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Dec 1

De-identification of Patient Notes with Recurrent Neural Networks

Objective: Patient notes in electronic health records (EHRs) may contain critical information for medical investigations. However, the vast majority of medical investigators can only access de-identified notes, in order to protect the confidentiality of patients. In the United States, the Health Insurance Portability and Accountability Act (HIPAA) defines 18 types of protected health information (PHI) that needs to be removed to de-identify patient notes. Manual de-identification is impractical given the size of EHR databases, the limited number of researchers with access to the non-de-identified notes, and the frequent mistakes of human annotators. A reliable automated de-identification system would consequently be of high value. Materials and Methods: We introduce the first de-identification system based on artificial neural networks (ANNs), which requires no handcrafted features or rules, unlike existing systems. We compare the performance of the system with state-of-the-art systems on two datasets: the i2b2 2014 de-identification challenge dataset, which is the largest publicly available de-identification dataset, and the MIMIC de-identification dataset, which we assembled and is twice as large as the i2b2 2014 dataset. Results: Our ANN model outperforms the state-of-the-art systems. It yields an F1-score of 97.85 on the i2b2 2014 dataset, with a recall 97.38 and a precision of 97.32, and an F1-score of 99.23 on the MIMIC de-identification dataset, with a recall 99.25 and a precision of 99.06. Conclusion: Our findings support the use of ANNs for de-identification of patient notes, as they show better performance than previously published systems while requiring no feature engineering.

  • 4 authors
·
Jun 10, 2016

mSCoRe: a $M$ultilingual and Scalable Benchmark for $S$kill-based $Co$mmonsense $Re$asoning

Recent advancements in reasoning-reinforced Large Language Models (LLMs) have shown remarkable capabilities in complex reasoning tasks. However, the mechanism underlying their utilization of different human reasoning skills remains poorly investigated, especially for multilingual commonsense reasoning that involves everyday knowledge across different languages and cultures. To address this gap, we propose a Multilingual and Scalable Benchmark for Skill-based Commonsense Reasoning (mSCoRe). Our benchmark incorporates three key components that are designed to systematically evaluate LLM's reasoning capabilities, including: (1) a novel taxonomy of reasoning skills that enables fine-grained analysis of models' reasoning processes, (2) a robust data synthesis pipeline tailored specifically for commonsense reasoning evaluation, and (3) a complexity scaling framework allowing task difficulty to scale dynamically alongside future improvements in LLM abilities. Extensive experiments on eights state-of-the-art LLMs of varying sizes and training approaches demonstrate that mSCoRe remains significantly challenging for current models, particularly at higher complexity levels. Our results reveal the limitations of such reasoning-reinforced models when confronted with nuanced multilingual general and cultural commonsense. We further provide detailed analysis on the models' reasoning processes, suggesting future directions for improving multilingual commonsense reasoning capabilities.

  • 3 authors
·
Aug 13 2

Comparing Rule-Based and Deep Learning Models for Patient Phenotyping

Objective: We investigate whether deep learning techniques for natural language processing (NLP) can be used efficiently for patient phenotyping. Patient phenotyping is a classification task for determining whether a patient has a medical condition, and is a crucial part of secondary analysis of healthcare data. We assess the performance of deep learning algorithms and compare them with classical NLP approaches. Materials and Methods: We compare convolutional neural networks (CNNs), n-gram models, and approaches based on cTAKES that extract pre-defined medical concepts from clinical notes and use them to predict patient phenotypes. The performance is tested on 10 different phenotyping tasks using 1,610 discharge summaries extracted from the MIMIC-III database. Results: CNNs outperform other phenotyping algorithms in all 10 tasks. The average F1-score of our model is 76 (PPV of 83, and sensitivity of 71) with our model having an F1-score up to 37 points higher than alternative approaches. We additionally assess the interpretability of our model by presenting a method that extracts the most salient phrases for a particular prediction. Conclusion: We show that NLP methods based on deep learning improve the performance of patient phenotyping. Our CNN-based algorithm automatically learns the phrases associated with each patient phenotype. As such, it reduces the annotation complexity for clinical domain experts, who are normally required to develop task-specific annotation rules and identify relevant phrases. Our method performs well in terms of both performance and interpretability, which indicates that deep learning is an effective approach to patient phenotyping based on clinicians' notes.

  • 11 authors
·
Mar 25, 2017

What Does This Acronym Mean? Introducing a New Dataset for Acronym Identification and Disambiguation

Acronyms are the short forms of phrases that facilitate conveying lengthy sentences in documents and serve as one of the mainstays of writing. Due to their importance, identifying acronyms and corresponding phrases (i.e., acronym identification (AI)) and finding the correct meaning of each acronym (i.e., acronym disambiguation (AD)) are crucial for text understanding. Despite the recent progress on this task, there are some limitations in the existing datasets which hinder further improvement. More specifically, limited size of manually annotated AI datasets or noises in the automatically created acronym identification datasets obstruct designing advanced high-performing acronym identification models. Moreover, the existing datasets are mostly limited to the medical domain and ignore other domains. In order to address these two limitations, we first create a manually annotated large AI dataset for scientific domain. This dataset contains 17,506 sentences which is substantially larger than previous scientific AI datasets. Next, we prepare an AD dataset for scientific domain with 62,441 samples which is significantly larger than the previous scientific AD dataset. Our experiments show that the existing state-of-the-art models fall far behind human-level performance on both datasets proposed by this work. In addition, we propose a new deep learning model that utilizes the syntactical structure of the sentence to expand an ambiguous acronym in a sentence. The proposed model outperforms the state-of-the-art models on the new AD dataset, providing a strong baseline for future research on this dataset.

  • 4 authors
·
Oct 27, 2020

A Joint Model for Definition Extraction with Syntactic Connection and Semantic Consistency

Definition Extraction (DE) is one of the well-known topics in Information Extraction that aims to identify terms and their corresponding definitions in unstructured texts. This task can be formalized either as a sentence classification task (i.e., containing term-definition pairs or not) or a sequential labeling task (i.e., identifying the boundaries of the terms and definitions). The previous works for DE have only focused on one of the two approaches, failing to model the inter-dependencies between the two tasks. In this work, we propose a novel model for DE that simultaneously performs the two tasks in a single framework to benefit from their inter-dependencies. Our model features deep learning architectures to exploit the global structures of the input sentences as well as the semantic consistencies between the terms and the definitions, thereby improving the quality of the representation vectors for DE. Besides the joint inference between sentence classification and sequential labeling, the proposed model is fundamentally different from the prior work for DE in that the prior work has only employed the local structures of the input sentences (i.e., word-to-word relations), and not yet considered the semantic consistencies between terms and definitions. In order to implement these novel ideas, our model presents a multi-task learning framework that employs graph convolutional neural networks and predicts the dependency paths between the terms and the definitions. We also seek to enforce the consistency between the representations of the terms and definitions both globally (i.e., increasing semantic consistency between the representations of the entire sentences and the terms/definitions) and locally (i.e., promoting the similarity between the representations of the terms and the definitions).

  • 4 authors
·
Nov 5, 2019

VisDoM: Multi-Document QA with Visually Rich Elements Using Multimodal Retrieval-Augmented Generation

Understanding information from a collection of multiple documents, particularly those with visually rich elements, is important for document-grounded question answering. This paper introduces VisDoMBench, the first comprehensive benchmark designed to evaluate QA systems in multi-document settings with rich multimodal content, including tables, charts, and presentation slides. We propose VisDoMRAG, a novel multimodal Retrieval Augmented Generation (RAG) approach that simultaneously utilizes visual and textual RAG, combining robust visual retrieval capabilities with sophisticated linguistic reasoning. VisDoMRAG employs a multi-step reasoning process encompassing evidence curation and chain-of-thought reasoning for concurrent textual and visual RAG pipelines. A key novelty of VisDoMRAG is its consistency-constrained modality fusion mechanism, which aligns the reasoning processes across modalities at inference time to produce a coherent final answer. This leads to enhanced accuracy in scenarios where critical information is distributed across modalities and improved answer verifiability through implicit context attribution. Through extensive experiments involving open-source and proprietary large language models, we benchmark state-of-the-art document QA methods on VisDoMBench. Extensive results show that VisDoMRAG outperforms unimodal and long-context LLM baselines for end-to-end multimodal document QA by 12-20%.

  • 6 authors
·
Dec 14, 2024 2

ULLME: A Unified Framework for Large Language Model Embeddings with Generation-Augmented Learning

Large Language Models (LLMs) excel in various natural language processing tasks, but leveraging them for dense passage embedding remains challenging. This is due to their causal attention mechanism and the misalignment between their pre-training objectives and the text ranking tasks. Despite some recent efforts to address these issues, existing frameworks for LLM-based text embeddings have been limited by their support for only a limited range of LLM architectures and fine-tuning strategies, limiting their practical application and versatility. In this work, we introduce the Unified framework for Large Language Model Embedding (ULLME), a flexible, plug-and-play implementation that enables bidirectional attention across various LLMs and supports a range of fine-tuning strategies. We also propose Generation-augmented Representation Learning (GRL), a novel fine-tuning method to boost LLMs for text embedding tasks. GRL enforces consistency between representation-based and generation-based relevance scores, leveraging LLMs' powerful generative abilities for learning passage embeddings. To showcase our framework's flexibility and effectiveness, we release three pre-trained models from ULLME with different backbone architectures, ranging from 1.5B to 8B parameters, all of which demonstrate strong performance on the Massive Text Embedding Benchmark. Our framework is publicly available at: https://github.com/nlp-uoregon/ullme. A demo video for ULLME can also be found at https://rb.gy/ws1ile.

  • 4 authors
·
Aug 6, 2024

Towards Enhancing Coherence in Extractive Summarization: Dataset and Experiments with LLMs

Extractive summarization plays a pivotal role in natural language processing due to its wide-range applications in summarizing diverse content efficiently, while also being faithful to the original content. Despite significant advancement achieved in extractive summarization by Large Language Models (LLMs), these summaries frequently exhibit incoherence. An important aspect of the coherent summary is its readability for intended users. Although there have been many datasets and benchmarks proposed for creating coherent extractive summaries, none of them currently incorporate user intent to improve coherence in extractive summarization. Motivated by this, we propose a systematically created human-annotated dataset consisting of coherent summaries for five publicly available datasets and natural language user feedback, offering valuable insights into how to improve coherence in extractive summaries. We utilize this dataset for aligning LLMs through supervised fine-tuning with natural language human feedback to enhance the coherence of their generated summaries. Preliminary experiments with Falcon-40B and Llama-2-13B show significant performance improvements (~10% Rouge-L) in terms of producing coherent summaries. We further utilize human feedback to benchmark results over instruction-tuned models such as FLAN-T5 which resulted in several interesting findings. Data and source code are available at https://github.com/Mihir3009/Extract-AI.

  • 6 authors
·
Jul 5, 2024

Variational Hierarchical Dialog Autoencoder for Dialog State Tracking Data Augmentation

Recent works have shown that generative data augmentation, where synthetic samples generated from deep generative models complement the training dataset, benefit NLP tasks. In this work, we extend this approach to the task of dialog state tracking for goal-oriented dialogs. Due to the inherent hierarchical structure of goal-oriented dialogs over utterances and related annotations, the deep generative model must be capable of capturing the coherence among different hierarchies and types of dialog features. We propose the Variational Hierarchical Dialog Autoencoder (VHDA) for modeling the complete aspects of goal-oriented dialogs, including linguistic features and underlying structured annotations, namely speaker information, dialog acts, and goals. The proposed architecture is designed to model each aspect of goal-oriented dialogs using inter-connected latent variables and learns to generate coherent goal-oriented dialogs from the latent spaces. To overcome training issues that arise from training complex variational models, we propose appropriate training strategies. Experiments on various dialog datasets show that our model improves the downstream dialog trackers' robustness via generative data augmentation. We also discover additional benefits of our unified approach to modeling goal-oriented dialogs: dialog response generation and user simulation, where our model outperforms previous strong baselines.

  • 6 authors
·
Jan 23, 2020