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Paper · arXiv

VERGE: Verification-Enhanced Refinement for Grounded Extraction of Early-Onset Colorectal Cancer Symptoms in Clinical Notes

Early-onset colorectal cancer is increasing among younger adults, yet red-flag symptoms in this age group have no evidence-based guidelines for follow-up testing, and structured encounter data do not capture the detail needed to support early detection and inform follow-up, including symptom duration, context, and fam- ily history, an established colorectal-cancer risk factor. This study aimed to develop and evaluate an automated method for extracting six red-flag symptoms and family-history risk status from free-text clinical notes. We developed VERGE, an agentic workflow in which an initial label and evidence are proposed using retrieval-augmented generation, then passed through a bound...

AuthorsNikkie Hooman, Monarch Nigam, Amy E. Hughes et al.
Primary categorycs.CL
Published3 September 2026
Last updated at source3 September 2026
cs.CL
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