Leveraging medical thesauri and physician feedback for improving medical literature retrieval for case queries

The use of artificial intelligence for automating or semi-automating biomedical literature analyses: a scoping review

OBJECTIVE

Evidence-based medicine (EBM) is a decision-making process based on the conscious and judicious use of the best available scientific evidence. However, the exponential increase in the amount of information currently available likely exceeds the capacity of human-only analysis. In this context, artificial intelligence (AI) and its branches such as machine learning (ML) can be used to facilitate human efforts in analyzing the literature to foster EBM. The present scoping review aimed to examine the use of AI in the automation of biomedical literature survey and analysis with a view to establishing the state-of-the-art and identifying knowledge gaps.

MATERIALS AND METHODS

Comprehensive searches of the main databases were performed for articles published up to June 2022 and studies were selected according to inclusion and exclusion criteria. Data were extracted from the included articles and the findings categorized.

RESULTS

The total number of records retrieved from the databases was 12,145, of which 273 were included in the review. Classification of the studies according to the use of AI in evaluating the biomedical literature revealed three main application groups, namely assembly of scientific evidence (n=127; 47%), mining the biomedical literature (n=112; 41%) and quality analysis (n=34; 12%). Most studies addressed the preparation of systematic reviews, while articles focusing on the development of guidelines and evidence synthesis were the least frequent. The biggest knowledge gap was identified within the quality analysis group, particularly regarding methods and tools that assess the strength of recommendation and consistency of evidence.

CONCLUSION

Our review shows that, despite significant progress in the automation of biomedical literature surveys and analyses in recent years, intense research is needed to fill knowledge gaps on more difficult aspects of ML, deep learning and natural language processing, and to consolidate the use of automation by end-users (biomedical researchers and healthcare professionals).

Semantic Expansion of Clinician Generated Data Preferences for Automatic Patient Data Summarization

Patient Electronic Health Records (EHRs) typically contain a substantial amount of data, which can lead to information overload for clinicians, especially in high-throughput fields like radiology. Thus, it would be beneficial to have a mechanism for summarizing the most clinically relevant patient information pertinent to the needs of clinicians. This study presents a novel approach for the curation of clinician EHR data preference information towards the ultimate goal of providing robust EHR summarization. Clinicians first provide a list of data items of interest across multiple EHR categories. Since this data is manually dictated, it has limited coverage and may not cover all the important terms relevant to a concept. To address this problem, we have developed a knowledge-driven semantic concept expansion approach by leveraging rich biomedical knowledge from the UMLS. The approach expands 1094 seed concepts to 22,325 concepts with 92.69% of the expanded concepts identified as relevant by clinicians.

Simple but Effective Knowledge-Based Query Reformulations for Precision Medicine Retrieval

In Information Retrieval (IR), the semantic gap represents the mismatch between users’ queries and how retrieval models answer to these queries. In this paper, we explore how to use external knowledge resources to enhance bag-of-words representations and reduce the effect of the semantic gap between queries and documents. In this regard, we propose several simple but effective knowledge-based query expansion and reduction techniques, and we evaluate them for the medical domain. The query reformulations proposed are used to increase the probability of retrieving relevant documents through the addition to, or the removal from, the original query of highly specific terms. The experimental analyses on different test collections for Precision Medicine IR show the effectiveness of the developed techniques. In particular, a specific subset of query reformulations allow retrieval models to achieve top performing results in all the considered test collections.

The Unified Medical Language System at 30 Years and How It Is Used and Published: Systematic Review and Content Analysis

BACKGROUND

The Unified Medical Language System (UMLS) has been a critical tool in biomedical and health informatics, and the year 2021 marks its 30th anniversary. The UMLS brings together many broadly used vocabularies and standards in the biomedical field to facilitate interoperability among different computer systems and applications.

OBJECTIVE

Despite its longevity, there is no comprehensive publication analysis of the use of the UMLS. Thus, this review and analysis is conducted to provide an overview of the UMLS and its use in English-language peer-reviewed publications, with the objective of providing a comprehensive understanding of how the UMLS has been used in English-language peer-reviewed publications over the last 30 years.

METHODS

PubMed, ACM Digital Library, and the Nursing & Allied Health Database were used to search for studies. The primary search strategy was as follows: UMLS was used as a Medical Subject Headings term or a keyword or appeared in the title or abstract. Only English-language publications were considered. The publications were screened first, then coded and categorized iteratively, following the grounded theory. The review process followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.

RESULTS

A total of 943 publications were included in the final analysis. Moreover, 32 publications were categorized into 2 categories; hence the total number of publications before duplicates are removed is 975. After analysis and categorization of the publications, UMLS was found to be used in the following emerging themes or areas (the number of publications and their respective percentages are given in parentheses): natural language processing (230/975, 23.6%), information retrieval (125/975, 12.8%), terminology study (90/975, 9.2%), ontology and modeling (80/975, 8.2%), medical subdomains (76/975, 7.8%), other language studies (53/975, 5.4%), artificial intelligence tools and applications (46/975, 4.7%), patient care (35/975, 3.6%), data mining and knowledge discovery (25/975, 2.6%), medical education (20/975, 2.1%), degree-related theses (13/975, 1.3%), digital library (5/975, 0.5%), and the UMLS itself (150/975, 15.4%), as well as the UMLS for other purposes (27/975, 2.8%).

CONCLUSIONS

The UMLS has been used successfully in patient care, medical education, digital libraries, and software development, as originally planned, as well as in degree-related theses, the building of artificial intelligence tools, data mining and knowledge discovery, foundational work in methodology, and middle layers that may lead to advanced products. Natural language processing, the UMLS itself, and information retrieval are the 3 most common themes that emerged among the included publications. The results, although largely related to academia, demonstrate that UMLS achieves its intended uses successfully, in addition to achieving uses broadly beyond its original intentions.

Health assistant: answering your questions anytime from biomedical literature

MOTIVATION

With the abundant medical resources, especially literature available online, it is possible for people to understand their own health status and relevant problems autonomously. However, how to obtain the most appropriate answer from the increasingly large-scale database, remains a great challenge. Here, we present a biomedical question answering framework and implement a system, Health Assistant, to enable the search process.

METHODS

In Health Assistant, a search engine is firstly designed to rank biomedical documents based on contents. Then various query processing and search techniques are utilized to find the relevant documents. Afterwards, the titles and abstracts of top-N documents are extracted to generate candidate snippets. Finally, our own designed query processing and retrieval approaches for short text are applied to locate the relevant snippets to answer the questions.

RESULTS

Our system is evaluated on the BioASQ benchmark datasets, and experimental results demonstrate the effectiveness and robustness of our system, compared to BioASQ participant systems and some state-of-the-art methods on both document retrieval and snippet retrieval tasks.

AVAILABILITY AND IMPLEMENTATION

A demo of our system is available at https://github.com/jinzanxia/biomedical-QA.

Incorporating Statistical Topic Models in the Retrieval of Healthcare Documents

Patients often search for information on the web about treatments and diseases after they are discharged from the hospital. However, searching for medical information on the web poses challenges due to related terms and synonymy for the same disease and treatment. In this paper, we present a method that combines Statistical Topics Models, Language Models and Natural Language Processing to retrieve healthcare related documents. In addition, we test if the incorporation of terms extracted from the patient's discharge summary improves the retrieval performance. We show that the proposed framework outperformed the winner of the retrieval CLEF eHealth 2013 challenge by 68% in the MAP measure (0:5226 vs 0:3108), and by 13% in NDCG (0:5202 vs 0:3637). Compared with standard language models, we obtain an improvement of 92% in MAP (0:2666) and 45% in NDCG. (0:3637).