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Oct 28

Am I eligible? Natural Language Inference for Clinical Trial Patient Recruitment: the Patient's Point of View

Recruiting patients to participate in clinical trials can be challenging and time-consuming. Usually, participation in a clinical trial is initiated by a healthcare professional and proposed to the patient. Promoting clinical trials directly to patients via online recruitment might help to reach them more efficiently. In this study, we address the case where a patient is initiating their own recruitment process and wants to determine whether they are eligible for a given clinical trial, using their own language to describe their medical profile. To study whether this creates difficulties in the patient trial matching process, we design a new dataset and task, Natural Language Inference for Patient Recruitment (NLI4PR), in which patient language profiles must be matched to clinical trials. We create it by adapting the TREC 2022 Clinical Trial Track dataset, which provides patients' medical profiles, and rephrasing them manually using patient language. We also use the associated clinical trial reports where the patients are either eligible or excluded. We prompt several open-source Large Language Models on our task and achieve from 56.5 to 71.8 of F1 score using patient language, against 64.7 to 73.1 for the same task using medical language. When using patient language, we observe only a small loss in performance for the best model, suggesting that having the patient as a starting point could be adopted to help recruit patients for clinical trials. The corpus and code bases are all freely available on our Github and HuggingFace repositories.

  • 3 authors
·
Mar 19

Leveraging Natural Language Processing For Public Health Screening On YouTube: A COVID-19 Case Study

Background: Social media platforms have become a viable source of medical information, with patients and healthcare professionals using them to share health-related information and track diseases. Similarly, YouTube, the largest video-sharing platform in the world contains vlogs where individuals talk about their illnesses. The aim of our study was to investigate the use of Natural Language Processing (NLP) to identify the spoken content of YouTube vlogs related to the diagnosis of Coronavirus disease of 2019 (COVID-19) for public health screening. Methods: COVID-19 videos on YouTube were searched using relevant keywords. A total of 1000 videos being spoken in English were downloaded out of which 791 were classified as vlogs, 192 were non-vlogs, and 17 were deleted by the channel. The videos were converted into a textual format using Microsoft Streams. The textual data was preprocessed using basic and advanced preprocessing methods. A lexicon of 200 words was created which contained words related to COVID-19. The data was analyzed using topic modeling, word clouds, and lexicon matching. Results: The word cloud results revealed discussions about COVID-19 symptoms like "fever", along with generic terms such as "mask" and "isolation". Lexical analysis demonstrated that in 96.46% of videos, patients discussed generic terms, and in 95.45% of videos, people talked about COVID-19 symptoms. LDA Topic Modeling results also generated topics that successfully captured key themes and content related to our investigation of COVID-19 diagnoses in YouTube vlogs. Conclusion: By leveraging NLP techniques on YouTube vlogs public health practitioners can enhance their ability to mitigate the effects of pandemics and effectively respond to public health challenges.

  • 5 authors
·
Jun 1, 2023

DuoRC: Towards Complex Language Understanding with Paraphrased Reading Comprehension

We propose DuoRC, a novel dataset for Reading Comprehension (RC) that motivates several new challenges for neural approaches in language understanding beyond those offered by existing RC datasets. DuoRC contains 186,089 unique question-answer pairs created from a collection of 7680 pairs of movie plots where each pair in the collection reflects two versions of the same movie - one from Wikipedia and the other from IMDb - written by two different authors. We asked crowdsourced workers to create questions from one version of the plot and a different set of workers to extract or synthesize answers from the other version. This unique characteristic of DuoRC where questions and answers are created from different versions of a document narrating the same underlying story, ensures by design, that there is very little lexical overlap between the questions created from one version and the segments containing the answer in the other version. Further, since the two versions have different levels of plot detail, narration style, vocabulary, etc., answering questions from the second version requires deeper language understanding and incorporating external background knowledge. Additionally, the narrative style of passages arising from movie plots (as opposed to typical descriptive passages in existing datasets) exhibits the need to perform complex reasoning over events across multiple sentences. Indeed, we observe that state-of-the-art neural RC models which have achieved near human performance on the SQuAD dataset, even when coupled with traditional NLP techniques to address the challenges presented in DuoRC exhibit very poor performance (F1 score of 37.42% on DuoRC v/s 86% on SQuAD dataset). This opens up several interesting research avenues wherein DuoRC could complement other RC datasets to explore novel neural approaches for studying language understanding.

  • 4 authors
·
Apr 21, 2018

Large Language Models are Effective Text Rankers with Pairwise Ranking Prompting

Ranking documents using Large Language Models (LLMs) by directly feeding the query and candidate documents into the prompt is an interesting and practical problem. However, there has been limited success so far, as researchers have found it difficult to outperform fine-tuned baseline rankers on benchmark datasets. We analyze pointwise and listwise ranking prompts used by existing methods and argue that off-the-shelf LLMs do not fully understand these ranking formulations, possibly due to the nature of how LLMs are trained. In this paper, we propose to significantly reduce the burden on LLMs by using a new technique called Pairwise Ranking Prompting (PRP). Our results are the first in the literature to achieve state-of-the-art ranking performance on standard benchmarks using moderate-sized open-sourced LLMs. On TREC-DL2020, PRP based on the Flan-UL2 model with 20B parameters outperforms the previous best approach in the literature, which is based on the blackbox commercial GPT-4 that has 50x (estimated) model size, by over 5% at NDCG@1. On TREC-DL2019, PRP is only inferior to the GPT-4 solution on the NDCG@5 and NDCG@10 metrics, while outperforming other existing solutions, such as InstructGPT which has 175B parameters, by over 10% for nearly all ranking metrics. Furthermore, we propose several variants of PRP to improve efficiency and show that it is possible to achieve competitive results even with linear complexity. We also discuss other benefits of PRP, such as supporting both generation and scoring LLM APIs, as well as being insensitive to input ordering.

  • 11 authors
·
Jun 30, 2023

Single and Multi-Hop Question-Answering Datasets for Reticular Chemistry with GPT-4-Turbo

The rapid advancement in artificial intelligence and natural language processing has led to the development of large-scale datasets aimed at benchmarking the performance of machine learning models. Herein, we introduce 'RetChemQA,' a comprehensive benchmark dataset designed to evaluate the capabilities of such models in the domain of reticular chemistry. This dataset includes both single-hop and multi-hop question-answer pairs, encompassing approximately 45,000 Q&As for each type. The questions have been extracted from an extensive corpus of literature containing about 2,530 research papers from publishers including NAS, ACS, RSC, Elsevier, and Nature Publishing Group, among others. The dataset has been generated using OpenAI's GPT-4 Turbo, a cutting-edge model known for its exceptional language understanding and generation capabilities. In addition to the Q&A dataset, we also release a dataset of synthesis conditions extracted from the corpus of literature used in this study. The aim of RetChemQA is to provide a robust platform for the development and evaluation of advanced machine learning algorithms, particularly for the reticular chemistry community. The dataset is structured to reflect the complexities and nuances of real-world scientific discourse, thereby enabling nuanced performance assessments across a variety of tasks. The dataset is available at the following link: https://github.com/nakulrampal/RetChemQA

  • 14 authors
·
May 3, 2024

COVID-19 SignSym: a fast adaptation of a general clinical NLP tool to identify and normalize COVID-19 signs and symptoms to OMOP common data model

The COVID-19 pandemic swept across the world rapidly, infecting millions of people. An efficient tool that can accurately recognize important clinical concepts of COVID-19 from free text in electronic health records (EHRs) will be valuable to accelerate COVID-19 clinical research. To this end, this study aims at adapting the existing CLAMP natural language processing tool to quickly build COVID-19 SignSym, which can extract COVID-19 signs/symptoms and their 8 attributes (body location, severity, temporal expression, subject, condition, uncertainty, negation, and course) from clinical text. The extracted information is also mapped to standard concepts in the Observational Medical Outcomes Partnership common data model. A hybrid approach of combining deep learning-based models, curated lexicons, and pattern-based rules was applied to quickly build the COVID-19 SignSym from CLAMP, with optimized performance. Our extensive evaluation using 3 external sites with clinical notes of COVID-19 patients, as well as the online medical dialogues of COVID-19, shows COVID-19 Sign-Sym can achieve high performance across data sources. The workflow used for this study can be generalized to other use cases, where existing clinical natural language processing tools need to be customized for specific information needs within a short time. COVID-19 SignSym is freely accessible to the research community as a downloadable package (https://clamp.uth.edu/covid/nlp.php) and has been used by 16 healthcare organizations to support clinical research of COVID-19.

  • 11 authors
·
Jul 13, 2020

SemEval-2023 Task 7: Multi-Evidence Natural Language Inference for Clinical Trial Data

This paper describes the results of SemEval 2023 task 7 -- Multi-Evidence Natural Language Inference for Clinical Trial Data (NLI4CT) -- consisting of 2 tasks, a Natural Language Inference (NLI) task, and an evidence selection task on clinical trial data. The proposed challenges require multi-hop biomedical and numerical reasoning, which are of significant importance to the development of systems capable of large-scale interpretation and retrieval of medical evidence, to provide personalized evidence-based care. Task 1, the entailment task, received 643 submissions from 40 participants, and Task 2, the evidence selection task, received 364 submissions from 23 participants. The tasks are challenging, with the majority of submitted systems failing to significantly outperform the majority class baseline on the entailment task, and we observe significantly better performance on the evidence selection task than on the entailment task. Increasing the number of model parameters leads to a direct increase in performance, far more significant than the effect of biomedical pre-training. Future works could explore the limitations of large models for generalization and numerical inference, and investigate methods to augment clinical datasets to allow for more rigorous testing and to facilitate fine-tuning. We envisage that the dataset, models, and results of this task will be useful to the biomedical NLI and evidence retrieval communities. The dataset, competition leaderboard, and website are publicly available.

  • 6 authors
·
May 4, 2023

FollowIR: Evaluating and Teaching Information Retrieval Models to Follow Instructions

Modern Large Language Models (LLMs) are capable of following long and complex instructions that enable a diverse amount of user tasks. However, despite Information Retrieval (IR) models using LLMs as the backbone of their architectures, nearly all of them still only take queries as input, with no instructions. For the handful of recent models that do take instructions, it's unclear how they use them. We introduce our dataset FollowIR, which contains a rigorous instruction evaluation benchmark as well as a training set for helping IR models learn to better follow real-world instructions. FollowIR builds off the long history of the TREC conferences: as TREC provides human annotators with instructions (also known as narratives) to determine document relevance, so should IR models be able to understand and decide relevance based on these detailed instructions. Our evaluation benchmark starts with three deeply judged TREC collections and alters the annotator instructions, re-annotating relevant documents. Through this process, we can measure how well IR models follow instructions, through a new pairwise evaluation framework. Our results indicate that existing retrieval models fail to correctly use instructions, using them for basic keywords and struggling to understand long-form information. However, we show that it is possible for IR models to learn to follow complex instructions: our new FollowIR-7B model has significant improvements (over 13%) after fine-tuning on our training set.

  • 8 authors
·
Mar 22, 2024 1