Multimodal learning for temporal relation extraction in clinical texts.

IF 4.7 2区 医学 Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS Journal of the American Medical Informatics Association Pub Date : 2024-05-20 DOI:10.1093/jamia/ocae059
Timotej Knez, Slavko Žitnik
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Abstract

Objectives: This study focuses on refining temporal relation extraction within medical documents by introducing an innovative bimodal architecture. The overarching goal is to enhance our understanding of narrative processes in the medical domain, particularly through the analysis of extensive reports and notes concerning patient experiences.

Materials and methods: Our approach involves the development of a bimodal architecture that seamlessly integrates information from both text documents and knowledge graphs. This integration serves to infuse common knowledge about events into the temporal relation extraction process. Rigorous testing was conducted on diverse clinical datasets, emulating real-world scenarios where the extraction of temporal relationships is paramount.

Results: The performance of our proposed bimodal architecture was thoroughly evaluated across multiple clinical datasets. Comparative analyses demonstrated its superiority over existing methods reliant solely on textual information for temporal relation extraction. Notably, the model showcased its effectiveness even in scenarios where not provided with additional information.

Discussion: The amalgamation of textual data and knowledge graph information in our bimodal architecture signifies a notable advancement in the field of temporal relation extraction. This approach addresses the critical need for a more profound understanding of narrative processes in medical contexts.

Conclusion: In conclusion, our study introduces a pioneering bimodal architecture that harnesses the synergy of text and knowledge graph data, exhibiting superior performance in temporal relation extraction from medical documents. This advancement holds significant promise for improving the comprehension of patients' healthcare journeys and enhancing the overall effectiveness of extracting temporal relationships in complex medical narratives.

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在临床文本中提取时间关系的多模态学习。
研究目的本研究的重点是通过引入创新的双模架构来完善医疗文档中的时间关系提取。总体目标是加强我们对医疗领域叙事过程的理解,特别是通过分析有关病人经历的大量报告和笔记:我们的方法包括开发一种双模架构,无缝整合文本文档和知识图谱中的信息。这种整合有助于将有关事件的常识注入时间关系提取过程。我们在不同的临床数据集上进行了严格的测试,模拟了提取时间关系至关重要的真实场景:结果:在多个临床数据集上对我们提出的双模架构的性能进行了全面评估。对比分析表明,该模型优于仅依赖文本信息进行时间关系提取的现有方法。值得注意的是,即使在没有额外信息的情况下,该模型也能显示出其有效性:在我们的双模架构中,文本数据和知识图谱信息的融合标志着时间关系提取领域的显著进步。这种方法满足了更深入了解医疗背景下叙述过程的迫切需要:总之,我们的研究引入了一种开创性的双模架构,利用文本和知识图谱数据的协同作用,在从医学文档中提取时间关系方面表现出卓越的性能。这一进步有望改善对患者医疗历程的理解,并提高从复杂的医疗叙事中提取时间关系的整体效率。
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来源期刊
Journal of the American Medical Informatics Association
Journal of the American Medical Informatics Association 医学-计算机:跨学科应用
CiteScore
14.50
自引率
7.80%
发文量
230
审稿时长
3-8 weeks
期刊介绍: JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.
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