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Megan Barnes

Publications and source records attributed to Megan Barnes.

4 recordsLinked to original sources

Towards AI-Assisted Clinical Trial Matching: Practical Considerations, Multicenter Evaluation, and Real-World Deployment

Clinical trials are essential for advancing cancer care and drug development, but many fail because of insufficient patient enrollment. While there is growing interest in using AI to support patient recruitment, existing systems largely perform eligibility assessment alone and have rarely been evaluated in real-world oncology workflows. Here we present TrialGPT 2.0, an AI-assisted clinical trial recommendation system designed for real-world deployment. Rather than asking only whether a patient may qualify, the system also assesses which trials warrant further consideration given the patient's current clinical needs and local workflow priorities, and provides structured, inspectable explanations for expert review. Importantly, we evaluated TrialGPT 2.0 retrospectively and prospectively across multiple oncology-focused settings, spanning government, academic cancer-center, patient-advocacy, and NIH referral workflows. In retrospective multicenter cohorts comprising 288 cases, TrialGPT 2.0 retrieved at least one clinician-recommended trial in its top 10 recommendations for approximately 91% of cases while reducing clinician screening time by 55.0%. In a six-month prospective evaluation embedded in an active precision oncology tumor board, TrialGPT 2.0 contributed additional trial opportunities missed by the routine workflow, expanding patient access to clinical trial participation by 90.9%. To support scientific reproducibility, we also introduce NIH-TrialBench, a clinician-authored dataset comprising 126 diverse synthetic patient vignettes and matching scenarios from 11 NIH Institutes and Centers. Together, these results support the value of AI to assist clinical trial matching by improving clinician efficiency and identifying frequently overlooked trial opportunities, ultimately helping to expand and accelerate accrual to cancer trials.

cs.CL

Gemini Embedding 2: A Native Multimodal Embedding Model from Gemini

We introduce Gemini Embedding 2, a native multimodal embedding model that allows embedding video, audio, image, and text modalities in a unified representation space. We leverage the multimodal capabilities of Gemini to produce embeddings for arbitrary combinations of interleaved inputs across all these modalities that generalize well across a wide variety of tasks. Applying large-scale contrastive learning in a multi-task multi-stage training setup, we achieve state-of-the-art performance on key embedding benchmarks including unimodal, cross-modal, and multimodal retrieval spanning a diverse set of tasks. We show that our embedding model demonstrates strong performance (with a score of 62.9 R@1 on MSCOCO, 68.8 NDCG@10 on Vatex, 69.9 on MTEB multilingual and 84.0 on MTEB Code) across a variety of tasks surpassing the performance of specialized models. These unified capabilities make Gemini Embedding 2 a promising candidate for downstream use cases such as RAG, recommendation and search. Furthermore, its robust zero-shot performance across distinct fields - from astronomy and bioscience to fine arts and the culinary arts - establishes it as a highly reliable, out-of-the-box representation even for specialized domains.

cs.CV

The FACTS Leaderboard: A Comprehensive Benchmark for Large Language Model Factuality

We introduce The FACTS Leaderboard, an online leaderboard suite and associated set of benchmarks that comprehensively evaluates the ability of language models to generate factually accurate text across diverse scenarios. The suite provides a holistic measure of factuality by aggregating the performance of models on four distinct sub-leaderboards: (1) FACTS Multimodal, which measures the factuality of responses to image-based questions; (2) FACTS Parametric, which assesses models' world knowledge by answering closed-book factoid questions from internal parameters; (3) FACTS Search, which evaluates factuality in information-seeking scenarios, where the model must use a search API; and (4) FACTS Grounding (v2), which evaluates whether long-form responses are grounded in provided documents, featuring significantly improved judge models. Each sub-leaderboard employs automated judge models to score model responses, and the final suite score is an average of the four components, designed to provide a robust and balanced assessment of a model's overall factuality. The FACTS Leaderboard Suite will be actively maintained, containing both public and private splits to allow for external participation while guarding its integrity. It can be found at https://www.kaggle.com/benchmarks/google/facts .

cs.CL

DEXTER: Deep Encoding of External Knowledge for Named Entity Recognition in Virtual Assistants

Named entity recognition (NER) is usually developed and tested on text from well-written sources. However, in intelligent voice assistants, where NER is an important component, input to NER may be noisy because of user or speech recognition error. In applications, entity labels may change frequently, and non-textual properties like topicality or popularity may be needed to choose among alternatives. We describe a NER system intended to address these problems. We test and train this system on a proprietary user-derived dataset. We compare with a baseline text-only NER system; the baseline enhanced with external gazetteers; and the baseline enhanced with the search and indirect labelling techniques we describe below. The final configuration gives around 6% reduction in NER error rate. We also show that this technique improves related tasks, such as semantic parsing, with an improvement of up to 5% in error rate.

cs.CL