Mayo Clinic is combating AI "hallucinations" (fabricating information) with a technique called "reverse retrieval-augmented generation" (Reverse RAG). Instead of feeding context to the AI before it generates text, Mayo's system generates text first and then uses retrieval to verify the generated information against a trusted knowledge base. If the AI's output can't be substantiated, it's flagged as potentially inaccurate, helping ensure the AI provides only evidence-based information, crucial in a medical context. This approach prioritizes accuracy over creativity, addressing a major challenge in applying generative AI to healthcare.
Legalyze.ai offers AI-powered medical record review services for legal professionals. Their platform automates the process of analyzing medical records, extracting key information related to injuries, treatments, and costs, significantly reducing the time and expense traditionally associated with manual review. Legalyze.ai uses natural language processing to identify relevant data points, summarize medical histories, and generate chronologies, empowering lawyers to quickly assess case value and prepare for litigation. They aim to improve efficiency and accuracy in medical malpractice, personal injury, and mass tort cases.
HN commenters express skepticism about Legalyze.ai's claims, particularly regarding HIPAA compliance and the accuracy of summarizing complex medical records with AI. Some question the practicality of using AI for this purpose, citing the nuanced nature of medical language and the potential for misinterpretation. Others express concern about potential job displacement for legal professionals specializing in medical review. A few commenters suggest more viable applications for AI in legal contexts, such as document retrieval and basic analysis, but maintain reservations about fully automating the complex process of medical record review. There's a general sentiment that while AI could assist, human oversight remains crucial in this sensitive field.
Summary of Comments ( 42 )
https://news.ycombinator.com/item?id=43336609
Hacker News commenters discuss the Mayo Clinic's "reverse RAG" approach, expressing skepticism about its novelty and practicality. Several suggest it's simply a more complex version of standard prompt engineering, arguing that prepending context with specific instructions or questions is a common practice. Some question the scalability and maintainability of a large, curated knowledge base for every specific use case, highlighting the ongoing challenge of keeping such a database up-to-date and relevant. Others point out potential biases introduced by limiting the AI's knowledge domain, and the risk of reinforcing existing biases present in the curated data. A few commenters note the lack of clear evaluation metrics and express doubt about the claimed 40% hallucination reduction, calling for more rigorous testing and comparisons to simpler methods. The overall sentiment leans towards cautious interest, with many awaiting further evidence of the approach's real-world effectiveness.
The Hacker News post titled "Mayo Clinic's secret weapon against AI hallucinations: Reverse RAG in action" has generated several comments discussing the concept of Reverse Retrieval Augmented Generation (Reverse RAG) and its application in mitigating AI hallucinations.
Several commenters express skepticism about the novelty and efficacy of Reverse RAG. One commenter points out that the idea of checking the source material isn't new, and that existing systems like Perplexity.ai already implement similar fact-verification methods. Another echoes this sentiment, suggesting that the article is hyping a simple concept and questioning the need for a new term like "Reverse RAG." This skepticism highlights the view that the core idea isn't groundbreaking but rather a rebranding of existing fact-checking practices.
There's discussion about the practical limitations and potential downsides of Reverse RAG. One commenter highlights the cost associated with querying a vector database for every generated sentence, arguing that it might be computationally expensive and slow down the generation process. Another commenter raises concerns about the potential for confirmation bias, suggesting that focusing on retrieving supporting evidence might inadvertently reinforce existing biases present in the training data.
Some commenters delve deeper into the technical aspects of Reverse RAG. One commenter discusses the challenges of handling negation and nuanced queries, pointing out that simply retrieving supporting documents might not be sufficient for complex questions. Another commenter suggests using a dedicated "retrieval model" optimized for retrieval tasks, as opposed to relying on the same model for both generation and retrieval.
A few comments offer alternative approaches to address hallucinations. One commenter suggests generating multiple answers and then selecting the one with the most consistent supporting evidence. Another commenter proposes incorporating a "confidence score" for each generated sentence, reflecting the strength of supporting evidence.
Finally, some commenters express interest in learning more about the specific implementation details and evaluation metrics used by the Mayo Clinic, indicating a desire for more concrete evidence of Reverse RAG's effectiveness. One user simply states their impression that the Mayo Clinic is making impressive strides in using AI in healthcare.
In summary, the comments on Hacker News reveal a mixed reception to the concept of Reverse RAG. While some acknowledge its potential, many express skepticism about its novelty and raise concerns about its practicality and potential drawbacks. The discussion highlights the ongoing challenges in addressing AI hallucinations and the need for more robust and efficient solutions.