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2025

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Articles 31 - 60 of 1402

Full-Text Articles in Artificial Intelligence and Robotics

Pixel-Perfect Segmentation Of Solar Filaments, Jamie Harris Dec 2025

Pixel-Perfect Segmentation Of Solar Filaments, Jamie Harris

Undergraduate Research Symposium

The observation and classification of solar filaments has a drastic impact on the ability to predict solar-magnetic weather phenomena that threatens to put both satellite infrastructure and astronauts at risk. Using the Hɑ filter provided by the Global Oscillations Network Group (GONG), a network of six telescopes around the world dedicated to 24/7 surveillance of the sun, we are able to get images that clearly and prominently display filament activity. With the vast amount of images the GONG takes, it is not possible to manually analyze every image. Using the U-Net model for computer vision, we were able to train …


Face Value: A Computational Approach To Subjective Impressions Of Faces, Kevin Kpankou Dec 2025

Face Value: A Computational Approach To Subjective Impressions Of Faces, Kevin Kpankou

Undergraduate Research Symposium

Various computational models of first impressions have been developed to uncover the mechanisms driving these judgments. However, the implicit notion of a singular ``human'' often overlooks meaningful individual differences in beliefs, attitudes, and associations, as well as culturally grounded group-level constructs. In this paper, we extend Cultural Consensus Theory (CCT) to estimate culturally shared beliefs about faces by incorporating latent constructs structured around interpretable facial features extracted via computer vision algorithms. We apply our model to a large-scale dataset of people’s first impressions of faces. Our approach reveals a robust mapping between facial features and culturally constructed impressions, allowing us …


Is Ai Replacing Human Mental Health Professionals?, Michiko Ueda Dec 2025

Is Ai Replacing Human Mental Health Professionals?, Michiko Ueda

Population Health Research Brief Series

An increasing number of people are turning to generative artificial intelligence (AI) tools and AI-assisted chatbots to manage mental health concerns. This data slice presents findings from a national survey of U.S. adults aged 18-49 (N = 1,805) conducted in October 2025. Among respondents, 35.2% reported using AI tools more than once a week for mental health support. Among those who had ever seen a human mental health professional, 28.4% reported visiting human providers less often since beginning to use AI for the same purpose. The findings suggest that a subset of users may be using AI to replace, rather …


Patterns Of Llm Weaponization: A Comparative Analysis Of Exploitation Incidents Across Commercial Ai Systems, George Antoniou Dec 2025

Patterns Of Llm Weaponization: A Comparative Analysis Of Exploitation Incidents Across Commercial Ai Systems, George Antoniou

Faculty and Staff Publications & Presentations

This comparative study examines patterns of Large Language Model (LLM) weaponization through systematic analysis of four major exploitation incidents spanning 2023-2025. While existing research focuses on isolated incidents or theoretical vulnerabilities, this study provides the first comprehensive comparative framework analyzing exploitation patterns across state-sponsored cyber-espionage (Anthropic Claude incident), academic security research (GPT-4 autonomous privilege escalation), social engineering platforms (SpearBot phishing framework), and underground criminal commoditization (WormGPT/FraudGPT ecosystem). Through comparative analysis across eight dimensions—adversary sophistication, target selection, exploitation techniques, autonomy levels, detection evasion, attribution challenges, defensive gaps, and capability democratization—this research identifies critical cross-case patterns informing defensive prioritization. Findings reveal three …


Ankimedbench: Evaluating Hierarchical Medical Knowledge In Language Model Embeddings, Neel Patel Dec 2025

Ankimedbench: Evaluating Hierarchical Medical Knowledge In Language Model Embeddings, Neel Patel

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite achieving over 90% accuracy on medical benchmarks, recent studies show physicians cannot effectively leverage language models to improve clinical reasoning. Current benchmarks test isolated factual recall, but clinical practice requires hierarchical navigation through diagnostic categories—starting broad and narrowing systematically from chest pain to cardiovascular pathology to myocardial infarction to specific STEMI types. Existing evaluations cannot measure whether models preserve this taxonomic structure essential for clinical reasoning.

We introduce AnkiMedBench, built from 16,512 medical flashcards used by students preparing for licensing exams. Cards are organized across six hierarchy levels spanning 16 broad medical specialties to 672 specific diseases and conditions. …


Developing An Ai-Assisted Grading System Using Large Language Models, Andrei Modiga Dec 2025

Developing An Ai-Assisted Grading System Using Large Language Models, Andrei Modiga

MS in Computer Science Project Reports

We present a grading system that accelerates evaluation of open-ended student work across scanned and digital workflows. The system crops answer regions from PDFs, assigns submissions via OCR on identity regions only, and groups answers by visual semantics using a vision LLM. Instructors review and edit groups, apply rubric items once per group, and export grades from an on-screen table. The solution integrates Ghostscript rasterization, PdfPig page orchestration, SkiaSharp region extraction, Tesseract identity OCR, and GPT-4o Vision for grouping. We detail the architecture, token-budgeted batching strategy, and persistence design, then describe testing results for grouping quality, time-on-task, and usability. The …


Flooding Behavior Near The Us/Canada Border: Complications And Approaches, Maria T. Dodson Dec 2025

Flooding Behavior Near The Us/Canada Border: Complications And Approaches, Maria T. Dodson

Honors College Theses

Flood forecasting remains a major challenge due to the nonlinear nature of hydrological systems and uncertainties in environmental data. This study aimed to address the prevalent challenges that arise from forecasting flooding behavior. To address the inherent complexity of hydrological forecasting, a machine learning framework was developed and trained on major contributing factors. To achieve an optimal balance between computational efficiency and predictive performance, a Gated Recurrent Unit (GRU) was selected as the optimal machine learning model. As the chosen dataset, North American Land Data Assimilation System Phase 2 (NLDAS2), is known to have inaccuracies in the important feature Relative …


Parameter Informed Reinforcement Learning For Vehicle System Identification, Nathan Schaff Dec 2025

Parameter Informed Reinforcement Learning For Vehicle System Identification, Nathan Schaff

Doctoral Dissertations and Master's Theses

Accurate system identification is essential for modeling and controlling vehicle dynamics. This dissertation explores the application of Parameter Informed Reinforcement Learning (PIRL) as a novel approach to system identification (SYSID). PIRL integrates prior system knowledge, such as physical parameters, into reinforcement learning (RL) frameworks to improve estimation accuracy. The study begins with an overview of traditional SYSID methods and then introduces PIRL as a modification of standard RL. The research applies PIRL to short-period aircraft dynamics, demonstrating its effectiveness in both offline and online learning frameworks. The dissertation then further explores PIRL’s utility in an indirect model reference adaptive control …


Challenges In Engineering Machine Learning (Software) Systems, Raffi T. Khatchadourian Ph.D. Dec 2025

Challenges In Engineering Machine Learning (Software) Systems, Raffi T. Khatchadourian Ph.D.

Open Educational Resources

Lecture slides on the software engineering challenges unique to machine learning systems, for an undergraduate software engineering course. After contrasting traditional programming with machine learning, the deck examines why the usual tools for managing complexity—abstraction, reuse, and composition—are harder to apply to ML, given the lack of clear specifications and modularity. It covers concept drift, feedback loops (illustrated with crime-prediction and recommendation examples), and the accumulation of technical debt in ML systems, including the role and pitfalls of notebooks in moving from experimentation to production. Based on "Machine Learning in Production/AI Engineering" by Christian Kaestner and Eunsuk Kang (Carnegie Mellon …


My First Conversation With Chatgpt (February 22, 2023): Origins Of A Generative Dialogue, David Smith Dec 2025

My First Conversation With Chatgpt (February 22, 2023): Origins Of A Generative Dialogue, David Smith

Publications and Research

This working paper presents the first recorded interaction between the author and the generative AI system ChatGPT, written on February 22, 2023 during the initial weeks of a faculty sabbatical in Boston. The document preserves a complete and unedited transcript of an exploratory conversation conducted without predetermined research aims, marking the author’s first encounter with a large-language-model conversational interface. Although the exchange includes creative experimentation—including musical and poetic prompts—the discussion remains informal and wide-ranging, and no theoretical framework is articulated at this stage. Rather, this transcript is published as primary-source material documenting the moment of discovery and experimentation that precedes …


Prism (Proxy Recognition And Inclusion Scoring Method), Destiny Raburnel, Crystal Tubbs, Md Abdullah Al Hafiz Khan Dec 2025

Prism (Proxy Recognition And Inclusion Scoring Method), Destiny Raburnel, Crystal Tubbs, Md Abdullah Al Hafiz Khan

Symposium of Student Scholars

AI-driven automated hiring tools are reshaping how companies find talent, but they often reproduce the hidden biases embedded in their training data. Our project, PRISM (Proxy Recognition and Inclusion Scoring Method), investigates how subtle demographic signals, specifically first names associated with gender and race, influence AI resume screening even when candidates have identical qualifications. We built a controlled dataset of resumes that are identical in every way except for the applicant's first name, with each resume using a racially neutral surname to isolate how first names alone affect scoring. We tested these resumes against job postings in technology, healthcare, and …


Artificial Intelligence In Insurance Fraud Detection: Applications And Implications For Internal Audit, Maria Davis Dec 2025

Artificial Intelligence In Insurance Fraud Detection: Applications And Implications For Internal Audit, Maria Davis

Honors Projects

Artificial Intelligence (AI) is being used in accounting and the insurance industry to assist with auditing and fraud detection. The Big Four public accounting firms have invested heavily in AI implementation efforts. Across these firms, AI has been used to reallocate auditors’ time from mundane tasks to more complex tasks that require human judgement. Within the insurance industry, machine learning, deep learning, and natural language processing, among other AI tools, have proven helpful in fraud detection efforts. While the positive impacts of AI usage are clear, concerns surrounding the replacement of human jobs, a lack of transparency in auditing, heavy …


A Predictive Model For Multi- Week Respiratory Risk From Red Tide On Florida’S Gulf Coast., Elmer S. Ochaeta Dec 2025

A Predictive Model For Multi- Week Respiratory Risk From Red Tide On Florida’S Gulf Coast., Elmer S. Ochaeta

Computer Science and Engineering Faculty Publications

Florida’s Gulf Coast red tide (Karenia brevis) can put toxins into the air, making people cough, irritating the throat, and worsening asthma or other breathing problems especially when winds blow from the ocean toward the beach. Right now, most public updates don’t really help with the question people actually ask when planning a weekend or vacation: “Will going to or close to the beach be risky in the next few weeks?”.

In this project, I build a weekly early warning system that estimates respiratory risk for specific beaches and predicts that risk 2 to 4 weeks ahead. The study covers …


Explainable Ai For Liver Transplant Survival Prediction: Integrating Immunological Mismatch Features, Sourab Shaik Dec 2025

Explainable Ai For Liver Transplant Survival Prediction: Integrating Immunological Mismatch Features, Sourab Shaik

Honors Projects

Liver Transplantations are crucial treatment for end-stage liver disease. However, a persistent deficit of donor organs necessitates maximizing the utility of each available graft to minimize failure rates. We evaluated whether donor–recipient molecular immunogenicity metrics - Electrostatic and Hydrophobic Mismatch Scores (HMS/EMS) and eplet-based counts - improve post–liver-transplant survival prediction. The analytic cohort comprised adult, first time, single-organ deceased-donor transplants drawn from Scientific Registry of Transplant Recipients; follow-up was truncated at five years, and the endpoint was all-cause graft failure (earliest of graft failure or death; otherwise, censored). HLA variables were derived via high- resolution conversion and molecular mismatch computations …


The Artificial Intelligence (Ai) Economy In The Mountain West, 2025, Dre Boyd-Weatherly, Sean Curry, Krish Sharma, Kristian Thymianos, William E. Brown Jr. Dec 2025

The Artificial Intelligence (Ai) Economy In The Mountain West, 2025, Dre Boyd-Weatherly, Sean Curry, Krish Sharma, Kristian Thymianos, William E. Brown Jr.

Economic Development & Workforce

This fact sheet reports on the artificial intelligence (AI) readiness of five Mountain West metropolitan statistical areas (MSAs): Phoenix-Mesa-Chandler, AZ; Salt Lake City-Murray, UT; Denver-Aurora-Centennial, CO; Las Vegas-Henderson-North Las Vegas, NV; and Albuquerque, NM. Using data from the Brookings Institution's “Mapping the AI Economy” report, the MSAs are benchmarked based on their overall population, employment, talent, adoption, and innovation.


Bridging Machine Learning And Islamic Scholarship: A Study In Hadith Translation And Similarity Analysis, Asiyah R. Speight Dec 2025

Bridging Machine Learning And Islamic Scholarship: A Study In Hadith Translation And Similarity Analysis, Asiyah R. Speight

Student Scholar Symposium Abstracts and Posters

Translation of Islamic religious texts poses unique challenges requiring both linguistic and theological expertise. This study explores the application of neural machine translation (NMT) models to Arabic-English hadith translation while analyzing semantic similarity patterns across different human translations. Using the complete Sahih Bukhari corpus (7,550 hadiths) as the primary dataset, we adopt a dual approach combining transfer learning and comprehensive neural network analysis to demonstrate the critical impact of corpus size on model performance.

First, we fine-tune a pre-trained MarianMT Arabic-English translation model on the full Sahih Bukhari corpus, comparing models trained on 40 hadiths versus 7,550 hadiths. Performance is …


Iso-Detr: A Novel Detection Transformer For Industrial Small Object Detection, Faisal Saeed, Anand Paul Dec 2025

Iso-Detr: A Novel Detection Transformer For Industrial Small Object Detection, Faisal Saeed, Anand Paul

School of Public Health Faculty Publications

Effectively detecting and assessing real-time structural and ecological parameters in contemporary manufacturing environments poses significant challenges, particularly in identifying minute objects within product images. The swift evolution of the industrial sector underscores the necessity for intelligent manufacturing environments to uphold stringent product quality standards. However, accelerating production processes at high speeds heightens the risk of defective product outcomes. This research addresses the challenges inherent in small object detection within industrial contexts, proposing an innovative detection transformer model tailored to modern manufacturing environments. The proposed model integrates a feature-enhanced multi-head self-attention block (FEMSA), merging cross-channel communication network and multiple multi-head self-attention …


Large Language Models As Machines Of Beauty: Cognitive Averaging, Latent Space Geometry, And The Entropic Foundations Of Aesthetic Preference, Daniel Plate, James Hutson Dec 2025

Large Language Models As Machines Of Beauty: Cognitive Averaging, Latent Space Geometry, And The Entropic Foundations Of Aesthetic Preference, Daniel Plate, James Hutson

Faculty Scholarship

This study advances the position that large language models (LLMs) and human perceptual systems are governed by a shared computational drive toward prototypicality, entropy reduction, and aesthetic coherence. Drawing on developmental evidence that infants exhibit early preferences for facial symmetry and averageness, the analysis situates aesthetic preference within broader research on processing fluency and predictive coding, emphasizing that biological perception rewards stimuli that reduce uncertainty and support efficient information compression. This foundation is used to examine how LLMs, through cross-entropy optimization, perplexity minimization, and latent space clustering, converge on high-density representational regions that operate as statistical prototypes of linguistic and …


An Analysis Of Face Synthesis Methods And Their Influence On Human Perception, Maha Habib Almaimani Dec 2025

An Analysis Of Face Synthesis Methods And Their Influence On Human Perception, Maha Habib Almaimani

All Dissertations

Synthetic faces (e.g., computer-generated characters) have been increasingly utilized across various fields, including entertainment, healthcare, and education. Perceptual studies are often conducted to understand how synthetic faces are perceived by humans, aiming to enhance both quality and user experience in these domains. Over the years, numerous methods have been developed to create synthetic faces, ranging from traditional techniques such as image composites, Active Appearance Models, and 3D Morphable Models to more recent machine-learning-based frameworks like Generative Adversarial Networks (GANs) and Variational Autoencoders (VAEs).

Despite the growing adoption of synthetic face generation and the variety of algorithms available for their creation, …


From Static Prediction To Mindful Machines: A Paradigm Shift In Distributed Ai Systems, Rao Mikkilineni, W. Patrick Kelly Dec 2025

From Static Prediction To Mindful Machines: A Paradigm Shift In Distributed Ai Systems, Rao Mikkilineni, W. Patrick Kelly

Barowsky School of Business | Faculty Scholarship

A special class of complex adaptive systems—biological and social—thrive not by passively accumulating patterns, but by engineering coherence, i.e., the deliberate alignment of prior knowledge, real-time updates, and teleonomic purposes. By contrast, today’s AI stacks—Large Language Models (LLMs) wrapped in agentic toolchains—remain rooted in a Turing-paradigm architecture: statistical world models (opaque weights) bolted onto brittle, imperative workflows. They excel at pattern completion, but they externalize governance, memory, and purpose, thereby accumulating coherence debt—a structural fragility manifested as hallucinations, shallow and siloed memory, ad hoc guardrails, and costly human oversight. The shortcoming of current AI relative to human-like intelligence is therefore …


Nonlinear Phase Space Analysis For Anomaly Detection In Ros 2 Communications: Detecting Man-In-The-Middle Attacks In Simulated Environments, William L. Locklier Dec 2025

Nonlinear Phase Space Analysis For Anomaly Detection In Ros 2 Communications: Detecting Man-In-The-Middle Attacks In Simulated Environments, William L. Locklier

Graduate Theses and Dissertations (2019 - present)

Robot Operating System 2 (ROS 2) marks a significant advancement over its predecessor through the transition from a centralized to a decentralized architecture, integrating the Data Distribution Service (DDS) to support real-time, scalable communications. Despite these improvements, inherent vulnerabilities in the ROS 2 communication stack continue to leave these systems exposed to sophisticated network-based attacks. This study leveraged nonlinear phase space analysis (NLPSA) as an intrusion detection system (IDS) to detect man-in-the-middle (MitM) attack anomalies in ROS 2 traffic. Grounded in Takens’ embedding theorem, NLPSA reconstructs the phase space of communication features and compares the resulting structure against a baseline …


Cross-Modal Prompting For Multi-Class Visual Anomaly Localization, Duncan F. Mccain Dec 2025

Cross-Modal Prompting For Multi-Class Visual Anomaly Localization, Duncan F. Mccain

All Theses

Visual anomaly detection is a technology that uses computer vision to automatically identify defects or irregularities in images, such as cracks, scratches, or discolorations on manufactured products. Unsupervised visual anomaly detection does this without needing examples of those defects during the training process. This "unsupervised" approach is crucial in industries like manufacturing, automotive, electronics, and pharmaceuticals, where ensuring product quality is essential for safety, reliability, and cost efficiency. For instance, it helps spot flaws in circuit boards, fabrics, or medical pills during production lines, preventing faulty items from reaching consumers. By reducing manual inspections, it saves time and resources, benefiting …


Adaptive Deep Learning In Physical Layer Applications, Ali Owfi Dec 2025

Adaptive Deep Learning In Physical Layer Applications, Ali Owfi

All Dissertations

Traditionally, signal processing models in communication systems have been designed based on solid foundations in statistics and information theory, often assuming linearity and optimizing for simplified models. However, real-world communication systems exhibit numerous imperfections and non-linearities that traditional linear models struggle to capture accurately. Deep Learning (DL)-based approaches, unconstrained by rigid mathematical models, have shown promise in optimizing system performance by accommodating specific hardware configurations and dynamic channel conditions as an alternative to the traditional methods. Despite all the recent research efforts on DL-based methods for physical layer applications, DL models have still not been widely applied to physical layer …


Privacy Preserving-Based Artificial Intelligence For Precision Agriculture, Partha P. Sengupta Dec 2025

Privacy Preserving-Based Artificial Intelligence For Precision Agriculture, Partha P. Sengupta

Dissertations

The research work finds a solution to precision agriculture of cotton cultivation using artificial intelligence (AI) models. Two sets of model performance based on the application are selected namely a low resource and a high resource setting. This is because using drone surveys to capture images identifying the classes of stressed and unstressed cotton plantation requires limited model architecture and CPU based computation. Thus, traditional AI models were selected for low resource settings. Again, for high computation intensive models like transfer learning-convolution neural network (CNN) based architectures were grouped into high resource settings. There was another issue of class imbalance …


An Analysis Of Neuroidal Memory Formation Within D. Melanogaster, Jerry Chang Dec 2025

An Analysis Of Neuroidal Memory Formation Within D. Melanogaster, Jerry Chang

Master's Theses

The Neuroidal model poses a neurobiologically plausible theory for modeling the brain. This symbolic network has been shown to capture realistic memorization behaviors using the JOIN algorithm. The model has also been recently improved by incorporating Watts-Strogatz small-worlds within its base structure. From the efforts of neuroscience researchers, we have access to the Drosophila melanogaster (D. melanogaster) fruit fly’s connectome, which has been found to also contain small-worlds in this thesis. By synthesizing the Ocellar Ganglion (OCG) region of Drosophila, we compare a digitized version of a real-world brain with an instance of the Neuroidal model. In this thesis, we …


Bridging The Gap Between Network Science And Network Systems To Identify And Mitigate Cyber Risk: Identify And Mitigate Backdoor Attacks On Graph Neural Networks And On Complex Systems, Sabah Ettahri Dec 2025

Bridging The Gap Between Network Science And Network Systems To Identify And Mitigate Cyber Risk: Identify And Mitigate Backdoor Attacks On Graph Neural Networks And On Complex Systems, Sabah Ettahri

Electrical & Computer Engineering Projects for D. Eng. Degree

This doctoral project aims to bridge the gap between graph theory and network science to identify and mitigate cyber risk, represented as a CY-Triangular Network that connects different networks. The CY-Triangular Framework is a cybersecurity system that integrates graph theory and network science through an interoperable learning approach. The objective of this project is to bridge the gap between two domains: network science and network systems. Accordingly, it examines one representative network from each field, focuses on a complex system network, and explores Graph Neural Networks (GNNs). The connection between these domains lies in graph theory. This research demonstrates that …


Cattlefever: An Automated Cattle Fever Estimation System, Trong Thang Pham, Ethan Coffman, Beth Kegley, Jeremy G. Powell, Jiangchao Zhao, Ngan Le Dec 2025

Cattlefever: An Automated Cattle Fever Estimation System, Trong Thang Pham, Ethan Coffman, Beth Kegley, Jeremy G. Powell, Jiangchao Zhao, Ngan Le

Electrical Engineering and Computer Science Faculty Publications and Presentations

Farmers face the critical challenge of monitoring cattle well-being for both ethical and economic success, relying on signals like body temperature and facial expressions to assess their animals' health. However, these indicators have traditionally relied on human observation with manual measurement, which is time-consuming and subjective. Despite this clear need, no automated system currently exists for monitoring cattle body temperature, and available datasets remain limited in scope. To address these challenges, we make two key contributions: (i) We introduce CattleFace-RGBT, a novel RGB-Thermal (RGB-T) Cattle Facial Landmark dataset consisting of 2,300 paired RGB and thermal images (4,600 images in total), …


Human Identification And Action Recognition Using Small Data And Deep Domain Adaptation, Alexander M. Glandon Dec 2025

Human Identification And Action Recognition Using Small Data And Deep Domain Adaptation, Alexander M. Glandon

Electrical & Computer Engineering Theses & Dissertations

Human identification and human action recognition problems are two important research areas for real-world security and surveillance applications. In both human identification and action recognition, it is necessary to operate by collecting small datasets in the field, possibly in a short time window of observation. This dissertation studies and develops computational modeling and high-performance machine learning (ML) and deep learning (DL) models for human identification and human action recognition using small amounts of data. These methods and computational models may be useful for different security and surveillance applications.

This dissertation on human recognition develops a ML computational model to estimate …


Toward Personalizing Quantum Computing Education: An Evolutionary Llm-Powered Approach, Iizalaarab Elhaimeur Dec 2025

Toward Personalizing Quantum Computing Education: An Evolutionary Llm-Powered Approach, Iizalaarab Elhaimeur

Computer Science Theses & Dissertations

Quantum computing education faces significant challenges due to its complexity and the limitations of current tools. This thesis introduces a novel Intelligent Teaching Assistant for quantum computing education and details its evolutionary design process. The system combines a knowledge-graph-augmented architecture with two specialized LLM agents: a Teaching Agent for dynamic interaction and a Lesson Planning Agent for lesson generation. The system is designed to adapt to individual student needs, with interactions meticulously tracked and stored in a knowledge graph. This graph represents student actions, learning resources, and their relationships, aiming to enable reasoning about effective learning pathways. We describe the …


Large Language Models (Llms) For Clinical Note Generation: International Classification Of Disease (Icd) Code, Knowledge Graph (Kg) And Prompt Evaluation, Ivan P. Makohon Dec 2025

Large Language Models (Llms) For Clinical Note Generation: International Classification Of Disease (Icd) Code, Knowledge Graph (Kg) And Prompt Evaluation, Ivan P. Makohon

Computer Science Theses & Dissertations

In the past decade, a surge in the amount of electronic health record (EHR) data in the United States occurred, driven by a favorable policy environment created by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 and the 21st Century Cures Act of 2016. Clinical notes for patients’ assessments, diagnoses, and treatments are captured in these EHRs in free-form text by physicians, who spend a considerable amount of time entering them. Manually writing these notes is time-consuming, increasing patient waiting times and potentially delaying diagnoses. Large language models (LLMs), such as GPT-4o, possess the ability …