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研究团队构建了多轮医患对话数据集,模拟真实诊疗场景,并提出不依赖人工采集真实咨询数据的新评估方法。实验结果显示,DoPI系统在问诊结果上达到84.68%的准确率,显著增强了模型在诊断过程中的沟通能力,同时保持了专业水平。
当前大语言模型在医学应用中的局限性主要体现在缺乏有效的多轮对话和主动提问能力,这限制了其在模拟真实诊断场景中的实用性。DoPI系统通过知识图谱驱动的动态提问机制,解决了传统AI系统在中医诊断中无法像医生一样进行主动询问的问题,提升了信息提取的完整性和准确性。
Enhancing interrogation capabilities in Traditional Chinese Medicine (TCM) diagnosis through multi-turn dialogues and knowledge graphs presents a significant challenge for modern AI systems. Current large language models (LLMs), despite their advancements, exhibit notable limitations in medical applications, particularly in conducting effective multi-turn dialogues and proactive questioning. These shortcomings hinder their practical application and effectiveness in simulating real-world diagnostic scenarios. To address these limitations, we propose DoPI, a novel LLM system specifically designed for the TCM domain. The DoPI system introduces a collaborative architecture comprising a guidance model and an expert model. The guidance model conducts multi-turn dialogues with patients and dynamically generates questions based on a knowledge graph to efficiently extract critical symptom information. Simultaneously, the expert model leverages deep TCM expertise to provide final diagnoses and treatment plans. Furthermore, this study constructs a multi-turn doctor-patient dialogue dataset to simulate realistic consultation scenarios and proposes a novel evaluation methodology that does not rely on manually collected real-world consultation data. Experimental results show that the DoPI system achieves an accuracy rate of 84.68 percent in interrogation outcomes, significantly enhancing the model's communication ability during diagnosis while maintaining professional expertise.
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