MedLink: Retrieval and Ranking of Case Reports to Assist Clinical Decision Making

Luís Filipe Cunha, Nuno Guimarães, Alexandra Mendes, Ricardo Campos, Alípio Jorge

Abstract: In healthcare, diagnoses usually rely on physician expertise. However, complex cases may benefit from consulting similar past clinical reports cases. In this paper, we present MedLink (http://medlink.inesctec.pt), a tool that given a free-text medical report, retrieves and ranks relevant clinical case reports published in health conferences and journals, aiming to support clinical decision-making, particularly in challenging or complex diagnoses. To this regard, we trained two BERT models on the sentence similarity task: a bi-encoder for retrieval and a cross-encoder for reranking. To evaluate our approach, we used 10 medical reports and asked a physician to rank the top 10 most relevant published case reports for each one. Our results show that MedLink’s ranking model achieved NDCG@10 of 0.747. Our demo also includes the visualization of clinical entities (using a NER model) and the production of a textual explanation (using a LLM) to ease comparison and contrasting between reports.

External IDs:dblp:conf/ecir/CunhaGMCJ25