Knowledge Representations and Inference Techniques for Medical Question Answering

Clinical Information Retrieval: A Literature Review

Clinical information retrieval (IR) plays a vital role in modern healthcare by facilitating efficient access and analysis of medical literature for clinicians and researchers. This scoping review aims to offer a comprehensive overview of the current state of clinical IR research and identify gaps and potential opportunities for future studies in this field. The main objective was to assess and analyze the existing literature on clinical IR, focusing on the methods, techniques, and tools employed for effective retrieval and analysis of medical information. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we conducted an extensive search across databases such as Ovid Embase, Ovid Medline, Scopus, ACM Digital Library, IEEE Xplore, and Web of Science, covering publications from January 1, 2010, to January 4, 2023. The rigorous screening process led to the inclusion of 184 papers in our review. Our findings provide a detailed analysis of the clinical IR research landscape, covering aspects like publication trends, data sources, methodologies, evaluation metrics, and applications. The review identifies key research gaps in clinical IR methods such as indexing, ranking, and query expansion, offering insights and opportunities for future studies in clinical IR, thus serving as a guiding framework for upcoming research efforts in this rapidly evolving field. The study also underscores an imperative for innovative research on advanced clinical IR systems capable of fast semantic vector search and adoption of neural IR techniques for effective retrieval of information from unstructured electronic health records (EHRs).

Supplementary Information

The online version contains supplementary material available at 10.1007/s41666-024-00159-4.

An active learning-based approach for screening scholarly articles about the origins of SARS-CoV-2

To build a full picture of previous studies on the origins of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), this paper exploits an active learning-based approach to screen scholarly articles about the origins of SARS-CoV-2 from many scientific publications. In more detail, six seed articles were utilized to manually curate 170 relevant articles and 300 nonrelevant articles. Then, an active learning-based approach with three query strategies and three base classifiers is trained to screen the articles about the origins of SARS-CoV-2. Extensive experimental results show that our active learning-based approach outperforms traditional counterparts, and the uncertain sampling query strategy performs best among the three strategies. By manually checking the top 1,000 articles of each base classifier, we ultimately screened 715 unique scholarly articles to create a publicly available peer-reviewed literature corpus, COVID-Origin. This indicates that our approach for screening articles about the origins of SARS-CoV-2 is feasible.

A knowledge graph based question answering method for medical domain

Question answering (QA) is a hot field of research in Natural Language Processing. A big challenge in this field is to answer questions from knowledge-dependable domain. Since traditional QA hardly satisfies some knowledge-dependable situations, such as disease diagnosis, drug recommendation, etc. In recent years, researches focus on knowledge-based question answering (KBQA). However, there still exist some problems in KBQA, traditional KBQA is limited by a range of historical cases and takes too much human labor. To address the problems, in this paper, we propose an approach of knowledge graph based question answering (KGQA) method for medical domain, which firstly constructs a medical knowledge graph by extracting named entities and relations between the entities from medical documents. Then, in order to understand a question, it extracts the key information in the question according to the named entities, and meanwhile, it recognizes the questions' intentions by adopting information gain. The next an inference method based on weighted path ranking on the knowledge graph is proposed to score the related entities according to the key information and intention of a given question. Finally, it extracts the inferred candidate entities to construct answers. Our approach can understand questions, connect the questions to the knowledge graph and inference the answers on the knowledge graph. Theoretical analysis and real-life experimental results show the efficiency of our approach.

A Review on Medical Textual Question Answering Systems Based on Deep Learning Approaches

The advent of Question Answering Systems (QASs) has been envisaged as a promising solution and an efficient approach for retrieving significant information over the Internet. A considerable amount of research work has focused on open domain QASs based on deep learning techniques due to the availability of data sources. However, the medical domain receives less attention due to the shortage of medical datasets. Although Electronic Health Records (EHRs) are empowering the field of Medical Question-Answering (MQA) by providing medical information to answer user questions, the gap is still large in the medical domain, especially for textual-based sources. Therefore, in this study, the medical textual question-answering systems based on deep learning approaches were reviewed, and recent architectures of MQA systems were thoroughly explored. Furthermore, an in-depth analysis of deep learning approaches used in different MQA system tasks was provided. Finally, the different critical challenges posed by MQA systems were highlighted, and recommendations to effectively address them in forthcoming MQA systems were given out.

Associative attention networks for temporal relation extraction from electronic health records

Temporal relations are crucial in constructing a timeline over the course of clinical care, which can help medical practitioners and researchers track the progression of diseases, treatments and adverse reactions over time. Due to the rapid adoption of Electronic Health Records (EHRs) and high cost of manual curation, using Natural Language Processing (NLP) to extract temporal relations automatically has become a promising approach. Typically temporal relation extraction is formulated as a classification problem for the instances of entity pairs, which relies on the information hidden in context. However, EHRs contain an overwhelming amount of entities and a large number of entity pairs gathering in the same context, making it difficult to distinguish instances and identify relevant contextual information for a specific entity pair. All these pose significant challenges towards temporal relation extraction while existing methods rarely pay attention to. In this work, we propose the associative attention networks to address these issues. Each instance is first carved into three segments according to the entity pair to obtain the differentiated representation initially. Then we devise the associative attention mechanism for a further distinction by emphasizing the relevant information, and meanwhile, for the reconstruction of association among segments as the final representation of the whole instance. In addition, position weights are utilized to enhance the performance. We validate the merit of our method on the widely used THYME corpus and achieve an average F1-score of 64.3% over three runs, which outperforms the state-of-the-art by 1.5%.