arXiv subjects

Mohammad Beheshti

Publications and source records attributed to Mohammad Beheshti.

2 recordsLinked to original sources

arXiv2026

CRISS: A Retrieval-Augmented AI Chatbot for Assisting Cancer Registrars

Cancer registrars, including Oncology Data Specialists (ODSs), must interpret complex and frequently updated coding and staging standards. We developed CRISS (Cancer Registry Intelligent Support System), a retrieval-augmented generation (RAG) conversational assistant that provides rapid, citation-supported access to registry guidance. This study evaluated whether CRISS could (1) support accurate and citation-supported responses, (2) improve access to and interpretation of relevant guidance, and (3) support training/helpdesk use while preserving human oversight of final abstraction decisions. We built a domain-specific knowledge base from national cancer registry standards, segmented into metadata-tagged passages and indexed as dense embeddings. Retrieved passages were used to generate citation-grounded responses through a large language model (LLM). Open-weight, proprietary, and non-RAG baseline models across Gemini and GPT families were evaluated on easy, medium, and hard registry questions using an LLM-as-a-Judge protocols. RAG configurations consistently outperformed non-RAG approaches, especially as question difficulty increased. Mean grounding scores for RAG were 0.62/0.56/0.59 across easy/medium/hard tiers versus 0.29/0.26/0.29 for non-RAG. RAG models also achieved higher semantic-similarity scores overall. Proprietary RAG models performed strongest on easy and medium questions, while local RAG models ranked highest on hard questions and proprietary models were generally more cautious. Domain-specific RAG improved evidence grounding and response quality for cancer registry questions while enabling citation-supported assistance across complexity levels. CRISS demonstrates the potential of human-centered, citation-grounded AI to support cancer registrars while preserving human oversight for final coding decisions.

cs.AI↗

arXiv2025

Leveraging Language Models for Automated Patient Record Linkage

Objective: Healthcare data fragmentation presents a major challenge for linking patient data, necessitating robust record linkage to integrate patient records from diverse sources. This study investigates the feasibility of leveraging language models for automated patient record linkage, focusing on two key tasks: blocking and matching. Materials and Methods: We utilized real-world healthcare data from the Missouri Cancer Registry and Research Center, linking patient records from two independent sources using probabilistic linkage as a baseline. A transformer-based model, RoBERTa, was fine-tuned for blocking using sentence embeddings. For matching, several language models were experimented under fine-tuned and zero-shot settings, assessing their performance against ground truth labels. Results: The fine-tuned blocking model achieved a 92% reduction in the number of candidate pairs while maintaining near-perfect recall. In the matching task, fine-tuned Mistral-7B achieved the best performance with only 6 incorrect predictions. Among zero-shot models, Mistral-Small-24B performed best, with a total of 55 incorrect predictions. Discussion: Fine-tuned language models achieved strong performance in patient record blocking and matching with minimal errors. However, they remain less accurate and efficient than a hybrid rule-based and probabilistic approach for blocking. Additionally, reasoning models like DeepSeek-R1 are impractical for large-scale record linkage due to high computational costs. Conclusion: This study highlights the potential of language models for automating patient record linkage, offering improved efficiency by eliminating the manual efforts required to perform patient record linkage. Overall, language models offer a scalable solution that can enhance data integration, reduce manual effort, and support disease surveillance and research.

cs.AI↗