🤖 AI Summary
General-purpose language models struggle to capture the domain-specific syntactic structures, diagnostic reasoning patterns, and negation expressions inherent in clinical electroencephalography (EEG) reports. To address this, we propose NeuroLex—a lightweight, domain-adapted language model that jointly models span-level linguistic features and clinical reasoning patterns unique to EEG text. NeuroLex is built via span-masking pretraining on raw EEG reports followed by instruction tuning, yielding an EEG-aware language backbone. Experiments demonstrate that, at comparable parameter count, NeuroLex significantly outperforms general-purpose and biomedical baselines: it reduces perplexity by 12.3%, improves terminology-focused question answering accuracy by 18.7%, enhances robustness to negation, and achieves 2.1× higher label efficiency. Furthermore, NeuroLex supports clinical applications including report refinement, paragraph summarization, and interpretable neural decoding—establishing a novel paradigm for clinical EEG text understanding.
📝 Abstract
Clinical electroencephalogram (EEG) reports encode domain-specific linguistic conventions that general-purpose language models (LMs) fail to capture. We introduce NeuroLex, a lightweight domain-adaptive language model trained purely on EEG report text from the Harvard Electroencephalography Database. Unlike existing biomedical LMs, NeuroLex is tailored to the linguistic and diagnostic characteristics of EEG reporting, enabling it to serve as both an independent textual model and a decoder backbone for multimodal EEG-language systems. Using span-corruption pretraining and instruction-style fine-tuning on report polishing, paragraph summarization, and terminology question answering, NeuroLex learns the syntax and reasoning patterns characteristic of EEG interpretation. Comprehensive evaluations show that it achieves lower perplexity, higher extraction and summarization accuracy, better label efficiency, and improved robustness to negation and factual hallucination compared with general models of the same scale. With an EEG-aware linguistic backbone, NeuroLex bridges biomedical text modeling and brain-computer interface applications, offering a foundation for interpretable and language-driven neural decoding.