Medical Knowledge-enriched Textual Entailment Framework

One of the cardinal tasks in achieving robust medical question answering systems is textual entailment. The existing approaches make use of an ensemble of pre-trained language models or data augmentation, often to clock higher numbers on the validation metrics. However, two major shortcomings impede higher success in identifying entailment: (1) understanding the focus/intent of the question and (2) ability to utilize the real-world background knowledge to capture the context beyond the sentence. In this paper, we present a novel Medical Knowledge-Enriched Textual Entailment framework that allows the model to acquire a semantic and global representation of the input medical text with the help of a relevant domain-specific knowledge graph. We evaluate our framework on the benchmark MEDIQA-RQE dataset and manifest that the use of knowledge enriched dual-encoding mechanism help in achieving an absolute improvement of 8.27% over SOTA language models. We have made the source code available here

IITP at MEDIQA 2019: Systems Report for Natural Language Inference, Question Entailment and Question Answering

This paper presents the experiments accomplished as a part of our participation in the MEDIQA challenge, an (Abacha et al., 2019) shared task. We participated in all the three tasks defined in this particular shared task. The tasks are viz. i. Natural Language Inference (NLI) ii. Recognizing Question Entailment(RQE) and their application in medical Question Answering (QA). We submitted runs using multiple deep learning based systems (runs) for each of these three tasks. We submitted five system results in each of the NLI and RQE tasks, and four system results for the QA task. The systems yield encouraging results in all three tasks. The highest performance obtained in NLI, RQE and QA tasks are 81.8%, 53.2%, and 71.7%, respectively

Surf at MEDIQA 2019: Improving Performance of Natural Language Inference in the Clinical Domain by Adopting Pre-trained Language Model

While deep learning techniques have shown promising results in many natural language processing (NLP) tasks, it has not been widely applied to the clinical domain. The lack of large datasets and the pervasive use of domain-specific language (i.e. abbreviations and acronyms) in the clinical domain causes slower progress in NLP tasks than that of the general NLP tasks. To fill this gap, we employ word/subword-level based models that adopt large-scale data-driven methods such as pre-trained language models and transfer learning in analyzing text for the clinical domain. Empirical results demonstrate the superiority of the proposed methods by achieving 90.6% accuracy in medical domain natural language inference task. Furthermore, we inspect the independent strengths of the proposed approaches in quantitative and qualitative manners. This analysis will help researchers to select necessary components in building models for the medical domain.Comment: 9 pages, Accepted to ACL 2019 workshop on BioNL

UW-BHI at MEDIQA 2019: An Analysis of Representation Methods for Medical Natural Language Inference

Recent advances in distributed language modeling have led to large performance increases on a variety of natural language processing (NLP) tasks. However, it is not well understood how these methods may be augmented by knowledge-based approaches. This paper compares the performance and internal representation of an Enhanced Sequential Inference Model (ESIM) between three experimental conditions based on the representation method: Bidirectional Encoder Representations from Transformers (BERT), Embeddings of Semantic Predications (ESP), or Cui2Vec. The methods were evaluated on the Medical Natural Language Inference (MedNLI) subtask of the MEDIQA 2019 shared task. This task relied heavily on semantic understanding and thus served as a suitable evaluation set for the comparison of these representation methods

Probing Pre-Trained Language Models for Disease Knowledge

Pre-trained language models such as ClinicalBERT have achieved impressive results on tasks such as medical Natural Language Inference. At first glance, this may suggest that these models are able to perform medical reasoning tasks, such as mapping symptoms to diseases. However, we find that standard benchmarks such as MedNLI contain relatively few examples that require such forms of reasoning. To better understand the medical reasoning capabilities of existing language models, in this paper we introduce DisKnE, a new benchmark for Disease Knowledge Evaluation. To construct this benchmark, we annotated each positive MedNLI example with the types of medical reasoning that are needed. We then created negative examples by corrupting these positive examples in an adversarial way. Furthermore, we define training-test splits per disease, ensuring that no knowledge about test diseases can be learned from the training data, and we canonicalize the formulation of the hypotheses to avoid the presence of artefacts. This leads to a number of binary classification problems, one for each type of reasoning and each disease. When analysing pre-trained models for the clinical/biomedical domain on the proposed benchmark, we find that their performance drops considerably.Comment: Accepted by ACL 2021 Finding