Evidence map›Paper›PMID 40417483›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2024

RDguru: An Intelligent Agent for Rare Diseases.

Jian Yang, Liqi Shu, Huilong Duan, Haomin Li

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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.

Jian YangChildren's Hospital, Zhejiang University, Hangzhou, Zhejiang, China.
Liqi ShuRhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Huilong DuanZhejiang University, Hangzhou, Zhejiang, China.
Haomin LiChildren's Hospital, Zhejiang University, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large language models (LLMs) have shown great promise in clinical medicine, but their adoption in real-world settings has been limited by their tendency to generate incorrect and sometimes even toxic statements. This study presents a reliable rare disease intelligent agent called RDguru, which incorporates authoritative and reliable knowledge sources and tools into the reasoning and response of LLMs. In addition to answering questions about rare diseases more accurately, RDguru can conduct medical consultations to provide differential diagnosis decision support for clinical users. The DQN-based multi-source fusion diagnostic model integrates three diagnostic recommendation strategies, GPT-4, PheLR, and phenotype matching. Testing on 238 real rare disease cases showed that RDguru's top 10 list of recommended diagnoses was able to recall 69.1% of real diagnoses, the top 5 recommended diagnoses were able to recall 63.6% of real diagnoses, and the top ranked diagnosis was able to achieve an accuracy rate of 41.9%.

Indexed as

Artificial IntelligenceDecision Support Systems, ClinicalDiagnosis, Computer-AssistedNatural Language ProcessingRare DiseasesDiagnosis, DifferentialHumans

Identifiers

PMID40417483
PMCPMC12099370

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.