Acronyms as an integral part of multi–word term recognition - A token of appreciation

Term conflation is the process of linking together different variants of the same term. In automatic term recognition approaches, all term variants should be aggregated into a single normalized term representative, which is associated with a single domain–specific concept as a latent variable. In a previous study, we described FlexiTerm, an unsupervised method for recognition of multi–word terms from a domain–specific corpus. It uses a range of methods to normalize three types of term variation – orthographic, morphological and syntactic variation. Acronyms, which represent a highly productive type of term variation, were not supported. In this study, we describe how the functionality of FlexiTerm has been extended to recognize acronyms and incorporate them into the term conflation process. The main contribution of this study is not acronym recognition per se, but rather its integration with other types of term variation into the term conflation process. We evaluated the effects of term conflation in the context of information retrieval as one of its most prominent applications. On average, relative recall increased by 32 percent points, whereas index compression factor increased by 7 percent points. Therefore, evidence suggests that integration of acronyms provides non–trivial improvement of term conflation

Building Continents of Knowledge in Oceans of Data: The Future of Co-Created eHealth

We report on the development and evaluation of a prototype tool aimed to assist laymen/patients in understanding the content of clinical narratives. The tool relies largely on unsupervised machine learning applied to two large corpora of unlabeled text – a clinical corpus and a general domain corpus. A joint semantic word-space model is created for the purpose of extracting easier to understand alternatives for words considered difficult to understand by laymen. Two domain experts evaluate the tool and inter-rater agreement is calculated. When having the tool suggest ten alternatives to each difficult word, it suggests acceptable lay words for 55.51% of them. This and future manual evaluation will serve to further improve performance, where also supervised machine learning will be used.</p

The biomedical abbreviation recognition and resolution (BARR) track: Benchmarking, evaluation and importance of abbreviation recognition systems applied to Spanish biomedical abstracts

Healthcare professionals are generating a substantial volume of clinical data in narrative form. As healthcare providers are confronted with serious time constraints, they frequently use telegraphic phrases, domain-specific abbreviations and shorthand notes. Efficient clinical text processing tools need to cope with the recognition and resolution of abbreviations, a task that has been extensively studied for English documents. Despite the outstanding number of clinical documents written worldwide in Spanish, only a marginal amount of studies has been published on this subject. In clinical texts, as opposed to the medical literature, abbreviations are generally used without their definitions or expanded forms. The aim of the first Biomedical Abbreviation Recognition and Resolution (BARR) track, posed at the IberEval 2017 evaluation campaign, was to assess and promote the development of systems for generating a sense inventory of medical abbreviations. The BARR track required the detection of mentions of abbreviations or short forms and their corresponding long forms or definitions from Spanish medical abstracts. For this track, the organizers provided the BARR medical document collection, the BARR corpus of manually annotated abstracts labelled by domain experts and the BARR-Markyt evaluation platform. A total of 7 teams submitted 25 runs for the two BARR subtasks: (a) the identification of mentions of abbreviations and their definitions and (b) the correct detection of short form-long form pairs. Here we describe the BARR track setting, the obtained results and the methodologies used by participating systems. The BARR task summary, corpus, resources and evaluation tool for testing systems beyond this campaign are available at: http://temu.inab.org .We acknowledge the Encomienda MINETAD-CNIO/OTG Sanidad Plan TL and Open-Minted (654021) H2020 project for funding.Postprint (published version

Word Sense Disambiguation for clinical abbreviations

Abbreviations are extensively used in electronic health records (EHR) of patients as well as medical documentation, reaching 30-50% of the words in clinical narrative. There are more than 197,000 unique medical abbreviations found in the clinical text and their meanings vary depending on the context in which they are used. Since data in electronic health records could be shareable across health information systems (hospitals, primary care centers, etc.) as well as others such as insurance companies information systems, it is essential determining the correct meaning of the abbreviations to avoid misunderstandings. Clinical abbreviations have specific characteristic that do not follow any standard rules for creating them. This makes it complicated to find said abbreviations and corresponding meanings. Furthermore, there is an added difficulty to working with clinical data due to privacy reasons, since it is essential to have them in order to develop and test algorithms. Word sense disambiguation (WSD) is an essential task in natural language processing (NLP) applications such as information extraction, chatbots and summarization systems among others. WSD aims to identify the correct meaning of the ambiguous word which has more than one meaning. Disambiguating clinical abbreviations is a type of lexical sample WSD task. Previous research works adopted supervised, unsupervised and Knowledge-based (KB) approaches to disambiguate clinical abbreviations. This thesis aims to propose a classification model that apart from disambiguating well known abbreviations also disambiguates rare and unseen abbreviations using the most recent deep neural network architectures for language modeling. In clinical abbreviation disambiguation several resources and disambiguation models were encountered. Different classification approaches used to disambiguate the clinical abbreviations were investigated in this thesis. Considering that computers do not directly understand texts, different data representations were implemented to capture the meaning of the words. Since it is also necessary to measure the performance of algorithms, the evaluation measurements used are discussed. As the different solutions proposed to clinical WSD we have explored static word embeddings data representation on 13 English clinical abbreviations of the UMN data set (from University of Minnesota) by testing traditional supervised machine learning algorithms separately for each abbreviation. Moreover, we have utilized a transformer-base pretrained model that was fine-tuned as a multi-classification classifier for the whole data set (75 abbreviations of the UMN data set). The aim of implementing just one multi-class classifier is to predict rare and unseen abbreviations that are most common in clinical narrative. Additionally, other experiments were conducted for a different type of abbreviations (scientific abbreviations and acronyms) by defining a hybrid approach composed of supervised and knowledge-based approaches. Most previous works tend to build a separated classifier for each clinical abbreviation, tending to leverage different data resources to overcome the data acquisition bottleneck. However, those models were restricted to disambiguate terms that have been seen in trained data. Meanwhile, based on our results, transfer learning by fine-tuning a transformer-based model could predict rare and unseen abbreviations. A remaining challenge for future work is to improve the model to automate the disambiguation of clinical abbreviations on run-time systems by implementing self-supervised learning models.Las abreviaturas se utilizan ampliamente en las historias clínicas electrónicas de los pacientes y en mucha documentación médica, llegando a ser un 30-50% de las palabras empleadas en narrativa clínica. Existen más de 197.000 abreviaturas únicas usadas en textos clínicos siendo términos altamente ambiguos El significado de las abreviaturas varía en función del contexto en el que se utilicen. Dado que los datos de las historias clínicas electrónicas pueden compartirse entre servicios, hospitales, centros de atención primaria así como otras organizaciones como por ejemplo, las compañías de seguros es fundamental determinar el significado correcto de las abreviaturas para evitar además eventos adversos relacionados con la seguridad del paciente. Nuevas abreviaturas clínicas aparecen constantemente y tienen la característica específica de que no siguen ningún estándar para su creación. Esto hace que sea muy difícil disponer de un recurso con todas las abreviaturas y todos sus significados. A todo esto hay que añadir la dificultad para trabajar con datos clínicos por cuestiones de privacidad cuando es esencial disponer de ellos para poder desarrollar algoritmos para su tratamiento. La desambiguación del sentido de las palabras (WSD, en inglés) es una tarea esencial en tareas de procesamiento del lenguaje natural (PLN) como extracción de información, chatbots o generadores de resúmenes, entre otros. WSD tiene como objetivo identificar el significado correcto de una palabra ambigua (que tiene más de un significado). Esta tarea se ha abordado previamente utilizando tanto enfoques supervisados, no supervisados así como basados en conocimiento. Esta tesis tiene como objetivo definir un modelo de clasificación que además de desambiguar abreviaturas conocidas desambigüe también abreviaturas menos frecuentes que no han aparecido previamente en los conjuntos de entrenaminto utilizando las arquitecturas de redes neuronales profundas más recientes relacionadas ocn los modelos del lenguaje. En la desambiguación de abreviaturas clínicas se emplean diversos recursos y modelos de desambiguación. Se han investigado los diferentes enfoques de clasificación utilizados para desambiguar las abreviaturas clínicas. Dado que un ordenador no comprende directamente los textos, se han implementado diferentes representaciones de textos para capturar el significado de las palabras. Puesto que también es necesario medir el desempeño de cualquier algoritmo, se describen también las medidas de evaluación utilizadas. La mayoría de los trabajos previos se han basado en la construcción de un clasificador separado para cada abreviatura clínica. De este modo, tienden a aprovechar diferentes recursos de datos para superar el cuello de botella de la adquisición de datos. Sin embargo, estos modelos se limitaban a desambiguar con los datos para los que el sistema había sido entrenado. Se han explorado además representaciones basadas vectores de palabras (word embeddings) estáticos para 13 abreviaturas clínicas en el corpus UMN en inglés (de la University of Minnesota) utilizando algoritmos de clasificación tradicionales de aprendizaje automático supervisados (un clasificador por cada abreviatura). Se ha llevado a cabo un segundo experimento utilizando un modelo multi-clasificador sobre todo el conjunto de las 75 abreviaturas del corpus UMN basado en un modelo Transformer pre-entrenado. El objetivo ha sido implementar un clasificador multiclase para predecir también abreviaturas raras y no vistas. Se realizó un experimento adicional para siglas científicas en documentos de dominio abierto mediante la aplicación de un enfoque híbrido compuesto por enfoques supervisados y basados en el conocimiento. Así, basándonos en los resultados de esta tesis, el aprendizaje por transferencia (transfer learning) mediante el ajuste (fine-tuning) de un modelo de lenguaje preentrenado podría predecir abreviaturas raras y no vistas sin necesidad de entrenarlas previamente. Un reto pendiente para el trabajo futuro es mejorar el modelo para automatizar la desambiguación de las abreviaturas clínicas en tiempo de ejecución mediante la implementación de modelos de aprendizaje autosupervisados.Programa de Doctorado en Ciencia y Tecnología Informática por la Universidad Carlos III de MadridPresidente: Israel González Carrasco.- Secretario: Leonardo Campillos Llanos.- Vocal: Ana María García Serran

Knowledge will Propel Machine Understanding of Content: Extrapolating from Current Examples

Machine Learning has been a big success story during the AI resurgence. One particular stand out success relates to learning from a massive amount of data. In spite of early assertions of the unreasonable effectiveness of data, there is increasing recognition for utilizing knowledge whenever it is available or can be created purposefully. In this paper, we discuss the indispensable role of knowledge for deeper understanding of content where (i) large amounts of training data are unavailable, (ii) the objects to be recognized are complex, (e.g., implicit entities and highly subjective content), and (iii) applications need to use complementary or related data in multiple modalities/media. What brings us to the cusp of rapid progress is our ability to (a) create relevant and reliable knowledge and (b) carefully exploit knowledge to enhance ML/NLP techniques. Using diverse examples, we seek to foretell unprecedented progress in our ability for deeper understanding and exploitation of multimodal data and continued incorporation of knowledge in learning techniques.Comment: Pre-print of the paper accepted at 2017 IEEE/WIC/ACM International Conference on Web Intelligence (WI). arXiv admin note: substantial text overlap with arXiv:1610.0770

Dictionary construction and identification of possible adverse drug events in Danish clinical narrative text

OBJECTIVE: Drugs have tremendous potential to cure and relieve disease, but the risk of unintended effects is always present. Healthcare providers increasingly record data in electronic patient records (EPRs), in which we aim to identify possible adverse events (AEs) and, specifically, possible adverse drug events (ADEs). MATERIALS AND METHODS: Based on the undesirable effects section from the summary of product characteristics (SPC) of 7446 drugs, we have built a Danish ADE dictionary. Starting from this dictionary we have developed a pipeline for identifying possible ADEs in unstructured clinical narrative text. We use a named entity recognition (NER) tagger to identify dictionary matches in the text and post-coordination rules to construct ADE compound terms. Finally, we apply post-processing rules and filters to handle, for example, negations and sentences about subjects other than the patient. Moreover, this method allows synonyms to be identified and anatomical location descriptions can be merged to allow appropriate grouping of effects in the same location. RESULTS: The method identified 1 970 731 (35 477 unique) possible ADEs in a large corpus of 6011 psychiatric hospital patient records. Validation was performed through manual inspection of possible ADEs, resulting in precision of 89% and recall of 75%. DISCUSSION: The presented dictionary-building method could be used to construct other ADE dictionaries. The complication of compound words in Germanic languages was addressed. Additionally, the synonym and anatomical location collapse improve the method. CONCLUSIONS: The developed dictionary and method can be used to identify possible ADEs in Danish clinical narratives