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Dec 25

PMC-Patients: A Large-scale Dataset of Patient Notes and Relations Extracted from Case Reports in PubMed Central

Objective: Data unavailability has been one of the biggest barriers in clinical natural language processing. This paper is aimed at providing a large-scale and publicly available patient note dataset, named PMC-Patients, with relevant articles and similar patients annotations. The ultimate goal of PMC-Patients is to facilitate the development of retrieval-based clinical decision support systems. Materials and Methods: To collect PMC-Patients, we extract patient notes from case reports in PubMed Central by recognizing certain section patterns. Patient-article relevance and patient-patient similarity are annotated by citation relationships in PubMed. In addition, we perform three tasks with PMC-Patients to demonstrate its utility in providing clinical decision support for a given patient, including (1) classifying whether another patient is similar, (2) retrieving similar patients in PMC-Patients, and (3) retrieving relevant articles in PubMed. Results: We collect and release PMC-Patients under the CC BY-NC-SA license, which becomes the largest publicly available patient note dataset so far. PMC-Patients contains 167k patient notes that are annotated with 3.1M relevant articles and 293k similar patients. Qualitative and quantitative analyses reveal the high quality and richness of our dataset. Experiments show that classifying the similarity of patient pairs is relatively easy, but it is hard to retrieve similar patients or relevant articles for a given patient from a large set of candidates. Conclusion: We present PMC-Patients, a large-scale dataset of patient notes with high quality, easy access, diverse conditions, and rich annotations. The proposed dataset can also serve as a hard benchmark for evaluating retrieval-based clinical decision support systems.

  • 4 authors
·
Feb 28, 2022

Can open source large language models be used for tumor documentation in Germany? -- An evaluation on urological doctors' notes

Tumor documentation in Germany is largely done manually, requiring reading patient records and entering data into structured databases. Large language models (LLMs) could potentially enhance this process by improving efficiency and reliability. This evaluation tests eleven different open source LLMs with sizes ranging from 1-70 billion model parameters on three basic tasks of the tumor documentation process: identifying tumor diagnoses, assigning ICD-10 codes, and extracting the date of first diagnosis. For evaluating the LLMs on these tasks, a dataset of annotated text snippets based on anonymized doctors' notes from urology was prepared. Different prompting strategies were used to investigate the effect of the number of examples in few-shot prompting and to explore the capabilities of the LLMs in general. The models Llama 3.1 8B, Mistral 7B, and Mistral NeMo 12 B performed comparably well in the tasks. Models with less extensive training data or having fewer than 7 billion parameters showed notably lower performance, while larger models did not display performance gains. Examples from a different medical domain than urology could also improve the outcome in few-shot prompting, which demonstrates the ability of LLMs to handle tasks needed for tumor documentation. Open source LLMs show a strong potential for automating tumor documentation. Models from 7-12 billion parameters could offer an optimal balance between performance and resource efficiency. With tailored fine-tuning and well-designed prompting, these models might become important tools for clinical documentation in the future. The code for the evaluation is available from https://github.com/stefan-m-lenz/UroLlmEval. We also release the dataset as a new valuable resource that addresses the shortage of authentic and easily accessible benchmarks in German-language medical NLP.

  • 4 authors
·
Jan 21 1

NOTE: Notable generation Of patient Text summaries through Efficient approach based on direct preference optimization

The discharge summary is a one of critical documents in the patient journey, encompassing all events experienced during hospitalization, including multiple visits, medications, tests, surgery/procedures, and admissions/discharge. Providing a summary of the patient's progress is crucial, as it significantly influences future care and planning. Consequently, clinicians face the laborious and resource-intensive task of manually collecting, organizing, and combining all the necessary data for a discharge summary. Therefore, we propose "NOTE", which stands for "Notable generation Of patient Text summaries through an Efficient approach based on direct preference optimization". NOTE is based on Medical Information Mart for Intensive Care- III dataset and summarizes a single hospitalization of a patient. Patient events are sequentially combined and used to generate a discharge summary for each hospitalization. In the present circumstances, large language models' application programming interfaces (LLMs' APIs) are widely available, but importing and exporting medical data presents significant challenges due to privacy protection policies in healthcare institutions. Moreover, to ensure optimal performance, it is essential to implement a lightweight model for internal server or program within the hospital. Therefore, we utilized DPO and parameter efficient fine tuning (PEFT) techniques to apply a fine-tuning method that guarantees superior performance. To demonstrate the practical application of the developed NOTE, we provide a webpage-based demonstration software. In the future, we will aim to deploy the software available for actual use by clinicians in hospital. NOTE can be utilized to generate various summaries not only discharge summaries but also throughout a patient's journey, thereby alleviating the labor-intensive workload of clinicians and aiming for increased efficiency.

  • 5 authors
·
Feb 19, 2024

Towards Semantic Versioning of Open Pre-trained Language Model Releases on Hugging Face

The proliferation of open Pre-trained Language Models (PTLMs) on model registry platforms like Hugging Face (HF) presents both opportunities and challenges for companies building products around them. Similar to traditional software dependencies, PTLMs continue to evolve after a release. However, the current state of release practices of PTLMs on model registry platforms are plagued by a variety of inconsistencies, such as ambiguous naming conventions and inaccessible model training documentation. Given the knowledge gap on current PTLM release practices, our empirical study uses a mixed-methods approach to analyze the releases of 52,227 PTLMs on the most well-known model registry, HF. Our results reveal 148 different naming practices for PTLM releases, with 40.87% of changes to model weight files not represented in the adopted name-based versioning practice or their documentation. In addition, we identified that the 52,227 PTLMs are derived from only 299 different base models (the modified original models used to create 52,227 PTLMs), with Fine-tuning and Quantization being the most prevalent modification methods applied to these base models. Significant gaps in release transparency, in terms of training dataset specifications and model card availability, still exist, highlighting the need for standardized documentation. While we identified a model naming practice explicitly differentiating between major and minor PTLM releases, we did not find any significant difference in the types of changes that went into either type of releases, suggesting that major/minor version numbers for PTLMs often are chosen arbitrarily. Our findings provide valuable insights to improve PTLM release practices, nudging the field towards more formal semantic versioning practices.

  • 5 authors
·
Sep 16, 2024

Progress Note Understanding -- Assessment and Plan Reasoning: Overview of the 2022 N2C2 Track 3 Shared Task

Daily progress notes are common types in the electronic health record (EHR) where healthcare providers document the patient's daily progress and treatment plans. The EHR is designed to document all the care provided to patients, but it also enables note bloat with extraneous information that distracts from the diagnoses and treatment plans. Applications of natural language processing (NLP) in the EHR is a growing field with the majority of methods in information extraction. Few tasks use NLP methods for downstream diagnostic decision support. We introduced the 2022 National NLP Clinical Challenge (N2C2) Track 3: Progress Note Understanding - Assessment and Plan Reasoning as one step towards a new suite of tasks. The Assessment and Plan Reasoning task focuses on the most critical components of progress notes, Assessment and Plan subsections where health problems and diagnoses are contained. The goal of the task was to develop and evaluate NLP systems that automatically predict causal relations between the overall status of the patient contained in the Assessment section and its relation to each component of the Plan section which contains the diagnoses and treatment plans. The goal of the task was to identify and prioritize diagnoses as the first steps in diagnostic decision support to find the most relevant information in long documents like daily progress notes. We present the results of 2022 n2c2 Track 3 and provide a description of the data, evaluation, participation and system performance.

  • 6 authors
·
Mar 14, 2023

How do Machine Learning Models Change?

The proliferation of Machine Learning (ML) models and their open-source implementations has transformed Artificial Intelligence research and applications. Platforms like Hugging Face (HF) enable the development, sharing, and deployment of these models, fostering an evolving ecosystem. While previous studies have examined aspects of models hosted on platforms like HF, a comprehensive longitudinal study of how these models change remains underexplored. This study addresses this gap by utilizing both repository mining and longitudinal analysis methods to examine over 200,000 commits and 1,200 releases from over 50,000 models on HF. We replicate and extend an ML change taxonomy for classifying commits and utilize Bayesian networks to uncover patterns in commit and release activities over time. Our findings indicate that commit activities align with established data science methodologies, such as CRISP-DM, emphasizing iterative refinement and continuous improvement. Additionally, release patterns tend to consolidate significant updates, particularly in documentation, distinguishing between granular changes and milestone-based releases. Furthermore, projects with higher popularity prioritize infrastructure enhancements early in their lifecycle, and those with intensive collaboration practices exhibit improved documentation standards. These and other insights enhance the understanding of model changes on community platforms and provide valuable guidance for best practices in model maintenance.

  • 5 authors
·
Nov 14, 2024

PyRadar: Towards Automatically Retrieving and Validating Source Code Repository Information for PyPI Packages

A package's source code repository records the development history of the package, providing indispensable information for the use and risk monitoring of the package. However, a package release often misses its source code repository due to the separation of the package's development platform from its distribution platform. Existing tools retrieve the release's repository information from its metadata, which suffers from two limitations: the metadata may not contain or contain wrong information. Our analysis shows that existing tools can only retrieve repository information for up to 70.5% of PyPI releases. To address the limitations, this paper proposes PyRadar, a novel framework that utilizes the metadata and source distribution to retrieve and validate the repository information for PyPI releases. We start with an empirical study to compare four existing tools on 4,227,425 PyPI releases and analyze phantom files (files appearing in the release's distribution but not in the release's repository) in 14,375 correct package-repository links and 2,064 incorrect links. Based on the findings, we design PyRadar with three components, i.e., Metadata-based Retriever, Source Code Repository Validator, and Source Code-based Retriever. In particular, the Metadata-based Retriever combines best practices of existing tools and successfully retrieves repository information from the metadata for 72.1% of PyPI releases. The Source Code Repository Validator applies common machine learning algorithms on six crafted features and achieves an AUC of up to 0.995. The Source Code-based Retriever queries World of Code with the SHA-1 hashes of all Python files in the release's source distribution and retrieves repository information for 90.2% of packages in our dataset with an accuracy of 0.970. Both practitioners and researchers can employ the PyRadar to better use PyPI packages.

  • 4 authors
·
Apr 25, 2024