Bidirectional LSTM-CRF for Clinical Concept Extraction

Automated extraction of concepts from patient clinical records is an essential facilitator of clinical research. For this reason, the 2010 i2b2/VA Natural Language Processing Challenges for Clinical Records introduced a concept extraction task aimed at identifying and classifying concepts into predefined categories (i.e., treatments, tests and problems). State-of-the-art concept extraction approaches heavily rely on handcrafted features and domain-specific resources which are hard to collect and define. For this reason, this paper proposes an alternative, streamlined approach: a recurrent neural network (the bidirectional LSTM with CRF decoding) initialized with general-purpose, off-the-shelf word embeddings. The experimental results achieved on the 2010 i2b2/VA reference corpora using the proposed framework outperform all recent methods and ranks closely to the best submission from the original 2010 i2b2/VA challenge.Comment: This paper "Bidirectional LSTM-CRF for Clinical Concept Extraction" is accepted for short paper presentation at Clinical Natural Language Processing Workshop at COLING 2016 Osaka, Japan. December 11, 201

Recurrent neural networks with specialized word embeddings for health-domain named-entity recognition

© 2017 Elsevier Inc. Background Previous state-of-the-art systems on Drug Name Recognition (DNR) and Clinical Concept Extraction (CCE) have focused on a combination of text “feature engineering” and conventional machine learning algorithms such as conditional random fields and support vector machines. However, developing good features is inherently heavily time-consuming. Conversely, more modern machine learning approaches such as recurrent neural networks (RNNs) have proved capable of automatically learning effective features from either random assignments or automated word “embeddings”. Objectives (i) To create a highly accurate DNR and CCE system that avoids conventional, time-consuming feature engineering. (ii) To create richer, more specialized word embeddings by using health domain datasets such as MIMIC-III. (iii) To evaluate our systems over three contemporary datasets. Methods Two deep learning methods, namely the Bidirectional LSTM and the Bidirectional LSTM-CRF, are evaluated. A CRF model is set as the baseline to compare the deep learning systems to a traditional machine learning approach. The same features are used for all the models. Results We have obtained the best results with the Bidirectional LSTM-CRF model, which has outperformed all previously proposed systems. The specialized embeddings have helped to cover unusual words in DrugBank and MedLine, but not in the i2b2/VA dataset. Conclusions We present a state-of-the-art system for DNR and CCE. Automated word embeddings has allowed us to avoid costly feature engineering and achieve higher accuracy. Nevertheless, the embeddings need to be retrained over datasets that are adequate for the domain, in order to adequately cover the domain-specific vocabulary

CCheXR-Attention: Clinical concept extraction and chest x-ray reports classification using modified Mogrifier and bidirectional LSTM with multihead attention

Radiology reports cover different aspects, from radiological observation to the diagnosis of an imaging examination, such as X-rays, MRI, and CT scans. Abundant patient information presented in radiology reports poses a few major challenges. First, radiology reports follow a free-text reporting format, which causes the loss of a large amount of information in unstructured text. Second, the extraction of important features from these reports is a huge bottleneck for machine learning models. These challenges are important, particularly the extraction of key features such as symptoms, comparison/priors, technique, finding, and impression because they facilitate the decision-making on patients’ health. To alleviate this issue, a novel architecture CCheXR-Attention is proposed to extract the clinical features from the radiological reports and classify each report into normal and abnormal categories based on the extracted information. We have proposed a modified mogrifier LSTM model and integrated a multihead attention method to extract the more relevant features. Experimental outcomes on two benchmark datasets demonstrated that the proposed model surpassed state-of-the-art models