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Oct 31

Zebra-Llama: A Context-Aware Large Language Model for Democratizing Rare Disease Knowledge

Rare diseases present unique challenges in healthcare, often suffering from delayed diagnosis and fragmented information landscapes. The scarcity of reliable knowledge in these conditions poses a distinct challenge for Large Language Models (LLMs) in supporting clinical management and delivering precise patient information underscoring the need for focused training on these 'zebra' cases. We present Zebra-Llama, a specialized context-aware language model with high precision Retrieval Augmented Generation (RAG) capability, focusing on Ehlers-Danlos Syndrome (EDS) as our case study. EDS, affecting 1 in 5,000 individuals, exemplifies the complexities of rare diseases with its diverse symptoms, multiple subtypes, and evolving diagnostic criteria. By implementing a novel context-aware fine-tuning methodology trained on questions derived from medical literature, patient experiences, and clinical resources, along with expertly curated responses, Zebra-Llama demonstrates unprecedented capabilities in handling EDS-related queries. On a test set of real-world questions collected from EDS patients and clinicians, medical experts evaluated the responses generated by both models, revealing Zebra-Llama's substantial improvements over base model (Llama 3.1-8B-Instruct) in thoroughness (77.5% vs. 70.1%), accuracy (83.0% vs. 78.8%), clarity (74.7% vs. 72.0%) and citation reliability (70.6% vs. 52.3%). Released as an open-source resource, Zebra-Llama not only provides more accessible and reliable EDS information but also establishes a framework for developing specialized AI solutions for other rare conditions. This work represents a crucial step towards democratizing expert-level knowledge in rare disease management, potentially transforming how healthcare providers and patients navigate the complex landscape of rare diseases.

  • 8 authors
·
Nov 4, 2024 1

Zebra-Llama: Towards Extremely Efficient Hybrid Models

With the growing demand for deploying large language models (LLMs) across diverse applications, improving their inference efficiency is crucial for sustainable and democratized access. However, retraining LLMs to meet new user-specific requirements is prohibitively expensive and environmentally unsustainable. In this work, we propose a practical and scalable alternative: composing efficient hybrid language models from existing pre-trained models. Our approach, Zebra-Llama, introduces a family of 1B, 3B, and 8B hybrid models by combining State Space Models (SSMs) and Multi-head Latent Attention (MLA) layers, using a refined initialization and post-training pipeline to efficiently transfer knowledge from pre-trained Transformers. Zebra-Llama achieves Transformer-level accuracy with near-SSM efficiency using only 7-11B training tokens (compared to trillions of tokens required for pre-training) and an 8B teacher. Moreover, Zebra-Llama dramatically reduces KV cache size -down to 3.9%, 2%, and 2.73% of the original for the 1B, 3B, and 8B variants, respectively-while preserving 100%, 100%, and >97% of average zero-shot performance on LM Harness tasks. Compared to models like MambaInLLaMA, X-EcoMLA, Minitron, and Llamba, Zebra-Llama consistently delivers competitive or superior accuracy while using significantly fewer tokens, smaller teachers, and vastly reduced KV cache memory. Notably, Zebra-Llama-8B surpasses Minitron-8B in few-shot accuracy by 7% while using 8x fewer training tokens, over 12x smaller KV cache, and a smaller teacher (8B vs. 15B). It also achieves 2.6x-3.8x higher throughput (tokens/s) than MambaInLlama up to a 32k context length. We will release code and model checkpoints upon acceptance.

  • 5 authors
·
May 22