Ireland

We introduce Doctor XAvIer —a BERT-based diagnostic system that extracts relevant clinical data from transcribed patient-doctor dialogues and explains predictions using feature attribution methods. We present a novel performance plot and evaluation metric for feature attribution methods —Feature Attribution Dropping (FAD) curve and its Normalized Area Under the Curve (N-AUC). FAD curve analysis shows that integrated gradients outperforms Shapley values in explaining diagnosis classification. Doctor XAvIer outperforms the baseline with 0.97 F1-score in named entity recognition and symptom pertinence classification and 0.91 F1-score in diagnosis classification.

ACL 2022

Doctor XAvIer: Explainable Diagnosis on Physician-Patient Dialogues and XAI Evaluation

automatic diagnosis

xai evaluation

healthcare

explainable ai

named entity recognition

dialogue

# Welcome everyone to ACL 2022!

The 60th Annual Meeting of the Association for Computational Linguistics is taking place May 22-27, 2022 as a hybrid event, in Dublin and online. We are happy to welcome all of you to this anniversary edition with an almost 50-50 in-person and virtual participation. 
The main conference program features oral presentations, in-person and virtual posters and demo sessions, a plenary session for our best paper presentations and awards, three amazing keynote events and two new initiatives of invited talks: Spotlight Talks for Young Rising Stars (STIRS) and The Next Big Idea Talks. Posters (including Findings of ACL 2022) and demos are grouped by areas for both the in-person and the virtual sessions. For the virtual component, the talks will be on Zoom and the posters and the demos will be in GatherTown. The Student Research Workshop will have an oral session and a poster session as part of Poster Session 1. The program also features eight Tutorials and 28 Workshops. 

 
We wish you a wonderful conference! 
[**The ACL 2022 Organizing Committee**](https://www.2022.aclweb.org/organisers)
 
[**Conference Handbook**](https://drive.google.com/file/d/1_BUCMfhMVrjG9E2e71aHdHeE28KSje0l/view?usp=sharing) 
[**Mini Handbook**](https://drive.google.com/file/d/1qlBKl0wzmlVF1oCeMQl3BahLd9nLP5Ce/view?usp=sharing) 
[**Posters and Demo guides**](https://drive.google.com/file/d/1UucMAoCNncIOaH1rMMDa0owuG9qgvJTG/view?usp=sharing)

The Association for Computational Linguistics (ACL) is the premier international scientific and professional society for people working on computational problems involving human language, a field often referred to as either computational linguistics or natural language processing (NLP). 

workshop paper

The PICO framework focuses on the Population, Intervention, Comparator, and Outcomes of clinical trial studies. Manually looking for PICO descriptions from the thousands of clinical studies is vital but one of the most resource-consuming tasks for writing systematic reviews. One of the significant barriers to fully automating PICO recognition is the lack of large manually annotated corpora. Distant supervision is one of the weak supervision methods used to obtain large entity annotated corpora. We propose a distant supervision method using open-access and open-source resources and use it to get a sizeable "Intervention" and "Comparator" entity annotated dataset called DISTANT-CTO. We use DISTANT-CTO to train downstream NER models and cross the previous state of the art on "Intervention" and "Comparator" extraction.

DISTANT-CTO: A Zero Cost, Distantly Supervised Approach to Improve Low-Resource Entity Extraction Using Clinical Trials Literature

Recognition of named entities present in text is an important step towards information extraction and natural language understanding. This work presents a named entity recognition system for the Romanian biomedical domain. The system makes use of a new and extended version of SiMoNERo corpus, that is open sourced. Additionally, the best system is available for direct usage in the RELATE platform.

Improving Romanian BioNER Using a Biologically Inspired System

This work presents the first large-scale biomedical Spanish language models trained from scratch, using large biomedical corpora consisting of a total of 1.1B tokens and an EHR corpus of 95M tokens. We compared them against general-domain and other domain-specific models for Spanish on three clinical NER tasks. As main results, our models are superior across the NER tasks, rendering them more convenient for clinical NLP applications. Furthermore, our findings indicate that when enough data is available, pre-training from scratch is better than continual pre-training when tested on clinical tasks, raising an exciting research question about which approach is optimal. Our models and fine-tuning scripts are publicly available at HuggingFace and GitHub.

Pretrained Biomedical Language Models for Clinical NLP in Spanish

Biomedical Named Entity Recognition (BM-NER) is one of the most important tasks in the field of biomedical text mining. Most work so far on this task has not focused on identification of discontinuous and overlapping entities, even though they are present in significant fractions in real-life biomedical datasets.

In this paper, we introduce a novel annotation schema to capture complex entities, and explore the effects of distant supervision on our deep-learning sequence labelling model. For BMNER task, our annotation schema outperforms other BIO-based annotation schemes on the same model. We also achieve higher F1-scores than state-of-the-art models on multiple corpora without fine-tuning embeddings, highlighting the efficacy of neural feature extraction using our model.

Biomedical NER using Novel Schema and Distant Supervision

Research papers reflect scientific advances. Citations are widely used in research publications to support the new findings and show their benefits, while also regulating the information flow to make the contents clearer for the audience. A citation in a research article refers to the information's source, but not the specific text span from that source article. In biomedical research articles, this task is challenging as the same chemical or biological component can be represented in multiple ways in different papers from various domains. This paper suggests a mechanism for linking citing sentences in a publication with cited sentences in referenced sources. The framework presented here pairs the citing sentence with all of the sentences in the reference text, and then tries to retrieve the semantically equivalent pairs. These semantically related sentences from the reference paper are chosen as the cited statements. This effort involves designing a citation linkage framework utilizing sequential and tree-structured siamese deep learning models. This paper also provides a method to create an automatically generated corpus for such a task.

BioCite: A Deep Learning-based Citation Linkage Framework for Biomedical Research Articles

Generating a summary from findings has been recently explored (Zhang et al., 2018, 2020) in note types such as radiology reports that typically have short length. In this work, we focus on echocardiogram notes that are longer and more complex compared to previous note types. We formally define the task of echocardiography conclusion generation (EchoGen) as generating a conclusion given the findings section, with emphasis on key cardiac findings. To promote the development of EchoGen methods, we present a new benchmark, which consists of two datasets collected from two hospitals. We further compare both standard and state-of-the-art methods on this new benchmark, with an emphasis on factual consistency. To accomplish this, we develop a tool to automatically extract concept-attribute tuples from the text. We then propose an evaluation metric, FactComp, to compare concept-attribute tuples between the human reference and generated conclusions. Both automatic and human evaluations show that there is still a significant gap between human-written and machine-generated conclusions on echo reports in terms of factuality and overall quality.

EchoGen: Generating Conclusions from Echocardiogram Notes

A wealth of important clinical information lies untouched in the Electronic Health Record, often in the form of unstructured textual documents. For patients with Epilepsy, such information includes outcome measures like Seizure Frequency and Dates of Last Seizure, key parameters that guide all therapy for these patients. Transformer models have been able to extract such outcome measures from unstructured clinical note text as sentences with human-like accuracy; however, these sentences are not yet usable in a quantitative analysis for large-scale studies. In this study, we developed a pipeline to quantify these outcome measures. We used text summarization models to convert unstructured sentences into specific formats, and then employed rules-based quantifiers to calculate seizure frequencies and dates of last seizure. We demonstrated that our pipeline of models does not excessively propagate errors and we analyzed its mistakes. We anticipate that our methods can be generalized outside of epilepsy to other disorders to drive large-scale clinical research.

Quantifying Clinical Outcome Measures in Patients with Epilepsy Using the Electronic Health Record

Biomedical relation extraction, aiming to automatically discover high-quality and semantic relations between the entities from free text, is becoming a vital step for automated knowledge discovery. Pretrained language models have achieved impressive performance on various natural language processing tasks, including relation extraction. In this paper, we perform extensive empirical comparisons of encoder-only transformers with the encoder-decoder transformer, specifically T5, on ten public biomedical relation extraction datasets. We study the relation extraction task from four major biomedical tasks, namely chemical-protein relation extraction, disease-protein relation extraction, drug-drug interaction, and protein-protein interaction. We also explore the use of multi-task fine-tuning to investigate the correlation among major biomedical relation extraction tasks. We
report performance (micro F-score) using T5, BioBERT and PubMedBERT, demonstrating that T5 and multi-task learning can improve the performance of the biomedical relation extraction task.

Comparing Encoder-Only and Encoder-Decoder Transformers for Relation Extraction from Biomedical Texts: An Empirical Study on Ten Benchmark Datasets

Electronic health records contain valuable information about symptoms, diagnosis, treatment and outcomes of the treatments of individual patients. However, the records may also contain information that can reveal the identity of the patients. Removing these identifiers - the Protected Health Information (PHI) - can protect the identity of the patient. Automatic de-identification is a process which employs machine learning techniques to detect and remove PHI. However, automatic techniques are imperfect in their precision and introduce noise into the data. This study examines the impact of this noise on the utility of Swedish de-identified clinical data by using human evaluators and by training and testing BERT models. Our results indicate that de-identification does not harm the utility for clinical NLP and that human evaluators are less sensitive to noise from de-identification than expected.

Utility Preservation of Clinical Text After De-Identification

Medical document coding is the process of assigning labels from a structured label space (ontology – e.g., ICD-9) to medical documents. This process is laborious, costly, and error-prone. In recent years, efforts have been made to automate this process with neural models. The label spaces are large (in the order of thousands of labels) and follow a big-head long-tail label distribution, giving rise to few-shot and zero-shot scenarios. Previous efforts tried to address these scenarios within the model, leading to improvements on rare labels, but worse results on frequent ones. We propose data augmentation and synthesis techniques in order to address these scenarios. We further introduce an analysis technique for this setting inspired by confusion matrices. This analysis technique points to the positive impact of data augmentation and synthesis, but also highlights more general issues of confusion within families of codes, and underprediction.

Doctor XAvIer: Explainable Diagnosis on Physician-Patient Dialogues and XAI Evaluation

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DISTANT-CTO: A Zero Cost, Distantly Supervised Approach to Improve Low-Resource Entity Extraction Using Clinical Trials Literature

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Doctor XAvIer: Explainable Diagnosis on Physician-Patient Dialogues and XAI Evaluation

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Next from ACL 2022

DISTANT-CTO: A Zero Cost, Distantly Supervised Approach to Improve Low-Resource Entity Extraction Using Clinical Trials Literature

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