Three Essays on Enhancing Clinical Trial Subject Recruitment Using Natural Language Processing and Text Mining

Patient recruitment and enrollment are critical factors for a successful clinical trial; however, recruitment tends to be the most common problem in most clinical trials. The success of a clinical trial depends on efficiently recruiting suitable patients to conduct the trial. Every clinical trial research has a protocol, which describes what will be done in the study and how it will be conducted. Also, the protocol ensures the safety of the trial subjects and the integrity of the data collected. The eligibility criteria section of clinical trial protocols is important because it specifies the necessary conditions that participants have to satisfy. Since clinical trial eligibility criteria are usually written in free text form, they are not computer interpretable. To automate the analysis of the eligibility criteria, it is therefore necessary to transform those criteria into a computer-interpretable format. Unstructured format of eligibility criteria additionally create search efficiency issues. Thus, searching and selecting appropriate clinical trials for a patient from relatively large number of available trials is a complex task. A few attempts have been made to automate the matching process between patients and clinical trials. However, those attempts have not fully integrated the entire matching process and have not exploited the state-of-the-art Natural Language Processing (NLP) techniques that may improve the matching performance. Given the importance of patient recruitment in clinical trial research, the objective of this research is to automate the matching process using NLP and text mining techniques and, thereby, improve the efficiency and effectiveness of the recruitment process. This dissertation research, which comprises three essays, investigates the issues of clinical trial subject recruitment using state-of-the-art NLP and text mining techniques. Essay 1: Building a Domain-Specific Lexicon for Clinical Trial Subject Eligibility Analysis Essay 2: Clustering Clinical Trials Using Semantic-Based Feature Expansion Essay 3: An Automatic Matching Process of Clinical Trial Subject Recruitment In essay1, I develop a domain-specific lexicon for n-gram Named Entity Recognition (NER) in the breast cancer domain. The domain-specific dictionary is used for selection and reduction of n-gram features in clustering in eassy2. The domain-specific dictionary was evaluated by comparing it with Systematized Nomenclature of Medicine--Clinical Terms (SNOMED CT). The results showed that it add significant number of new terms which is very useful in effective natural language processing In essay 2, I explore the clustering of similar clinical trials using the domain-specific lexicon and term expansion using synonym from the Unified Medical Language System (UMLS). I generate word n-gram features and modify the features with the domain-specific dictionary matching process. In order to resolve semantic ambiguity, a semantic-based feature expansion technique using UMLS is applied. A hierarchical agglomerative clustering algorithm is used to generate clinical trial clusters. The focus is on summarization of clinical trial information in order to enhance trial search efficiency. Finally, in essay 3, I investigate an automatic matching process of clinical trial clusters and patient medical records. The patient records collected from a prior study were used to test our approach. The patient records were pre-processed by tokenization and lemmatization. The pre-processed patient information were then further enhanced by matching with breast cancer custom dictionary described in essay 1 and semantic feature expansion using UMLS Metathesaurus. Finally, I matched the patient record with clinical trial clusters to select the best matched cluster(s) and then with trials within the clusters. The matching results were evaluated by internal expert as well as external medical expert

New Fundamental Technologies in Data Mining

The progress of data mining technology and large public popularity establish a need for a comprehensive text on the subject. The series of books entitled by "Data Mining" address the need by presenting in-depth description of novel mining algorithms and many useful applications. In addition to understanding each section deeply, the two books present useful hints and strategies to solving problems in the following chapters. The contributing authors have highlighted many future research directions that will foster multi-disciplinary collaborations and hence will lead to significant development in the field of data mining

Thirty years of artificial intelligence in medicine (AIME) conferences: A review of research themes

Over the past 30 years, the international conference on Artificial Intelligence in MEdicine (AIME) has been organized at different venues across Europe every 2 years, establishing a forum for scientific exchange and creating an active research community. The Artificial Intelligence in Medicine journal has published theme issues with extended versions of selected AIME papers since 1998

CRIS-IR 2006

The recognition of entities and their relationships in document collections is an important step towards the discovery of latent knowledge as well as to support knowledge management applications. The challenge lies on how to extract and correlate entities, aiming to answer key knowledge management questions, such as; who works with whom, on which projects, with which customers and on what research areas. The present work proposes a knowledge mining approach supported by information retrieval and text mining tasks in which its core is based on the correlation of textual elements through the LRD (Latent Relation Discovery) method. Our experiments show that LRD outperform better than other correlation methods. Also, we present an application in order to demonstrate the approach over knowledge management scenarios.Fundação para a Ciência e a Tecnologia (FCT) Denmark's Electronic Research Librar

PERICLES Deliverable 4.3:Content Semantics and Use Context Analysis Techniques

The current deliverable summarises the work conducted within task T4.3 of WP4, focusing on the extraction and the subsequent analysis of semantic information from digital content, which is imperative for its preservability. More specifically, the deliverable defines content semantic information from a visual and textual perspective, explains how this information can be exploited in long-term digital preservation and proposes novel approaches for extracting this information in a scalable manner. Additionally, the deliverable discusses novel techniques for retrieving and analysing the context of use of digital objects. Although this topic has not been extensively studied by existing literature, we believe use context is vital in augmenting the semantic information and maintaining the usability and preservability of the digital objects, as well as their ability to be accurately interpreted as initially intended.PERICLE

A framework for knowledge discovery within business intelligence for decision support

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.Business Intelligence (BI) techniques provide the potential to not only efficiently manage but further analyse and apply the collected information in an effective manner. Benefiting from research both within industry and academia, BI provides functionality for accessing, cleansing, transforming, analysing and reporting organisational datasets. This provides further opportunities for the data to be explored and assist organisations in the discovery of correlations, trends and patterns that exist hidden within the data. This hidden information can be employed to provide an insight into opportunities to make an organisation more competitive by allowing manager to make more informed decisions and as a result, corporate resources optimally utilised. This potential insight provides organisations with an unrivalled opportunity to remain abreast of market trends. Consequently, BI techniques provide significant opportunity for integration with Decision Support Systems (DSS). The gap which was identified within the current body of knowledge and motivated this research, revealed that currently no suitable framework for BI, which can be applied at a meta-level and is therefore tool, technology and domain independent, currently exists. To address the identified gap this study proposes a meta-level framework: - ‘KDDS-BI’, which can be applied at an abstract level and therefore structure a BI investigation, irrespective of the end user. KDDS-BI not only facilitates the selection of suitable techniques for BI investigations, reducing the reliance upon ad-hoc investigative approaches which rely upon ‘trial and error’, yet further integrates Knowledge Management (KM) principles to ensure the retention and transfer of knowledge due to a structured approach to provide DSS that are based upon the principles of BI. In order to evaluate and validate the framework, KDDS-BI has been investigated through three distinct case studies. First KDDS-BI facilitates the integration of BI within ‘Direct Marketing’ to provide innovative solutions for analysis based upon the most suitable BI technique. Secondly, KDDS-BI is investigated within sales promotion, to facilitate the selection of tools and techniques for more focused in store marketing campaigns and increase revenue through the discovery of hidden data, and finally, operations management is analysed within a highly dynamic and unstructured environment of the London Underground Ltd. network through unique a BI solution to organise and manage resources, thereby increasing the efficiency of business processes. The three case studies provide insight into not only how KDDS-BI provides structure to the integration of BI within business process, but additionally the opportunity to analyse the performance of KDDS-BI within three independent environments for distinct purposes provided structure through KDDS-BI thereby validating and corroborating the proposed framework and adding value to business processes

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technology-based KM approaches

Using social semantic knowledge to improve annotations in personal photo collections

Instituto Politécnico de Lisboa (IPL) e Instituto Superior de Engenharia de Lisboa (ISEL)apoio concedido pela bolsa SPRH/PROTEC/67580/2010, que apoiou parcialmente este trabalh

A framework for discovering meaningful associations in the annotated life sciences Web

During the last decade, life sciences researchers have gained access to the entire human genome, reliable high-throughput biotechnologies, affordable computational resources, and public network access. This has produced vast amounts of data and knowledge captured in the life sciences Web, and has created the need for new tools to analyze this knowledge and make discoveries. Consider a simplified Web of three publicly accessible data resources Entrez Gene, PubMed and OMIM. Data records in each resource are annotated with terms from multiple controlled vocabularies (CVs). The links between data records in two resources form a relationship between the two resources. Thus, a record in Entrez Gene, annotated with GO terms, can have links to multiple records in PubMed that are annotated with MeSH terms. Similarly, OMIM records annotated with terms from SNOMED CT may have links to records in Entrez Gene and PubMed. This forms a rich web of annotated data records. The objective of this research is to develop the Life Science Link (LSLink) methodology and tools to discover meaningful patterns across resources and CVs. In a first step, we execute a protocol to follow links, extract annotations, and generate datasets of termlinks, which consist of data records and CV terms. We then mine the termlinks of the datasets to find potentially meaningful associations between pairs of terms from two CVs. Biologically meaningful associations of pairs of CV terms may yield innovative nuggets of previously unknown knowledge. Moreover, the bridge of associations across CV terms will reflect the practice of how scientists annotate data across linked data repositories. Contributions include a methodology to create background datasets, metrics for mining patterns, applying semantic knowledge for generalization, tools for discovery, and validation with biological use cases. Inspired by research in association rule mining and linkage analysis, we develop two metrics to determine support and confidence scores in the associations of pairs of CV terms. Associations that have a statistically significant high score and are biologically meaningful may lead to new knowledge. To further validate the support and confidence metrics, we develop a secondary test for significance based on the hypergeometric distribution. We also exploit the semantics of the CVs. We aggregate termlinks over siblings of a common parent CV term and use them as additional evidence to boost the support and confidence scores in the associations of the parent CV term. We provide a simple discovery interface where biologists can review associations and their scores. Finally, a cancer informatics use case validates the discovery of associations between human genes and diseases