Evidence map›Paper›PMID 40502228›Full record

ArticleAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science2025

BioMistral-NLU: Towards More Generalizable Medical Language Understanding through Instruction Tuning.

Yujuan Velvin Fu, Giridhar Kaushik Ramachandran, Namu Park, Kevin Lybarger, Fei Xia, Ozlem Uzuner, Meliha Yetisgen

Abstract read
In one paragraph

Article in AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. AI assistance in tumor multidisciplinary teams.ESMO real world data and digital oncology · 2026
    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

7 authors.

Yujuan Velvin FuUniversity of Washington, Seattle, WA, USA.
Giridhar Kaushik RamachandranGeorge Mason University, Fairfax, VA, USA.
Namu ParkUniversity of Washington, Seattle, WA, USA.
Kevin LybargerGeorge Mason University, Fairfax, VA, USA.
Fei XiaUniversity of Washington, Seattle, WA, USA.
Ozlem UzunerGeorge Mason University, Fairfax, VA, USA.
Meliha YetisgenUniversity of Washington, Seattle, WA, USA.

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
Large scale clinical and economic impact analysis of potentially malignant incidental findings in radiology reportsR01CA248422 · NCI · UNIVERSITY OF WASHINGTON · PI GUNN, MARTIN, YETISGEN, MELIHA · 2021 to 2024
$2.6M
NCATS NIH HHS UL1 TR002319NCI NIH HHS R01 CA248422NLM NIH HHS T15 LM007442
6 · The paper itself

Abstract

Large language models (LLMs) such as ChatGPT are fine-tuned on large and diverse instruction-following corpora, and can generalize to new tasks. However, those instruction-tuned LLMs often perform poorly in specialized medical natural language understanding (NLU) tasks that require domain knowledge, granular text comprehension, and structured data extraction. To bridge the gap, we: (1) propose a unified prompting format for 7 important NLU tasks, (2) curate an instruction-tuning dataset, MNLU-Instruct, utilizing diverse existing open-source medical NLU corpora, and (3) develop BioMistral-NLU, a generalizable medical NLU model, through fine-tuning BioMistral on MNLU-Instruct. We evaluate BioMistral-NLU in a zero-shot setting, across 6 important NLU tasks, from two widely adopted medical NLU benchmarks: BLUE and BLURB. Our experiments show that our BioMistral-NLU outperforms the original BioMistral, as well as the proprietary LLMs - ChatGPT and GPT-4. Our dataset-agnostic prompting strategy and instruction tuning step over diverse NLU tasks enhance LLMs' generalizability across diverse medical NLU tasks. Our ablation experiments show that instruction-tuning on a wider variety of tasks, even when the total number of training instances remains constant, enhances downstream zero-shot generalization.

Identifiers

PMID40502228
PMCPMC12150714

What OpenQuestion holds

Textmetadata
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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.