MedLink: Retrieval and Ranking of Case Reports to Assist Clinical Decision Making
摘要
In healthcare, diagnoses usually rely on physician expertise. However, complex cases may benefit from consulting similar past clinical reports cases. In this paper, we present MedLink ( http://medlink.inesctec.pt ), a tool that given a free-text medical report, retrieves and ranks relevant clinical case reports published in health conferences and journals, aiming to support clinical decision-making, particularly in challenging or complex diagnoses. To this regard, we trained two BERT models on the sentence similarity task: a bi-encoder for retrieval and a cross-encoder for reranking. To evaluate our approach, we used 10 medical reports and asked a physician to rank the top 10 most relevant published case reports for each one. Our results show that MedLink’s ranking model achieved NDCG@10 of 0.747. Our demo also includes the visualization of clinical entities (using a NER model) and the production of a textual explanation (using a LLM) to ease comparison and contrasting between reports.