Evidence map›Paper›PMID 41341630›Full record

ArticleFindings of ACL. EMNLP. Conference on Empirical Methods in Natural Language Processing2024

When Raw Data Prevails: Are Large Language Model Embeddings Effective in Numerical Data Representation for Medical Machine Learning Applications?

Yanjun Gao, Skatje Myers, Shan Chen, Dmitriy Dligach, Timothy A Miller, Danielle Bitterman, Matthew Churpek, Majid Afshar

Abstract read
In one paragraph

Article in Findings of ACL. EMNLP. Conference on Empirical Methods in Natural Language Processing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Large Language Models with Temporal Reasoning for Longitudinal Clinical Summarization and Prediction.Findings of ACL. EMNLP. Conference on Empirical Methods in Natural Language Processing · 2025
    Article
  6. Article
  7. Article
  8. 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

8 authors.

Yanjun GaoUniversity of Colorado.
Skatje MyersUniversity of Wisconsin Madison.
Shan ChenMass General Brigham, Harvard Medical School.
Dmitriy DligachLoyola University Chicago.
Timothy A MillerBoston Children Hospital, Harvard Medical School.
Danielle BittermanMass General Brigham, Harvard Medical School.
Matthew ChurpekUniversity of Wisconsin Madison.
Majid AfsharUniversity of Wisconsin Madison.

Funding

Shared Resource Core 2: Clinical Artificial Intelligence CoreU54CA274516 · NCI · DANA-FARBER CANCER INST · PI David Kozono · 2023 to 2026
$8.1M
Data Driven Strategies for Substance Misuse Identification in Hospitalized PatientsR01DA051464 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI Majid Afshar · 2020 to 2026
$4.5M
Learning Universal Patient Representations with Hierarchical TransformersR01LM012973 · NLM · BOSTON CHILDREN'S HOSPITAL · PI Timothy A Miller · 2019 to 2026
$3.5M
Using causal machine learning for personalized treatment recommendations in critically ill patientsR01HL157262 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Matthew Michael Churpek · 2021 to 2026
$3.1M
Informatics strategies to improve immune-related adverse event detection in cancer patientsR01CA294033 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Hugo Aerts · 2024 to 2026
$1.3M
Developing and Evaluating Multi-Modal Clinical Diagnostic Reasoning Models for Automated Diagnosis GenerationR00LM014308 · NLM · UNIVERSITY OF COLORADO DENVER · PI Yanjun Gao · 2024 to 2026
$726k
Developing and Evaluating Multi-Modal Clinical Diagnostic Reasoning Models for Automated Diagnosis GenerationK99LM014308 · NLM · UNIVERSITY OF WISCONSIN-MADISON · PI GAO, YANJUN · 2023 to 2023
$87k
NCI NIH HHS R01 CA294033NCI NIH HHS U54 CA274516NHLBI NIH HHS R01 HL157262NIDA NIH HHS R01 DA051464NLM NIH HHS K99 LM014308NLM NIH HHS R00 LM014308NLM NIH HHS R01 LM012973
6 · The paper itself

Abstract

The introduction of Large Language Models (LLMs) has advanced data representation and analysis, bringing significant progress in their use for medical questions and answering. Despite these advancements, integrating tabular data, especially numerical data pivotal in clinical contexts, into LLM paradigms has not been thoroughly explored. In this study, we examine the effectiveness of vector representations from last hidden states of LLMs for medical diagnostics and prognostics using electronic health record (EHR) data. We compare the performance of these embeddings with that of raw numerical EHR data when used as feature inputs to traditional machine learning (ML) algorithms that excel at tabular data learning, such as eXtreme Gradient Boosting. We focus on instruction-tuned LLMs in a zero-shot setting to represent abnormal physiological data and evaluating their utilities as feature extractors to enhance ML classifiers for predicting diagnoses, length of stay, and mortality. Furthermore, we examine prompt engineering techniques on zero-shot and few-shot LLM embeddings to measure their impact comprehensively. Although findings suggest the raw data features still prevail in medical ML tasks, zero-shot LLM embeddings demonstrate competitive results, suggesting a promising avenue for future research in medical applications.

Identifiers

PMID41341630
PMCPMC12671554

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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.