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Mar 18

Adapting Large Language Models by Integrating Collaborative Semantics for Recommendation

Recently, large language models (LLMs) have shown great potential in recommender systems, either improving existing recommendation models or serving as the backbone. However, there exists a large semantic gap between LLMs and recommender systems, since items to be recommended are often indexed by discrete identifiers (item ID) out of the LLM's vocabulary. In essence, LLMs capture language semantics while recommender systems imply collaborative semantics, making it difficult to sufficiently leverage the model capacity of LLMs for recommendation. To address this challenge, in this paper, we propose a new LLM-based recommendation model called LC-Rec, which can better integrate language and collaborative semantics for recommender systems. Our approach can directly generate items from the entire item set for recommendation, without relying on candidate items. Specifically, we make two major contributions in our approach. For item indexing, we design a learning-based vector quantization method with uniform semantic mapping, which can assign meaningful and non-conflicting IDs (called item indices) for items. For alignment tuning, we propose a series of specially designed tuning tasks to enhance the integration of collaborative semantics in LLMs. Our fine-tuning tasks enforce LLMs to deeply integrate language and collaborative semantics (characterized by the learned item indices), so as to achieve an effective adaptation to recommender systems. Extensive experiments demonstrate the effectiveness of our method, showing that our approach can outperform a number of competitive baselines including traditional recommenders and existing LLM-based recommenders. Our code is available at https://github.com/RUCAIBox/LC-Rec/.

De-identification of Patient Notes with Recurrent Neural Networks

Objective: Patient notes in electronic health records (EHRs) may contain critical information for medical investigations. However, the vast majority of medical investigators can only access de-identified notes, in order to protect the confidentiality of patients. In the United States, the Health Insurance Portability and Accountability Act (HIPAA) defines 18 types of protected health information (PHI) that needs to be removed to de-identify patient notes. Manual de-identification is impractical given the size of EHR databases, the limited number of researchers with access to the non-de-identified notes, and the frequent mistakes of human annotators. A reliable automated de-identification system would consequently be of high value. Materials and Methods: We introduce the first de-identification system based on artificial neural networks (ANNs), which requires no handcrafted features or rules, unlike existing systems. We compare the performance of the system with state-of-the-art systems on two datasets: the i2b2 2014 de-identification challenge dataset, which is the largest publicly available de-identification dataset, and the MIMIC de-identification dataset, which we assembled and is twice as large as the i2b2 2014 dataset. Results: Our ANN model outperforms the state-of-the-art systems. It yields an F1-score of 97.85 on the i2b2 2014 dataset, with a recall 97.38 and a precision of 97.32, and an F1-score of 99.23 on the MIMIC de-identification dataset, with a recall 99.25 and a precision of 99.06. Conclusion: Our findings support the use of ANNs for de-identification of patient notes, as they show better performance than previously published systems while requiring no feature engineering.

DeID-GPT: Zero-shot Medical Text De-Identification by GPT-4

The digitization of healthcare has facilitated the sharing and re-using of medical data but has also raised concerns about confidentiality and privacy. HIPAA (Health Insurance Portability and Accountability Act) mandates removing re-identifying information before the dissemination of medical records. Thus, effective and efficient solutions for de-identifying medical data, especially those in free-text forms, are highly needed. While various computer-assisted de-identification methods, including both rule-based and learning-based, have been developed and used in prior practice, such solutions still lack generalizability or need to be fine-tuned according to different scenarios, significantly imposing restrictions in wider use. The advancement of large language models (LLM), such as ChatGPT and GPT-4, have shown great potential in processing text data in the medical domain with zero-shot in-context learning, especially in the task of privacy protection, as these models can identify confidential information by their powerful named entity recognition (NER) capability. In this work, we developed a novel GPT4-enabled de-identification framework (``DeID-GPT") to automatically identify and remove the identifying information. Compared to existing commonly used medical text data de-identification methods, our developed DeID-GPT showed the highest accuracy and remarkable reliability in masking private information from the unstructured medical text while preserving the original structure and meaning of the text. This study is one of the earliest to utilize ChatGPT and GPT-4 for medical text data processing and de-identification, which provides insights for further research and solution development on the use of LLMs such as ChatGPT/GPT-4 in healthcare. Codes and benchmarking data information are available at https://github.com/yhydhx/ChatGPT-API.