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新论文 · v1arXiv:2611.14590

An Asynchronous Federated Learning Platform for Lung Adenocarcinoma Grading via Foundation Models and Structural Pruning

Moon-Il Joo, Md Ariful Islam Mozumder, Hee-Cheol Kim

原文摘要

Classification of lung adenocarcinoma into poorly differentiated (PD) and well-to-moderately differentiated (WMD) subtypes plays an important role in patient survival; however, consistent classification is difficult due to inter-observer variability among pathologists. Collecting data from multiple hospitals is also challenging due to patient privacy concerns. This study proposes a web-based federated learning system that shares only locally trained model weights without sharing patient data between institutions. The UNI2 foundation model and CLAM-SB were used to classify pathological whole slide images. A four-client federated learning system was constructed, and the NLST cohort was reserved exclusively for external validation. In centralized evaluation, joint training with CPTAC and TCGA outperformed single-institution training on external validation, confirming the necessity of multi-institutional data integration. FedAvg, FedProx, FedBN, and FedNova were compared as federated learning algorithms under identical experimental conditions. Test AUC ranked as FedBN, FedProx, FedNova, and FedAvg. FedNova showed the most balanced classification performance between PD and WMD. L1-norm structural pruning at 20%, 30%, and 40% sparsity was applied to reduce model transmission size. FedAvg, FedProx, and FedBN showed a tendency of decreasing Test AUC under pruning, while FedNova achieved improved Test AUC across all sparsity levels. A web-based application was developed supporting slide upload, local training, AI classification, and attention heatmap-based visualization. The combination of FedNova and 40% pruning was confirmed as a practical approach that improves communication efficiency and classification performance while protecting patient privacy.

cs.LG

新论文 · v1arXiv:2610.34871

DocTalk: Enhancing Medical Knowledge Retrieval via Fine-tuned Large Language Models with Chain-of-Thought Reasoning for Robust Clinical Decision Support

Asad Gohar, Md Ariful Islam Mozumder, Moon-Il Joo, Hee-Cheol Kim

原文摘要

Objective: The rapid advancement of large language models (LLMs) in healthcare has opened new possibilities for AI-assisted clinical decision-making; however, safe and effective deployment remains challenging because of hallucination and domain misalignment. This study introduces DocTalk, a doctor-assistive question-answering (QA) system designed to generate concise, chart-grounded responses from de-identified discharge summaries. Methods: We developed a high-fidelity data generation pipeline that produces 500 clinically relevant QA pairs through sentence-level decomposition, chain-of-thought-guided question formulation, and expert review. Six open-source LLMs, including three general-purpose and three biomedical models, were evaluated before and after parameter-efficient instruction tuning using Low-Rank Adaptation (LoRA). The framework integrates prompt engineering, in-context learning, and medically aligned evaluation to support factual and interpretable responses. Results: On DocTalk-QA, instruction tuning produced consistent improvements across lexical, semantic, and clinical fidelity metrics. The best-performing tuned model, Llama-3-Med42-8B, achieved ROUGE-L = 0.40, BERTScore-F1 = 0.76, and UMLS-F1 = 0.49. To examine external generalization beyond the DocTalk-QA dataset, the two best-performing models, Llama-3.1-8B-Instruct and Llama-3-Med42-8B, were evaluated on PubMedQA before and after instruction tuning. Accuracy improved from 0.931 to 0.977 for Llama-3.1-8B-Instruct and from 0.935 to 0.943 for Llama-3-Med42-8B. Conclusion: DocTalk was deployed as a secure web-based platform for interactive EHR querying. These findings suggest that clinically grounded instruction tuning can improve medical QA performance and support practical clinical decision support.

cs.AI · cs.CL · cs.CV