临床术语自动词汇表:从本体论知识生成的大型生物医学定义词典

François Remy, Thomas Demeester
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摘要

背景:SnomedCT是一个综合性的生物医学本体,包含了40多万个生物医学概念和它们之间的一些关系。然而,它们的概念名称并不总是容易被非专家或查看自己的电子健康记录(EHR)的患者解释。用可理解的语言或通常没有的清晰的定义或描述。因此,为生物医学概念生成人类可读的定义可能有助于使它们编码的信息更容易被更广泛的公众获取和理解。目的:在本文中,我们介绍了临床术语自动词汇表(AGCT),这是一个大型的临床概念生物医学词典,使用从SnomedCT中提取的生物医学知识中提取的高质量信息生成。方法:在使用OpenAI Turbo模型(GPT 3.5的一个变体)之后,我们使用待定义概念的SnomedCT关系的高质量语言化,为每个SnomedCT概念生成新的定义。生成的定义的一个重要子集随后由具有生物医学专业知识的NLP研究人员沿着以下三个轴在5分制上进行评估:事实性,洞察力和流畅性。结果:AGCT包含422,070个计算机生成的SnomedCT概念定义,涵盖各种领域,如疾病、程序、药物和解剖学。这些定义的平均长度为49个单词。这些定义的平均得分超过4.5分(满分5分),这表明大多数定义是真实的、有见地的和流畅的。结论:对于需要人类可读的SnomedCT概念定义的生物医学任务,AGCT是一种新颖而有价值的资源。它还可以作为开发健壮的生物医学检索模型或利用生物医学知识的自然语言理解的其他应用程序的基础。
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Automatic Glossary of Clinical Terminology: a Large-Scale Dictionary of Biomedical Definitions Generated from Ontological Knowledge
Background: More than 400.000 biomedical concepts and some of their relationships are contained in SnomedCT, a comprehensive biomedical ontology. However, their concept names are not always readily interpretable by non-experts, or patients looking at their own electronic health records (EHR). Clear definitions or descriptions in understandable language or often not available. Therefore, generating human-readable definitions for biomedical concepts might help make the information they encode more accessible and understandable to a wider public.Objective: In this article, we introduce the Automatic Glossary of Clinical Terminology (AGCT), a large-scale biomedical dictionary of clinical concepts generated using high-quality information extracted from the biomedical knowledge contained in SnomedCT.Methods: We generate a novel definition for every SnomedCT concept, after prompting the OpenAI Turbo model, a variant of GPT 3.5, using a high-quality verbalization of the SnomedCT relationships of the to-be-defined concept. A significant subset of the generated definitions was subsequently evaluated by NLP researchers with biomedical expertise on 5-point scales along the following three axes: factuality, insight, and fluency.Results: AGCT contains 422,070 computer-generated definitions for SnomedCT concepts, covering various domains such as diseases, procedures, drugs, and anatomy. The average length of the definitions is 49 words. The definitions were assigned average scores of over 4.5 out of 5 on all three axes, indicating a majority of factual, insightful, and fluent definitions.Conclusion: AGCT is a novel and valuable resource for biomedical tasks that require human-readable definitions for SnomedCT concepts. It can also serve as a base for developing robust biomedical retrieval models or other applications that leverage natural language understanding of biomedical knowledge.
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