MedER refers to the identification of medical entities. It is crucial for extracting structured clinical information from unstructured medical text. Many existing systems rely on transformer-based models, which are computationally expensive and difficult to deploy in resource-constrained environments. Furthermore, earlier works often use relaxed evaluation metrics that artificially inflate performance by rewarding correct prediction of dominant "Outside" (O) tokens. In this paper, we propose a lightweight Medical Entity Recognition (MedER) framework for the Bangla language. We establish a rigorous baseline using a 12-layer BanglaBERT model combined with a Conditional Random Field (CRF) layer for exact-boundary entity detection. To address deployment constraints, we compress this teacher model into a 4-layer student network through Knowledge Distillation (KD), where the student learns from the teacher's pre-CRF soft emission logits. Finally, we apply INT8 dynamic quantization to further reduce model size and inference cost. Our final quantized student achieves an 8.6x CPU speedup while requiring nearly 48 percent less storage than the CRF teacher model.
Extracting clinically relevant information from unstructured medical narratives such as admission notes, discharge summaries, and emergency case histories remains a challenge in clinical natural language processing (NLP). Medical Entity Recognition (MER) identifies meaningful concepts embedded in these records. Recent advancements in large language models (LLMs) have shown competitive MER performance; however, evaluations often focus on general entity types, offering limited utility for real-world clinical needs requiring finer-grained extraction. To address this gap, we rigorously evaluated the open-source LLaMA3 model for fine-grained medical entity recognition across 18 clinically detailed categories. To optimize performance, we employed three learning paradigms: zero-shot, few-shot, and fine-tuning with Low-Rank Adaptation (LoRA). To further enhance few-shot learning, we introduced two example selection methods based on token- and sentence-level embedding similarity, utilizing a pre-trained BioBERT model. Unlike prior work assessing zero-shot and few-shot performance on proprietary models (e.g., GPT-4) or fine-tuning different architectures, we ensured methodological consistency by applying all strategies to a unified LLaMA3 backbone, enabling fair comparison across learning settings. Our results showed that fine-tuned LLaMA3 surpasses zero-shot and few-shot approaches by 63.11% and 35.63%, respectivel respectively, achieving an F1 score of 81.24% in granular medical entity extraction.
Recent advancements in Large Language Models (LLMs) and Large Vision Language Models (LVLMs) have enabled general-purpose systems to demonstrate promising capabilities in complex reasoning tasks, including those in the medical domain. Medical Visual Question Answering (MedVQA) has particularly benefited from these developments. However, despite Bangla being one of the most widely spoken languages globally, there exists no established MedVQA benchmark for it. To address this gap, we introduce BanglaMedVQA, a dataset comprising clinically validated image-question-answer pairs, along with a comprehensive evaluation of current foundation models on this resource. Consistent with prior findings that report low performance of current models on English MedVQA benchmarks, our analysis reveals that Bangla performance is substantially lower, reflecting the challenges inherent to low-resource languages. Even top-performing models such as Gemini and GPT-4.1 mini fail to accurately answer specialized diagnostic questions, indicating severe limitations in fine-grained medical reasoning. Although certain open-source models, such as Gemma-3, occasionally outperform these models in general categories, they too struggle with clinically complex questions, underscoring the urgent need for top-notch evaluation method.
Rafid Ahmed, Intesar Tahmid, Mir Sazzat Hossain +3
How should natural language processing models be selected and adapted for global health literature in environments where annotated data and computational resources are limited? This thesis investigates these challenges through experiments on semantic tag discovery, named entity recognition (NER), and multi-label topic classification. First, skip-gram word2vec models trained on progressively larger specialized corpora are compared with BioWordVec to assess how corpus size and domain context influence tag discovery. Vocabulary coverage and qualitative evaluation indicate that broader coverage does not necessarily yield more useful domain-specific associations. The analysis then turns to entity extraction, comparing convolutional spaCy models with a RoBERTa-based transformer on 1,000 annotated sentences. Under a lenient scoring protocol, the transformer achieves 0.80 micro-F1 versus 0.65-0.69 for convolutional models, but takes 82 seconds rather than 5-6 seconds. This trade-off motivates fine-tuning convolutional models and integrating a disease recognizer that achieves 81.33% test F1 on the NCBI Disease Corpus. Combined with PDF preprocessing, entity filtering, and MeSH enrichment, the resulting pipeline supports document-level indexing. To complement entity extraction with thematic annotation, MiniLM-based few-shot classification is compared with BART-MNLI zero-shot inference across 50 topics and 1,000 handcrafted test sentences. BART-MNLI achieves 95.2% single-label accuracy versus 59%; reported multi-label accuracies are 88% and 32% under partly manual assessment. However, its higher inference cost limits practical integration. The results show where domain specialization and lightweight adaptation offer practical value, and where transformer accuracy justifies higher inference costs, providing an empirical basis for building knowledge systems under resource constraints.
Genis Skura, Antoine Geissbühler, Jean-Luc Falcone