JMedLoRA:Medical Domain Adaptation on Japanese Large Language Models using Instruction-tuning
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Abstract (arXiv)
In the ongoing wave of impact driven by large language models (LLMs) like ChatGPT, the adaptation of LLMs to medical domain has emerged as a crucial research frontier. Since mainstream LLMs tend to be designed for general-purpose applications, constructing a medical LLM through domain adaptation is a huge challenge. While instruction-tuning is used to fine-tune some LLMs, its precise roles in domain adaptation remain unknown. Here we show the contribution of LoRA-based instruction-tuning to performance in Japanese medical question-answering tasks. In doing so, we employ a multifaceted evaluation for multiple-choice questions, including scoring based on "Exact match" and "Gestalt distance" in addition to the conventional accuracy. Our findings suggest that LoRA-based instruction-tuning can partially incorporate domain-specific knowledge into LLMs, with larger models demonstrating more pronounced effects. Furthermore, our results underscore the potential of adapting English-centric models for Japanese applications in domain adaptation, while also highlighting the persisting limitations of Japanese-centric models. This initiative represents a pioneering effort in enabling medical institutions to fine-tune and operate models without relying on external services.
Key facts. Cited by 6 papers in the map (data through 7 Oct 2026). Builds on 10 of its 14 references that are in the map. First posted on arXiv 16 Oct 2023.
Builds on
10 of 14 references.
References · 10
- 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,084
- 2023Llama 2: Open Foundation and Fine-Tuned Chat Modelscited by 12,865
- 2021Finetuned Language Models Are Zero-Shot Learnerscited by 3,747
- 2023QLoRA: Efficient Finetuning of Quantized LLMscited by 3,355
- 2022Large Language Models Encode Clinical Knowledgecited by 1,807
- 2023Towards Expert-Level Medical Question Answering with Large Language Modelscited by 382
- 2023Towards Generalist Biomedical AIcited by 286
- 2023Large Language Models Sensitivity to The Order of Options in Multiple-Choice Questionscited by 249
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- 2023From Base to Conversational: Japanese Instruction Dataset and Tuning Large Language Modelscited by 5
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Citing papers per year: 2024: 3; 2025: 3.
6 papers.
- 2024Construction of Domain-specified Japanese Large Language Model for Finance through Continual Pre-trainingcited by 3
- 202470B-parameter large language models in Japanese medical question-answeringcited by 3
- 2024The Construction of Instruction-tuned LLMs for Finance without Instruction Data Using Continual Pretraining and Model Mergingcited by 3
- 2025A Japanese Language Model and Three New Evaluation Benchmarks for Pharmaceutical NLPcited by 2
- 2025Analyzing the Safety of Japanese Large Language Models in Stereotype-Triggering Promptscited by 1
- 2025Towards Scalable and Cross-Lingual Specialist Language Models for Oncologycited by 1
- 2025A Japanese Language Model and Three New Evaluation Benchmarks for Pharmaceutical NLP22 May 2025
- 2025Towards Scalable and Cross-Lingual Specialist Language Models for Oncology11 Mar 2025
- 2025Analyzing the Safety of Japanese Large Language Models in Stereotype-Triggering Prompts3 Mar 2025
- 2024The Construction of Instruction-tuned LLMs for Finance without Instruction Data Using Continual Pretraining and Model Merging30 Sep 2024
- 202470B-parameter large language models in Japanese medical question-answering21 Jun 2024
- 2024Construction of Domain-specified Japanese Large Language Model for Finance through Continual Pre-training16 Apr 2024