# EchoQA: A Large Collection of Instruction Tuning Data for Echocardiogram Reports

arXiv: https://arxiv.org/abs/2503.02365 · HTML: https://mlsanity.com/paper/2503.02365/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 25 of its 65 references that are in the map.
- First posted on arXiv 4 Mar 2025.

## Builds on (most cited first, 25 of 25)

- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Training language models to follow instructions with human feedback](https://mlsanity.com/paper/2203.02155/) (2022)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [Measuring Massive Multitask Language Understanding](https://mlsanity.com/paper/2009.03300/) (2020)
- [Finetuned Language Models Are Zero-Shot Learners](https://mlsanity.com/paper/2109.01652/) (2021)
- [Mistral 7B](https://mlsanity.com/paper/2310.06825/) (2023)
- [Phi-3 Technical Report: A Highly Capable Language Model Locally on Your Phone](https://mlsanity.com/paper/2404.14219/) (2024)
- [Large Language Models Encode Clinical Knowledge](https://mlsanity.com/paper/2212.13138/) (2022)
- [PubMedQA: A Dataset for Biomedical Research Question Answering](https://mlsanity.com/paper/1909.06146/) (2019)
- [The Falcon Series of Open Language Models](https://mlsanity.com/paper/2311.16867/) (2023)
- [BioMistral: A Collection of Open-Source Pretrained Large Language Models for Medical Domains](https://mlsanity.com/paper/2402.10373/) (2024)
- [MEDITRON-70B: Scaling Medical Pretraining for Large Language Models](https://mlsanity.com/paper/2311.16079/) (2023)
- [emrQA: A Large Corpus for Question Answering on Electronic Medical Records](https://mlsanity.com/paper/1809.00732/) (2018)
- [Benchmarking Large Language Models on Answering and Explaining Challenging Medical Questions](https://mlsanity.com/paper/2402.18060/) (2024)
- [Med42-v2: A Suite of Clinical LLMs](https://mlsanity.com/paper/2408.06142/) (2024)
- [Improving the Fairness of Chest X-ray Classifiers](https://mlsanity.com/paper/2203.12609/) (2022)
- [Publicly Shareable Clinical Large Language Model Built on Synthetic Clinical Notes](https://mlsanity.com/paper/2309.00237/) (2023)
- [Medical Exam Question Answering with Large-scale Reading Comprehension](https://mlsanity.com/paper/1802.10279/) (2018)
- [LiveQA: A Question Answering Dataset over Sports Live](https://mlsanity.com/paper/2010.00526/) (2020)
- [Behind the Mask: Demographic bias in name detection for PII masking](https://mlsanity.com/paper/2205.04505/) (2022)
- [Evaluating the Impact of Social Determinants on Health Prediction in the Intensive Care Unit](https://mlsanity.com/paper/2305.12622/) (2023)
- [Design Considerations for High Impact, Automated Echocardiogram Analysis](https://mlsanity.com/paper/2006.06292/) (2020)
- [Looking Beyond What You See: An Empirical Analysis on Subgroup Intersectional Fairness for Multi-label Chest X-ray Classification Using Social Determinants of Racial Health Inequities](https://mlsanity.com/paper/2403.18196/) (2024)
- [Unmasking Societal Biases in Respiratory Support for ICU Patients through Social Determinants of Health](https://mlsanity.com/paper/2502.16477/) (2025)

## Built on by (most cited first, 1 of 1)

- [Empowering Real-World: A Survey on the Technology, Practice, and Evaluation of LLM-driven Industry Agents](https://mlsanity.com/paper/2510.17491/) (2025)

## Abstract (arXiv)

We introduce a novel question-answering (QA) dataset using echocardiogram reports sourced from the Medical Information Mart for Intensive Care database. This dataset is specifically designed to enhance QA systems in cardiology, consisting of 771,244 QA pairs addressing a wide array of cardiac abnormalities and their severity. We compare large language models (LLMs), including open-source and biomedical-specific models for zero-shot evaluation, and closed-source models for zero-shot and three-shot evaluation. Our results show that fine-tuning LLMs improves performance across various QA metrics, validating the value of our dataset. Clinicians also qualitatively evaluate the best-performing model to assess the LLM responses for correctness. Further, we conduct fine-grained fairness audits to assess the bias-performance trade-off of LLMs across various social determinants of health. Our objective is to propel the field forward by establishing a benchmark for LLM AI agents aimed at supporting clinicians with cardiac differential diagnoses, thereby reducing the documentation burden that contributes to clinician burnout and enabling healthcare professionals to focus more on patient care.
