6 · The paper itself

Abstract

objectivesTo compare performances of a classifier that leverages language models when trained on synthetic versus authentic clinical notes. MATERIALS AND

methodsA classifier using language models was developed to identify acute renal failure. Four types of training data were compared: (1) notes from MIMIC-III; and (2, 3, and 4) synthetic notes generated by ChatGPT of varied text lengths of 15 (GPT-15 sentences), 30 (GPT-30 sentences), and 45 (GPT-45 sentences) sentences, respectively. The area under the receiver operating characteristics curve (AUC) was calculated from a test set from MIMIC-III.

resultsWith RoBERTa, the AUCs were 0.84, 0.80, 0.84, and 0.76 for the MIMIC-III, GPT-15, GPT-30- and GPT-45 sentences training sets, respectively. DISCUSSION: Training language models to detect acute renal failure from clinical notes resulted in similar performances when using synthetic versus authentic training data.

conclusionThe use of training data derived from protected health information may not be needed.

Indexed as

Acute Kidney InjuryArtificial IntelligenceElectronic Health RecordsArea Under CurveDatasets as TopicHumansNatural Language ProcessingROC Curveartificial intelligenceChatGPTgenerative AIlarge language models

Identifiers

PMID38622901
PMCPMC11105122

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.