Daily Papers

Document Layout Analysis is crucial for real-world document understanding systems, but it encounters a challenging trade-off between speed and accuracy: multimodal methods leveraging both text and visual features achieve higher accuracy but suffer from significant latency, whereas unimodal methods relying solely on visual features offer faster processing speeds at the expense of accuracy. To address this dilemma, we introduce DocLayout-YOLO, a novel approach that enhances accuracy while maintaining speed advantages through document-specific optimizations in both pre-training and model design. For robust document pre-training, we introduce the Mesh-candidate BestFit algorithm, which frames document synthesis as a two-dimensional bin packing problem, generating the large-scale, diverse DocSynth-300K dataset. Pre-training on the resulting DocSynth-300K dataset significantly improves fine-tuning performance across various document types. In terms of model optimization, we propose a Global-to-Local Controllable Receptive Module that is capable of better handling multi-scale variations of document elements. Furthermore, to validate performance across different document types, we introduce a complex and challenging benchmark named DocStructBench. Extensive experiments on downstream datasets demonstrate that DocLayout-YOLO excels in both speed and accuracy. Code, data, and models are available at https://github.com/opendatalab/DocLayout-YOLO.

Large language models (LLMs) have made impressive progress in handling simple math problems, yet they still struggle with more challenging and complex mathematical tasks. In this paper, we introduce a series of LLMs that employs the Decomposition of thought with code assistance and self-correction for mathematical reasoning, dubbed as DotaMath. DotaMath models tackle complex mathematical tasks by decomposing them into simpler logical subtasks, leveraging code to solve these subtasks, obtaining fine-grained feedback from the code interpreter, and engaging in self-reflection and correction. By annotating diverse interactive tool-use trajectories and employing query evolution on GSM8K and MATH datasets, we generate an instruction fine-tuning dataset called DotaMathQA with 574K query-response pairs. We train a series of base LLMs using imitation learning on DotaMathQA, resulting in DotaMath models that achieve remarkable performance compared to open-source LLMs across various in-domain and out-of-domain benchmarks. Notably, DotaMath-deepseek-7B showcases an outstanding performance of 64.8% on the competitive MATH dataset and 86.7% on GSM8K. Besides, DotaMath-deepseek-7B maintains strong competitiveness on a series of in-domain and out-of-domain benchmarks (Avg. 80.1%). Looking forward, we anticipate that the DotaMath paradigm will open new pathways for addressing intricate mathematical problems. Our code is publicly available at https://github.com/ChengpengLi1003/DotaMath.

Recent LLMs have demonstrated remarkable performance in solving exam-like math word problems. However, the degree to which these numerical reasoning skills are effective in real-world scenarios, particularly in expert domains, is still largely unexplored. This paper introduces DocMath-Eval, a comprehensive benchmark specifically designed to evaluate the numerical reasoning and problem-solving capabilities of LLMs in the context of understanding and analyzing financial documents containing both text and tables. We evaluate a wide spectrum of 19 LLMs, including those specialized in coding and finance. We also incorporate different prompting strategies (i.e., Chain-of-Thoughts and Program-of-Thoughts) to comprehensively assess the capabilities and limitations of existing LLMs in DocMath-Eval. We found that, although the current best-performing system (i.e., GPT-4), can perform well on simple problems such as calculating the rate of increase in a financial metric within a short document context, it significantly lags behind human experts in more complex problems grounded in longer contexts. We believe DocMath-Eval can be used as a valuable benchmark to evaluate LLMs' capabilities to solve challenging numerical reasoning problems in expert domains. We will release the benchmark and code at https://github.com/yale-nlp/DocMath-Eval.

Information Extraction from visually rich documents is a challenging task that has gained a lot of attention in recent years due to its importance in several document-control based applications and its widespread commercial value. The majority of the research work conducted on this topic to date follow a two-step pipeline. First, they read the text using an off-the-shelf Optical Character Recognition (OCR) engine, then, they extract the fields of interest from the obtained text. The main drawback of these approaches is their dependence on an external OCR system, which can negatively impact both performance and computational speed. Recent OCR-free methods were proposed to address the previous issues. Inspired by their promising results, we propose in this paper an OCR-free end-to-end information extraction model named DocParser. It differs from prior end-to-end approaches by its ability to better extract discriminative character features. DocParser achieves state-of-the-art results on various datasets, while still being faster than previous works.

Accurate document layout analysis is a key requirement for high-quality PDF document conversion. With the recent availability of public, large ground-truth datasets such as PubLayNet and DocBank, deep-learning models have proven to be very effective at layout detection and segmentation. While these datasets are of adequate size to train such models, they severely lack in layout variability since they are sourced from scientific article repositories such as PubMed and arXiv only. Consequently, the accuracy of the layout segmentation drops significantly when these models are applied on more challenging and diverse layouts. In this paper, we present DocLayNet, a new, publicly available, document-layout annotation dataset in COCO format. It contains 80863 manually annotated pages from diverse data sources to represent a wide variability in layouts. For each PDF page, the layout annotations provide labelled bounding-boxes with a choice of 11 distinct classes. DocLayNet also provides a subset of double- and triple-annotated pages to determine the inter-annotator agreement. In multiple experiments, we provide baseline accuracy scores (in mAP) for a set of popular object detection models. We also demonstrate that these models fall approximately 10\% behind the inter-annotator agreement. Furthermore, we provide evidence that DocLayNet is of sufficient size. Lastly, we compare models trained on PubLayNet, DocBank and DocLayNet, showing that layout predictions of the DocLayNet-trained models are more robust and thus the preferred choice for general-purpose document-layout analysis.

Input constraints are useful for many software development tasks. For example, input constraints of a function enable the generation of valid inputs, i.e., inputs that follow these constraints, to test the function deeper. API functions of deep learning (DL) libraries have DL specific input constraints, which are described informally in the free form API documentation. Existing constraint extraction techniques are ineffective for extracting DL specific input constraints. To fill this gap, we design and implement a new technique, DocTer, to analyze API documentation to extract DL specific input constraints for DL API functions. DocTer features a novel algorithm that automatically constructs rules to extract API parameter constraints from syntactic patterns in the form of dependency parse trees of API descriptions. These rules are then applied to a large volume of API documents in popular DL libraries to extract their input parameter constraints. To demonstrate the effectiveness of the extracted constraints, DocTer uses the constraints to enable the automatic generation of valid and invalid inputs to test DL API functions. Our evaluation on three popular DL libraries (TensorFlow, PyTorch, and MXNet) shows that the precision of DocTer in extracting input constraints is 85.4%. DocTer detects 94 bugs from 174 API functions, including one previously unknown security vulnerability that is now documented in the CVE database, while a baseline technique without input constraints detects only 59 bugs. Most (63) of the 94 bugs are previously unknown, 54 of which have been fixed or confirmed by developers after we report them. In addition, DocTer detects 43 inconsistencies in documents, 39 of which are fixed or confirmed.

Low-rank adaptation (LoRA) reduces the computational and memory demands of fine-tuning large language models (LLMs) by approximating updates with low-rank matrices. However, low-rank approximation in two-dimensional space fails to capture high-dimensional structures within the target matrix. Recently, tensor decomposition methods have been explored for fine-tuning LLMs, leveraging their ability to extract structured information. Yet, these approaches primarily rely on random initialization, and the impact of initialization on tensor adaptation remains underexplored. In this paper, we reveal that random initialization significantly diverges from the validation loss achieved by full fine-tuning. To address this, we propose Weight-Decomposed Tensor Adaptation (DoTA), which leverages the Matrix Product Operator (MPO) decomposition of pre-trained weights for effective initialization in fine-tuning LLMs. Additionally, we introduce QDoTA, a quantized version of DoTA designed for 4-bit quantization. Experiments on commonsense and arithmetic reasoning tasks show that DoTA outperforms random initialization methods with fewer parameters. QDoTA further reduces memory consumption and achieves comparable performance to DoTA on commonsense reasoning tasks. We will release our code to support future research.

The advent of multimodal learning has brought a significant improvement in document AI. Documents are now treated as multimodal entities, incorporating both textual and visual information for downstream analysis. However, works in this space are often focused on the textual aspect, using the visual space as auxiliary information. While some works have explored pure vision based techniques for document image understanding, they require OCR identified text as input during inference, or do not align with text in their learning procedure. Therefore, we present a novel image-text alignment technique specially designed for leveraging the textual information in document images to improve performance on visual tasks. Our document encoder model DoPTA - trained with this technique demonstrates strong performance on a wide range of document image understanding tasks, without requiring OCR during inference. Combined with an auxiliary reconstruction objective, DoPTA consistently outperforms larger models, while using significantly lesser pre-training compute. DoPTA also sets new state-of-the art results on D4LA, and FUNSD, two challenging document visual analysis benchmarks.

In recent years, visually-rich document understanding has attracted increasing attention. Transformer-based pre-trained models have become the mainstream approach, yielding significant performance gains in this field. However, the self-attention mechanism's quadratic computational complexity hinders their efficiency and ability to process long documents. In this paper, we present DocMamba, a novel framework based on the state space model. It is designed to reduce computational complexity to linear while preserving global modeling capabilities. To further enhance its effectiveness in document processing, we introduce the Segment-First Bidirectional Scan (SFBS) to capture contiguous semantic information. Experimental results demonstrate that DocMamba achieves new state-of-the-art results on downstream datasets such as FUNSD, CORD, and SORIE, while significantly improving speed and reducing memory usage. Notably, experiments on the HRDoc confirm DocMamba's potential for length extrapolation. The code will be available online.

Text-rich document understanding (TDU) refers to analyzing and comprehending documents containing substantial textual content. With the rapid evolution of large language models (LLMs), they have been widely leveraged for TDU due to their remarkable versatility and generalization. In this paper, we introduce DocLayLLM, an efficient and effective multi-modal extension of LLMs specifically designed for TDU. By integrating visual patch tokens and 2D positional tokens into LLMs and encoding the document content using the LLMs themselves, we fully take advantage of the document comprehension capability of LLMs and enhance their perception of OCR information. We have also deeply considered the role of the chain-of-thought (CoT) and innovatively proposed the techniques of CoT Pre-training and CoT Annealing. Our DocLayLLM can achieve remarkable performances with lightweight training settings, showcasing its efficiency and effectiveness. Experimental results demonstrate that our DocLayLLM surpasses existing OCR-dependent methods and also outperforms OCR-free competitors.

The use of visually-rich documents (VRDs) in various fields has created a demand for Document AI models that can read and comprehend documents like humans, which requires the overcoming of technical, linguistic, and cognitive barriers. Unfortunately, the lack of appropriate datasets has significantly hindered advancements in the field. To address this issue, we introduce DocTrack, a VRD dataset really aligned with human eye-movement information using eye-tracking technology. This dataset can be used to investigate the challenges mentioned above. Additionally, we explore the impact of human reading order on document understanding tasks and examine what would happen if a machine reads in the same order as a human. Our results suggest that although Document AI models have made significant progress, they still have a long way to go before they can read VRDs as accurately, continuously, and flexibly as humans do. These findings have potential implications for future research and development of Document AI models. The data is available at https://github.com/hint-lab/doctrack.

We present DictaBERT, a new state-of-the-art pre-trained BERT model for modern Hebrew, outperforming existing models on most benchmarks. Additionally, we release two fine-tuned versions of the model, designed to perform two specific foundational tasks in the analysis of Hebrew texts: prefix segmentation and morphological tagging. These fine-tuned models allow any developer to perform prefix segmentation and morphological tagging of a Hebrew sentence with a single call to a HuggingFace model, without the need to integrate any additional libraries or code. In this paper we describe the details of the training as well and the results on the different benchmarks. We release the models to the community, along with sample code demonstrating their use. We release these models as part of our goal to help further research and development in Hebrew NLP.

We present a new formulation for structured information extraction (SIE) from visually rich documents. It aims to address the limitations of existing IOB tagging or graph-based formulations, which are either overly reliant on the correct ordering of input text or struggle with decoding a complex graph. Instead, motivated by anchor-based object detectors in vision, we represent an entity as an anchor word and a bounding box, and represent entity linking as the association between anchor words. This is more robust to text ordering, and maintains a compact graph for entity linking. The formulation motivates us to introduce 1) a DOCument TRansformer (DocTr) that aims at detecting and associating entity bounding boxes in visually rich documents, and 2) a simple pre-training strategy that helps learn entity detection in the context of language. Evaluations on three SIE benchmarks show the effectiveness of the proposed formulation, and the overall approach outperforms existing solutions.

Doctors typically write in incomprehensible handwriting, making it difficult for both the general public and some pharmacists to understand the medications they have prescribed. It is not ideal for them to write the prescription quietly and methodically because they will be dealing with dozens of patients every day and will be swamped with work.As a result, their handwriting is illegible. This may result in reports or prescriptions consisting of short forms and cursive writing that a typical person or pharmacist won't be able to read properly, which will cause prescribed medications to be misspelled. However, some individuals are accustomed to writing prescriptions in regional languages because we all live in an area with a diversity of regional languages. It makes analyzing the content much more challenging. So, in this project, we'll use a recognition system to build a tool that can translate the handwriting of physicians in any language. This system will be made into an application which is fully autonomous in functioning. As the user uploads the prescription image the program will pre-process the image by performing image pre-processing, and word segmentations initially before processing the image for training. And it will be done for every language we require the model to detect. And as of the deduction model will be made using deep learning techniques including CNN, RNN, and LSTM, which are utilized to train the model. To match words from various languages that will be written in the system, Unicode will be used. Furthermore, fuzzy search and market basket analysis are employed to offer an end result that will be optimized from the pharmaceutical database and displayed to the user as a structured output.

Document layout analysis usually relies on computer vision models to understand documents while ignoring textual information that is vital to capture. Meanwhile, high quality labeled datasets with both visual and textual information are still insufficient. In this paper, we present DocBank, a benchmark dataset that contains 500K document pages with fine-grained token-level annotations for document layout analysis. DocBank is constructed using a simple yet effective way with weak supervision from the documents available on the arXiv.com. With DocBank, models from different modalities can be compared fairly and multi-modal approaches will be further investigated and boost the performance of document layout analysis. We build several strong baselines and manually split train/dev/test sets for evaluation. Experiment results show that models trained on DocBank accurately recognize the layout information for a variety of documents. The DocBank dataset is publicly available at https://github.com/doc-analysis/DocBank.

On April 13th, 2019, OpenAI Five became the first AI system to defeat the world champions at an esports game. The game of Dota 2 presents novel challenges for AI systems such as long time horizons, imperfect information, and complex, continuous state-action spaces, all challenges which will become increasingly central to more capable AI systems. OpenAI Five leveraged existing reinforcement learning techniques, scaled to learn from batches of approximately 2 million frames every 2 seconds. We developed a distributed training system and tools for continual training which allowed us to train OpenAI Five for 10 months. By defeating the Dota 2 world champion (Team OG), OpenAI Five demonstrates that self-play reinforcement learning can achieve superhuman performance on a difficult task.

We present Knesset-DictaBERT, a large Hebrew language model fine-tuned on the Knesset Corpus, which comprises Israeli parliamentary proceedings. The model is based on the DictaBERT architecture and demonstrates significant improvements in understanding parliamentary language according to the MLM task. We provide a detailed evaluation of the model's performance, showing improvements in perplexity and accuracy over the baseline DictaBERT model.

We present DictaLM, a large-scale language model tailored for Modern Hebrew. Boasting 7B parameters, this model is predominantly trained on Hebrew-centric data. As a commitment to promoting research and development in the Hebrew language, we release both the foundation model and the instruct-tuned model under a Creative Commons license. Concurrently, we introduce DictaLM-Rab, another foundation model geared towards Rabbinic/Historical Hebrew. These foundation models serve as ideal starting points for fine-tuning various Hebrew-specific tasks, such as instruction, Q&A, sentiment analysis, and more. This release represents a preliminary step, offering an initial Hebrew LLM model for the Hebrew NLP community to experiment with.

Voice dictation is an increasingly important text input modality. Existing systems that allow both dictation and editing-by-voice restrict their command language to flat templates invoked by trigger words. In this work, we study the feasibility of allowing users to interrupt their dictation with spoken editing commands in open-ended natural language. We introduce a new task and dataset, TERTiUS, to experiment with such systems. To support this flexibility in real-time, a system must incrementally segment and classify spans of speech as either dictation or command, and interpret the spans that are commands. We experiment with using large pre-trained language models to predict the edited text, or alternatively, to predict a small text-editing program. Experiments show a natural trade-off between model accuracy and latency: a smaller model achieves 30% end-state accuracy with 1.3 seconds of latency, while a larger model achieves 55% end-state accuracy with 7 seconds of latency.

Training large language models (LLMs) in low-resource languages such as Hebrew poses unique challenges. In this paper, we introduce DictaLM2.0 and DictaLM2.0-Instruct, two LLMs derived from the Mistral model, trained on a substantial corpus of approximately 200 billion tokens in both Hebrew and English. Adapting a pre-trained model to a new language involves specialized techniques that differ significantly from training a model from scratch or further training existing models on well-resourced languages such as English. We outline these novel training methodologies, which facilitate effective learning and adaptation to the linguistic properties of Hebrew. Additionally, we fine-tuned DictaLM2.0-Instruct on a comprehensive instruct dataset to enhance its performance on task-specific instructions. To rigorously evaluate our models, we introduce a new benchmark suite for Hebrew LLM evaluation, covering a diverse set of tasks including Question Answering, Sentiment Analysis, Winograd Schema Challenge, Translation, and Summarization. Our work not only addresses the intricacies of training LLMs in low-resource languages but also proposes a framework that can be leveraged for adapting other LLMs to various non-English languages, contributing to the broader field of multilingual NLP.

Depression poses significant challenges to patients and healthcare organizations, necessitating efficient assessment methods. Existing paradigms typically focus on a patient-doctor way that overlooks multi-role interactions, such as family involvement in the evaluation and caregiving process. Moreover, current automatic depression detection (ADD) methods usually model depression detection as a classification or regression task, lacking interpretability for the decision-making process. To address these issues, we developed InterMind, a doctor-patient-family interactive depression assessment system empowered by large language models (LLMs). Our system enables patients and families to contribute descriptions, generates assistive diagnostic reports for doctors, and provides actionable insights, improving diagnostic precision and efficiency. To enhance LLMs' performance in psychological counseling and diagnostic interpretability, we integrate retrieval-augmented generation (RAG) and chain-of-thoughts (CoT) techniques for data augmentation, which mitigates the hallucination issue of LLMs in specific scenarios after instruction fine-tuning. Quantitative experiments and professional assessments by clinicians validate the effectiveness of our system.

The recent success of Large Language Models (LLMs) has had a significant impact on the healthcare field, providing patients with medical advice, diagnostic information, and more. However, due to a lack of professional medical knowledge, patients are easily misled by generated erroneous information from LLMs, which may result in serious medical problems. To address this issue, we focus on tuning the LLMs to be medical assistants who collaborate with more experienced doctors. We first conduct a two-stage survey by inspiration-feedback to gain a broad understanding of the real needs of doctors for medical assistants. Based on this, we construct a Chinese medical dataset called DoctorFLAN to support the entire workflow of doctors, which includes 92K Q\&A samples from 22 tasks and 27 specialists. Moreover, we evaluate LLMs in doctor-oriented scenarios by constructing the DoctorFLAN-test containing 550 single-turn Q\&A and DotaBench containing 74 multi-turn conversations. The evaluation results indicate that being a medical assistant still poses challenges for existing open-source models, but DoctorFLAN can help them significantly. It demonstrates that the doctor-oriented dataset and benchmarks we construct can complement existing patient-oriented work and better promote medical LLMs research.

Following each patient visit, physicians draft long semi-structured clinical summaries called SOAP notes. While invaluable to clinicians and researchers, creating digital SOAP notes is burdensome, contributing to physician burnout. In this paper, we introduce the first complete pipelines to leverage deep summarization models to generate these notes based on transcripts of conversations between physicians and patients. After exploring a spectrum of methods across the extractive-abstractive spectrum, we propose Cluster2Sent, an algorithm that (i) extracts important utterances relevant to each summary section; (ii) clusters together related utterances; and then (iii) generates one summary sentence per cluster. Cluster2Sent outperforms its purely abstractive counterpart by 8 ROUGE-1 points, and produces significantly more factual and coherent sentences as assessed by expert human evaluators. For reproducibility, we demonstrate similar benefits on the publicly available AMI dataset. Our results speak to the benefits of structuring summaries into sections and annotating supporting evidence when constructing summarization corpora.

The detailed clinical records drafted by doctors after each patient's visit are crucial for medical practitioners and researchers. Automating the creation of these notes with language models can reduce the workload of doctors. However, training such models can be difficult due to the limited public availability of conversations between patients and doctors. In this paper, we introduce NoteChat, a cooperative multi-agent framework leveraging Large Language Models (LLMs) for generating synthetic doctor-patient conversations conditioned on clinical notes. NoteChat consists of Planning, Roleplay, and Polish modules. We provide a comprehensive automatic and human evaluation of NoteChat, comparing it with state-of-the-art models, including OpenAI's ChatGPT and GPT-4. Results demonstrate that NoteChat facilitates high-quality synthetic doctor-patient conversations, underscoring the untapped potential of LLMs in healthcare. This work represents the first instance of multiple LLMs cooperating to complete a doctor-patient conversation conditioned on clinical notes, offering promising avenues for the intersection of AI and healthcare

In this paper, we introduce InMD-X, a collection of multiple large language models specifically designed to cater to the unique characteristics and demands of Internal Medicine Doctors (IMD). InMD-X represents a groundbreaking development in natural language processing, offering a suite of language models fine-tuned for various aspects of the internal medicine field. These models encompass a wide range of medical sub-specialties, enabling IMDs to perform more efficient and accurate research, diagnosis, and documentation. InMD-X's versatility and adaptability make it a valuable tool for improving the healthcare industry, enhancing communication between healthcare professionals, and advancing medical research. Each model within InMD-X is meticulously tailored to address specific challenges faced by IMDs, ensuring the highest level of precision and comprehensiveness in clinical text analysis and decision support. This paper provides an overview of the design, development, and evaluation of InMD-X, showcasing its potential to revolutionize the way internal medicine practitioners interact with medical data and information. We present results from extensive testing, demonstrating the effectiveness and practical utility of InMD-X in real-world medical scenarios.

Most of the speech recognition systems recover only words in the speech and fail to capture emotions. Users have to manually add emoji(s) in text for adding tone and making communication fun. Though there is much work done on punctuation addition on transcribed speech, the area of emotion addition is untouched. In this paper, we propose a novel on-device pipeline to enrich the voice input experience. It involves, given a blob of transcribed text, intelligently processing and identifying structure where emoji insertion makes sense. Moreover, it includes semantic text analysis to predict emoji for each of the sub-parts for which we propose a novel architecture Attention-based Char Aware (ACA) LSTM which handles Out-Of-Vocabulary (OOV) words as well. All these tasks are executed completely on-device and hence can aid on-device dictation systems. To the best of our knowledge, this is the first work that shows how to add emoji(s) in the transcribed text. We demonstrate that our components achieve comparable results to previous neural approaches for punctuation addition and emoji prediction with 80% fewer parameters. Overall, our proposed model has a very small memory footprint of a mere 4MB to suit on-device deployment.

Large language models (LLMs) have exhibited remarkable capabilities across various domains and tasks, pushing the boundaries of our knowledge in learning and cognition. The latest model, OpenAI's o1, stands out as the first LLM with an internalized chain-of-thought technique using reinforcement learning strategies. While it has demonstrated surprisingly strong capabilities on various general language tasks, its performance in specialized fields such as medicine remains unknown. To this end, this report provides a comprehensive exploration of o1 on different medical scenarios, examining 3 key aspects: understanding, reasoning, and multilinguality. Specifically, our evaluation encompasses 6 tasks using data from 37 medical datasets, including two newly constructed and more challenging question-answering (QA) tasks based on professional medical quizzes from the New England Journal of Medicine (NEJM) and The Lancet. These datasets offer greater clinical relevance compared to standard medical QA benchmarks such as MedQA, translating more effectively into real-world clinical utility. Our analysis of o1 suggests that the enhanced reasoning ability of LLMs may (significantly) benefit their capability to understand various medical instructions and reason through complex clinical scenarios. Notably, o1 surpasses the previous GPT-4 in accuracy by an average of 6.2% and 6.6% across 19 datasets and two newly created complex QA scenarios. But meanwhile, we identify several weaknesses in both the model capability and the existing evaluation protocols, including hallucination, inconsistent multilingual ability, and discrepant metrics for evaluation. We release our raw data and model outputs at https://ucsc-vlaa.github.io/o1_medicine/ for future research.

This paper presents UMASS_BioNLP team participation in the MEDIQA-Chat 2023 shared task for Task-A and Task-C. We focus especially on Task-C and propose a novel LLMs cooperation system named a doctor-patient loop to generate high-quality conversation data sets. The experiment results demonstrate that our approaches yield reasonable performance as evaluated by automatic metrics such as ROUGE, medical concept recall, BLEU, and Self-BLEU. Furthermore, we conducted a comparative analysis between our proposed method and ChatGPT and GPT-4. This analysis also investigates the potential of utilizing cooperation LLMs to generate high-quality datasets.

Tumor documentation in Germany is largely done manually, requiring reading patient records and entering data into structured databases. Large language models (LLMs) could potentially enhance this process by improving efficiency and reliability. This evaluation tests eleven different open source LLMs with sizes ranging from 1-70 billion model parameters on three basic tasks of the tumor documentation process: identifying tumor diagnoses, assigning ICD-10 codes, and extracting the date of first diagnosis. For evaluating the LLMs on these tasks, a dataset of annotated text snippets based on anonymized doctors' notes from urology was prepared. Different prompting strategies were used to investigate the effect of the number of examples in few-shot prompting and to explore the capabilities of the LLMs in general. The models Llama 3.1 8B, Mistral 7B, and Mistral NeMo 12 B performed comparably well in the tasks. Models with less extensive training data or having fewer than 7 billion parameters showed notably lower performance, while larger models did not display performance gains. Examples from a different medical domain than urology could also improve the outcome in few-shot prompting, which demonstrates the ability of LLMs to handle tasks needed for tumor documentation. Open source LLMs show a strong potential for automating tumor documentation. Models from 7-12 billion parameters could offer an optimal balance between performance and resource efficiency. With tailored fine-tuning and well-designed prompting, these models might become important tools for clinical documentation in the future. The code for the evaluation is available from https://github.com/stefan-m-lenz/UroLlmEval. We also release the dataset as a new valuable resource that addresses the shortage of authentic and easily accessible benchmarks in German-language medical NLP.