We investigated the development of a Machine Learning (ML)-based classifier to identify abnormalities in radiology reports from Emergency Departments (EDs) that can help automate the radiology report reconciliation process. Often, radiology reports become available to the ED only after the patient has been treated and discharged, following ED clinician interpretation of the X-ray. However, occasionally ED clinicians misdiagnose or fail to detect subtle abnormalities on X-rays, so they conduct a manual radiology report reconciliation process as a safety net. Previous studies addressed this problem of automated reconciliation using ML-based classification solutions that require data samples from the target institution that is heavily based on feature engineering, implying lower transferability between hospitals. In this paper, we investigated the benefits of using pre-trained BERT models for abnormality classification in a cross-institutional setting where data for fine-tuning was unavailable from the target institution. We also examined how the inclusion of synthetically generated radiology reports from ChatGPT affected the performance of the BERT models. Our findings suggest that BERT-like models outperform previously proposed ML-based methods in cross-institutional scenarios, and that adding ChatGPT-generated labelled radiology reports can improve the classifier’s performance by reducing the number of misdiagnosed discharged patients.

In the field of information retrieval, Query Likelihood Models (QLMs) rank documents based on the probability of generating the query given the content of a document. Recently, advanced large language models (LLMs) have emerged as effective QLMs, showcasing promising ranking capabilities. This paper focuses on investigating the genuine zero-shot ranking effectiveness of recent LLMs, which are solely pre-trained on unstructured text data without supervised instruction fine-tuning. Our findings reveal the robust zero-shot ranking ability of such LLMs, highlighting that additional instruction fine-tuning may hinder effectiveness unless a question generation task is present in the fine-tuning dataset. Furthermore, we introduce a novel state-of-the-art ranking system that integrates LLM-based QLMs with a hybrid zero-shot retriever, demonstrating exceptional effectiveness in both zero-shot and few-shot scenarios. We make our codebase publicly available at https://github.com/ielab/llm-qlm.

This paper investigates the significant impact different prompts have on the behaviour of ChatGPT when used for health information seeking. As people more and more depend on generative large language models (LLMs) like ChatGPT, it is critical to understand model behaviour under different conditions, especially for domains where incorrect answers can have serious consequences such as health. Using the TREC Misinformation dataset, we empirically evaluate ChatGPT to show not just its effectiveness but reveal that knowledge passed in the prompt can bias the model to the detriment of answer correctness. We show this occurs both for retrieve-then-generate pipelines and based on how a user phrases their question as well as the question type. This work has important implications for the development of more robust and transparent question-answering systems based on generative large language models. Prompts, raw result files and manual analysis are made publicly available at https://github.com/ielab/drchatgpt-health_prompting.

We describe the participation of team e-Health CSIRO in the BioNLP RadSum task of 2023. This task aims to develop automatic summarisation methods for radiology. The subtask that we participated in was multimodal; the impression section of a report was to be summarised from a given findings section and set of Chest X-rays (CXRs) of a subject’s study. For our method, we adapted an encoder-to-decoder model for CXR report generation to the subtask. e-Health CSIRO placed seventh amongst the participating teams with a RadGraph ER F1 score of 23.9.