Search for: All records

ImportanceLarge language models (LLMs) can assist in various health care activities, but current evaluation approaches may not adequately identify the most useful application areas. ObjectiveTo summarize existing evaluations of LLMs in health care in terms of 5 components: (1) evaluation data type, (2) health care task, (3) natural language processing (NLP) and natural language understanding (NLU) tasks, (4) dimension of evaluation, and (5) medical specialty. Data SourcesA systematic search of PubMed and Web of Science was performed for studies published between January 1, 2022, and February 19, 2024. Study SelectionStudies evaluating 1 or more LLMs in health care. Data Extraction and SynthesisThree independent reviewers categorized studies via keyword searches based on the data used, the health care tasks, the NLP and NLU tasks, the dimensions of evaluation, and the medical specialty. ResultsOf 519 studies reviewed, published between January 1, 2022, and February 19, 2024, only 5% used real patient care data for LLM evaluation. The most common health care tasks were assessing medical knowledge such as answering medical licensing examination questions (44.5%) and making diagnoses (19.5%). Administrative tasks such as assigning billing codes (0.2%) and writing prescriptions (0.2%) were less studied. For NLP and NLU tasks, most studies focused on question answering (84.2%), while tasks such as summarization (8.9%) and conversational dialogue (3.3%) were infrequent. Almost all studies (95.4%) used accuracy as the primary dimension of evaluation; fairness, bias, and toxicity (15.8%), deployment considerations (4.6%), and calibration and uncertainty (1.2%) were infrequently measured. Finally, in terms of medical specialty area, most studies were in generic health care applications (25.6%), internal medicine (16.4%), surgery (11.4%), and ophthalmology (6.9%), with nuclear medicine (0.6%), physical medicine (0.4%), and medical genetics (0.2%) being the least represented. Conclusions and RelevanceExisting evaluations of LLMs mostly focus on accuracy of question answering for medical examinations, without consideration of real patient care data. Dimensions such as fairness, bias, and toxicity and deployment considerations received limited attention. Future evaluations should adopt standardized applications and metrics, use clinical data, and broaden focus to include a wider range of tasks and specialties. 

Abstract A thermo‐time domain reflectometry (thermo‐TDR) sensor combines a heat‐pulse sensor with a TDR waveguide to simultaneously measure coupled processes of water, heat, and solute transfer. The sensor can provide repeated in situ measurements of several soil state properties (temperature, soil water content, and ice content), thermal properties (thermal diffusivity, thermal conductivity, heat capacity), and electromagnetic properties (dielectric constant and bulk electrical conductivity) with minimal soil disturbance. Combined with physical or empirical models, structural indicators, such as bulk density and air‐filled porosity, can be derived from measured soil thermal and electrical properties. Successful applications are available to determine fine‐scale heat, water, and vapor fluxes with thermo‐TDR sensors. Applications of thermo‐TDR sensors in complicated scenarios, such as heterogeneous root zones and saline environments, are also possible. Therefore, the multi‐functional uses of thermo‐TDR sensors are invaluable for in situ observations of several soil physical properties and processes in critical zone soils.