mlsanityData to 14 Oct 2026

Fine-Tuning Large Neural Language Models for Biomedical Natural Language Processing

arXiv 2112.07869 ↗First posted 15 Dec 2021cs.CL cs.LGcited by 57

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Abstract (arXiv)

Motivation: A perennial challenge for biomedical researchers and clinical practitioners is to stay abreast with the rapid growth of publications and medical notes. Natural language processing (NLP) has emerged as a promising direction for taming information overload. In particular, large neural language models facilitate transfer learning by pretraining on unlabeled text, as exemplified by the successes of BERT models in various NLP applications. However, fine-tuning such models for an end task remains challenging, especially with small labeled datasets, which are common in biomedical NLP. Results: We conduct a systematic study on fine-tuning stability in biomedical NLP. We show that finetuning performance may be sensitive to pretraining settings, especially in low-resource domains. Large models have potential to attain better performance, but increasing model size also exacerbates finetuning instability. We thus conduct a comprehensive exploration of techniques for addressing fine-tuning instability. We show that these techniques can substantially improve fine-tuning performance for lowresource biomedical NLP applications. Specifically, freezing lower layers is helpful for standard BERT-BASE models, while layerwise decay is more effective for BERT-LARGE and ELECTRA models. For low-resource text similarity tasks such as BIOSSES, reinitializing the top layer is the optimal strategy. Overall, domainspecific vocabulary and pretraining facilitate more robust models for fine-tuning. Based on these findings, we establish new state of the art on a wide range of biomedical NLP applications. Availability and implementation: To facilitate progress in biomedical NLP, we release our state-of-the-art pretrained and fine-tuned models: https://aka.ms/BLURB.

Key facts. Cited by 57 papers in the map (data through 14 Oct 2026). Builds on 31 of its 54 references that are in the map. First posted on arXiv 15 Dec 2021.

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31 of 54 references.

References · 31

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19 more
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Cited by year (2026 to 14 Oct)

Citing papers per year: 2022: 5; 2023: 15; 2024: 16; 2025: 18; 2026: 3.

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  2. 2023Mol-Instructions: A Large-Scale Biomolecular Instruction Dataset for Large Language Modelscited by 133
  3. 2023Benchmarking large language models for biomedical natural language processing applications and recommendationscited by 78
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  5. 2024SaulLM-54B & SaulLM-141B: Scaling Up Domain Adaptation for the Legal Domaincited by 39
  6. 2022BigBIO: A Framework for Data-Centric Biomedical Natural Language Processingcited by 36
  7. 20245%>100%: Breaking Performance Shackles of Full Fine-Tuning on Visual Recognition Taskscited by 34
  8. 2024Chain-of-Scrutiny: Detecting Backdoor Attacks for Large Language Modelscited by 28
  9. 2022BioLORD: Learning Ontological Representations from Definitions (for Biomedical Concepts and their Textual Descriptions)cited by 21
  10. 2024RAM-EHR: Retrieval Augmentation Meets Clinical Predictions on Electronic Health Recordscited by 21
  11. 2023Adapter is All You Need for Tuning Visual Taskscited by 19
  12. 2025The Rise of Small Language Models in Healthcare: A Comprehensive Surveycited by 18
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  3. 2022Can NLI Provide Proper Indirect Supervision for Low-resource Biomedical Relation Extraction?cited by 13
  4. 2023ECGBERT: Understanding Hidden Language of ECGs with Self-Supervised Representation Learningcited by 12
  5. 2023Distilling Large Language Models for Biomedical Knowledge Extraction: A Case Study on Adverse Drug Eventscited by 11
  6. 2025Structure-Learnable Adapter Fine-Tuning for Parameter-Efficient Large Language Modelscited by 9
  7. 2025SECA: Semantically Equivalent and Coherent Attacks for Eliciting LLM Hallucinationscited by 9
  8. 2023Investigating Large Language Models and Control Mechanisms to Improve Text Readability of Biomedical Abstractscited by 8
  9. 2025Solar Photovoltaic Assessment with Large Language Modelcited by 7
  10. 2022This Patient Looks Like That Patient: Prototypical Networks for Interpretable Diagnosis Prediction from Clinical Textcited by 6
  11. 2025An evaluation of DeepSeek Models in Biomedical Natural Language Processingcited by 6
  12. 2023Construction contract risk identification based on knowledge-augmented language modelcited by 5
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  14. 2022Enriching Biomedical Knowledge for Low-resource Language Through Large-Scale Translationcited by 4
  15. 2023Beyond Traditional Teaching: The Potential of Large Language Models and Chatbots in Graduate Engineering Educationcited by 4
  16. 2024SNOBERT: A Benchmark for clinical notes entity linking in the SNOMED CT clinical terminologycited by 4
  17. 2024A Survey of Foundation Models for Music Understandingcited by 4
  18. 2025Transferable Modeling Strategies for Low-Resource LLM Tasks: A Prompt and Alignment-Based Approachcited by 4
  19. 2023Retrieval-augmented Multi-label Text Classificationcited by 3
  20. 2025Large Language Models for Cryptocurrency Transaction Analysis: A Bitcoin Case Studycited by 3
  21. 2025ConTextual: Improving Clinical Text Summarization in LLMs with Context-preserving Token Filtering and Knowledge Graphscited by 3
  22. 2024Enabling Contextual Soft Moderation on Social Media through Contrastive Textual Deviationcited by 2
  23. 202510Cache: Heterogeneous Resource-Aware Tensor Caching and Migration for LLM Trainingcited by 2
  24. 2026scBench: Evaluating AI Agents on Single-Cell RNA-seq Analysiscited by 2
  25. 2023An In-Depth Evaluation of Federated Learning on Biomedical Natural Language Processingcited by 1
  26. 2023An Eye on Clinical BERT: Investigating Language Model Generalization for Diabetic Eye Disease Phenotypingcited by 1
  27. 2023GreenLightningAI: An Efficient AI System with Decoupled Structural and Quantitative Knowledgecited by 1
  28. 2024A Framework to Implement 1+N Multi-task Fine-tuning Pattern in LLMs Using the CGC-LORA Algorithmcited by 1
  29. 2024Assessing biomedical knowledge robustness in large language models by query-efficient sampling attackscited by 1
  30. 2024Large Language Models Need Consultants for Reasoning: Becoming an Expert in a Complex Human System Through Behavior Simulationcited by 1
  31. 2024Merged ChemProt-DrugProt for Relation Extraction from Biomedical Literaturecited by 1
  32. 2024Enhancing Biomedical Knowledge Discovery for Diseases: An Open-Source Framework Applied on Rett Syndrome and Alzheimer's Diseasecited by 1
  33. 2024Large Language Models for Biomedical Text Simplification: Promising But Not There Yetcited by 1
  34. 2025WHERE and WHICH: Iterative Debate for Biomedical Synthetic Data Augmentationcited by 1
  35. 2026TrailBlazer: History-Guided Reinforcement Learning for Black-Box LLM Jailbreakingcited by 1
  36. 2023Diagnosing Transformers: Illuminating Feature Spaces for Clinical Decision-Makingcited by 0
  37. 2024BiasJailbreak:Analyzing Ethical Biases and Jailbreak Vulnerabilities in Large Language Modelscited by 0
  38. 2025Empowering Large Language Models in Wireless Communication: A Novel Dataset and Fine-Tuning Frameworkcited by 0

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