Lessons from Natural Language Inference in the Clinical Domain
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Abstract (arXiv)
State of the art models using deep neural networks have become very good in learning an accurate mapping from inputs to outputs. However, they still lack generalization capabilities in conditions that differ from the ones encountered during training. This is even more challenging in specialized, and knowledge intensive domains, where training data is limited. To address this gap, we introduce MedNLI - a dataset annotated by doctors, performing a natural language inference task (NLI), grounded in the medical history of patients. We present strategies to: 1) leverage transfer learning using datasets from the open domain, (e.g. SNLI) and 2) incorporate domain knowledge from external data and lexical sources (e.g. medical terminologies). Our results demonstrate performance gains using both strategies.
Key facts. Cited by 149 papers in the map (data through 7 Oct 2026). First posted on arXiv 21 Aug 2018.
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Citing papers per year: 2021: 22; 2022: 19; 2023: 34; 2024: 30; 2025: 27; 2026: 17.
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50 newest of 149 All 149 (JSON)
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- 2025HEDGE: Hallucination Estimation via Dense Geometric Entropy for VQA with Vision-Language Models16 Nov 2025
- 2025Enhancing Biomedical Multi-modal Representation Learning with Multi-scale Pre-training and Perturbed Report Discrimination2 Jun 2025
- 2025Scaling Up Biomedical Vision-Language Models: Fine-Tuning, Instruction Tuning, and Multi-Modal Learning23 May 2025
- 2024Medical Adaptation of Large Language and Vision-Language Models: Are We Making Progress?6 Nov 2024
- 2024Vision-Language Models for Medical Report Generation and Visual Question Answering: A Review4 Mar 2024
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- 2026MedHopQA: A Disease-Centered Multi-Hop Reasoning Benchmark and Evaluation Framework for LLM-Based Biomedical Question Answering12 May 2026
- 2025Compartmentalised Agentic Reasoning for Clinical NLI12 Sep 2025
- 2023Rethinking STS and NLI in Large Language Models16 Sep 2023
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- 2022DR.BENCH: Diagnostic Reasoning Benchmark for Clinical Natural Language Processing29 Sep 2022
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- 2021SciFive: a text-to-text transformer model for biomedical literaturecited by 99
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- 2024A Comprehensive Survey of Scientific Large Language Models and Their Applications in Scientific Discoverycited by 96
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- 2023Metacognitive Prompting Improves Understanding in Large Language Modelscited by 58
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12 most cited of 130 All 130 (JSON)
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- 2026MedAgent-R1: Faithfulness-Aware Reinforcement Learning for Evidence-Grounded Medical Reasoning31 Aug 2026
- 2026HealMed: Multilingual Evaluation of Large Language Models in Medicine20 Aug 2026
- 2026When Retrieval Helps and Distracts: Evaluating Evidence-Generating LLMs for Biomedical Claim Verification2 Aug 2026
- 2026Cross-Platform Generalisation Failure in Mental Health Natural Language Processing: A Five-Axis Fairness Audit of Transformer Models on Social Media25 Jun 2026
- 2026Same Patient, Different Words, Different Diagnosis? Evaluating Semantic Stability in Clinical LLMs28 May 2026
- 2026MATCHA: Matching Text via Contrastive Semantic Alignment26 May 2026
- 2026What Makes a Medical Checker Trainable? Diagnosing Signal Collapse and Reward Hacking in Checker-Guided RAG for Biomedical QA25 May 2026
- 2026Conformal Selective Acting: Anytime-Valid Risk Control for RLVR-Trained LLMs18 May 2026
- 2026ViLegalNLI: Natural Language Inference for Vietnamese Legal Texts30 Apr 2026
- 2026A Parameter-Efficient Transfer Learning Approach through Multitask Prompt Distillation and Decomposition for Clinical NLP8 Apr 2026
- 2026EvidenceRL: Reinforcing Evidence Consistency for Trustworthy Language Models20 Mar 2026
12 newest of 130 All 130 (JSON)