Contextual word embedding models such as ELMo (, 2018) and BERT (, 2018) have dramatically improved performance for many natural language processing (NLP) tasks in recent months. However, these models have been minimally explored on specialty corpora, such as clinical text; moreover, in the clinical domain, no publicly-available pre-trained BERT models yet exist. In this work, we address this need by exploring and releasing BERT models for clinical text: one for generic clinical text and another for discharge summaries specifically. We demonstrate that using a domain-specific model yields performance improvements on three common clinical NLP tasks as compared to nonspecific embeddings. These domain-specific models are not as performant on two clinical de-identification tasks, and argue that this is a natural consequence of the differences between de-identified source text and synthetically non de-identified task text.
@cite_1 , released in late February 2019, train a clinical note corpus BERT language model and uses complex task-specific models to yield improvements over both traditional embeddings and ELMo embeddings on the i2b2 2010 and 2012 tasks @cite_9 @cite_14 and the SemEval 2014 task 7 @cite_11 and 2015 task 14 @cite_18 tasks, establishing new state-of-the-art results on all four corpora. However, this work neither releases their embeddings for the larger community nor examines the performance opportunities offered by fine-tuning BioBERT with clinical text or by training note-type specific embedding models, as we do.
@cite_18 @cite_14 @cite_9 @cite_1 @cite_11
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This paper describes the SemEval-2014, Task 7 on the Analysis of Clinical Text and presents the evaluation results. It focused on two subtasks: (i) identification (Task A) and (ii) normalization (Task B) of diseases and disorders in clinical reports as annotated in the Shared Annotated Resources (ShARe) 1 corpus. This task was a follow-up to the ShARe CLEF eHealth 2013 shared task, subtasks 1a and 1b, 2 but using a larger test set. A total of 21 teams competed in Task A, and 18 of those also participated in Task B. For Task A, the best system had a strict F1-score of 81.3, with a precision of 84.3 and recall of 78.6. For Task B, the same group had the best strict accuracy of 74.1. The organizers have made the text corpora, annotations, and evaluation tools available for future research and development at the shared task website. 3 Neural network-based representations ("embeddings") have dramatically advanced natural language processing (NLP) tasks, including clinical NLP tasks such as concept extraction. Recently, however, more advanced embedding methods and representations (e.g., ELMo, BERT) have further pushed the state-of-the-art in NLP, yet there are no common best practices for how to integrate these representations into clinical tasks. The purpose of this study, then, is to explore the space of possible options in utilizing these new models for clinical concept extraction, including comparing these to traditional word embedding methods (word2vec, GloVe, fastText). Both off-the-shelf, open-domain embeddings and pre-training clinical embeddings from MIMIC-III are evaluated. We explore a battery of embedding methods consisting of traditional word embeddings and contextual embeddings, and compare these on four concept extraction corpora: i2b2 2010, i2b2 2012, SemEval 2014, and SemEval 2015. We also analyze the impact of the pre-training time of a large language model like ELMo or BERT on the extraction performance. Finally, we present an intuitive way to understand the semantic information encoded by contextual embeddings. Contextual embeddings pre-trained on a large clinical corpus achieves new state-of-the-art performances across all concept extraction tasks. The best-performing model outperforms all state-of-the-art methods with respective F1-measures of 90.25, 93.18 (partial), 80.74, and 81.65. We demonstrate the potential of contextual embeddings through the state-of-the-art performance these methods achieve on clinical concept extraction. Additionally, we demonstrate contextual embeddings encode valuable semantic information not accounted for in traditional word representations. Recently, neural models pretrained on a language modeling task, such as ELMo (, 2017), OpenAI GPT (, 2018), and BERT (, 2018), have achieved impressive results on various natural language processing tasks such as question-answering and natural language inference. In this paper, we describe a simple re-implementation of BERT for query-based passage re-ranking. Our system is the state of the art on the TREC-CAR dataset and the top entry in the leaderboard of the MS MARCO passage retrieval task, outperforming the previous state of the art by 27 (relative) in MRR@10. The code to reproduce our results is available at this https URL Biomedical text mining is becoming increasingly important as the number of biomedical documents rapidly grows. With the progress in machine learning, extracting valuable information from biomedical literature has gained popularity among researchers, and deep learning has boosted the development of effective biomedical text mining models. However, as deep learning models require a large amount of training data, applying deep learning to biomedical text mining is often unsuccessful due to the lack of training data in biomedical fields. Recent researches on training contextualized language representation models on text corpora shed light on the possibility of leveraging a large number of unannotated biomedical text corpora. We introduce BioBERT (Bidirectional Encoder Representations from Transformers for Biomedical Text Mining), which is a domain specific language representation model pre-trained on large-scale biomedical corpora. Based on the BERT architecture, BioBERT effectively transfers the knowledge from a large amount of biomedical texts to biomedical text mining models with minimal task-specific architecture modifications. While BERT shows competitive performances with previous state-of-the-art models, BioBERT significantly outperforms them on the following three representative biomedical text mining tasks: biomedical named entity recognition (0.51 absolute improvement), biomedical relation extraction (3.49 absolute improvement), and biomedical question answering (9.61 absolute improvement). We make the pre-trained weights of BioBERT freely available at this https URL, and the source code for fine-tuning BioBERT available at this https URL. Display Omitted De-identification shared task for longitudinal clinical records.Protected Health Information in records replaced with realistic surrogates.First corpus of its kind available for distribution.Used for Track 1 of the 2014 i2b2 UTHealth NLP shared task. The 2014 i2b2 UTHealth natural language processing shared task featured a track focused on the de-identification of longitudinal medical records. For this track, we de-identified a set of 1304 longitudinal medical records describing 296 patients. This corpus was de-identified under a broad interpretation of the HIPAA guidelines using double-annotation followed by arbitration, rounds of sanity checking, and proof reading. The average token-based F1 measure for the annotators compared to the gold standard was 0.927. The resulting annotations were used both to de-identify the data and to set the gold standard for the de-identification track of the 2014 i2b2 UTHealth shared task. All annotated private health information were replaced with realistic surrogates automatically and then read over and corrected manually. The resulting corpus is the first of its kind made available for de-identification research. This corpus was first used for the 2014 i2b2 UTHealth shared task, during which the systems achieved a mean F-measure of 0.872 and a maximum F-measure of 0.964 using entity-based micro-averaged evaluations. Pretraining sentence encoders with language modeling and related unsupervised tasks has recently been shown to be very effective for language understanding tasks. By supplementing language model-style pretraining with further training on data-rich supervised tasks, such as natural language inference, we obtain additional performance improvements on the GLUE benchmark. Applying supplementary training on BERT (, 2018), we attain a GLUE score of 81.8---the state of the art (as of 02 24 2019) and a 1.4 point improvement over BERT. We also observe reduced variance across random restarts in this setting. Our approach yields similar improvements when applied to ELMo (, 2018a) and (2018)'s model. In addition, the benefits of supplementary training are particularly pronounced in data-constrained regimes, as we show in experiments with artificially limited training data. This issue of JAMIA focuses on natural language processing (NLP) techniques for clinical-text information extraction. Several articles are offshoots of the yearly ‘Informatics for Integrating Biology and the Bedside’ (i2b2) (http: www.i2b2.org) NLP shared-task challenge, introduced by ( see page 552 )1 and co-sponsored by the Veteran's Administration for the last 2 years. This shared task follows long-running challenge evaluations in other fields, such as the Message Understanding Conference (MUC) for information extraction,2 TREC3 for text information retrieval, and CASP4 for protein structure prediction. Shared tasks in the clinical domain are recent and include annual i2b2 Challenges that began in 2006, a challenge for multi-label classification of radiology reports sponsored by Cincinnati Children's Hospital in 2007,5 a 2011 Cincinnati Children's Hospital challenge on suicide notes,6 and the 2011 TREC information retrieval shared task involving retrieval of clinical cases from narrative records.7 @PARASPLIT Although NLP research in the clinical domain has been active since the 1960s, progress in the development of NLP applications for clinical text has been slow and lags behind progress in the general NLP domain. There are several barriers to NLP development in the clinical domain, and shared tasks like the i2b2 VA Challenge address some of these barriers. Nevertheless, many barriers remain and unless the community takes a more active role in developing novel approaches for addressing the barriers, advancement and innovation will continue to be slow. @PARASPLIT Historically, there have been substantial barriers to NLP development in the clinical domain. These barriers are not unique to the clinical domain: they also occur in the fields of software engineering and general NLP. @PARASPLIT ### Lack of access to shared data @PARASPLIT Because of concerns regarding patient privacy and worry about revealing unfavorable institutional practices, hospitals and clinics have been extremely reluctant to allow access to clinical data for researchers from outside … @PARASPLIT Correspondence to Dr Wendy W Chapman, Department of Biomedical Informatics, University of California San Diego, 9500 Gilman Dr, Bldg 2 #0728, La Jolla, California, USA; wwchapman at ucsd.edu We report results obtained by the UoW method in SemEval-2014’s Task 10 – Multilingual Semantic Textual Similarity. We propose to model Semantic Textual Similarity in the context of Multi-task Learning in order to deal with inherent challenges of the task such as unbalanced performance across domains and the lack of training data for some domains (i.e. unknown domains). We show that the Multi-task Learning approach outperforms previous work on the 2012 dataset, achieves a robust performance on the 2013 dataset and competitive results on the 2014 dataset. We highlight the importance of the challenge of unknown domains, as it affects overall performance substantially. With the capability of modeling bidirectional contexts, denoising autoencoding based pretraining like BERT achieves better performance than pretraining approaches based on autoregressive language modeling. However, relying on corrupting the input with masks, BERT neglects dependency between the masked positions and suffers from a pretrain-finetune discrepancy. In light of these pros and cons, we propose XLNet, a generalized autoregressive pretraining method that (1) enables learning bidirectional contexts by maximizing the expected likelihood over all permutations of the factorization order and (2) overcomes the limitations of BERT thanks to its autoregressive formulation. Furthermore, XLNet integrates ideas from Transformer-XL, the state-of-the-art autoregressive model, into pretraining. Empirically, XLNet outperforms BERT on 20 tasks, often by a large margin, and achieves state-of-the-art results on 18 tasks including question answering, natural language inference, sentiment analysis, and document ranking. Objective : Development of a general natural-language processor that identifies clinical information in narrative reports and maps that information into a structured representation containing clinical terms. @PARASPLIT Design : The natural-language processor provides three phases of processing, all of which are driven by different knowledge sources. The first phase performs the parsing. It identifies the structure of the text through use of a grammar that defines semantic patterns and a target form. The second phase, regularization, standardizes the terms in the initial target structure via a compositional mapping of multi-word phrases. The third phase, encoding, maps the terms to a controlled vocabulary. Radiology is the test domain for the processor and the target structure is a formal model for representing clinical information in that domain. @PARASPLIT Measurements : The impression sections of 230 radiology reports were encoded by the processor. Results of an automated query of the resultant database for the occurrences of four diseases were compared with the analysis of a panel of three physicians to determine recall and precision. @PARASPLIT Results : Without training specific to the four diseases, recall and precision of the system(combined effect of the processor and query generator) were 70 and 87 . Training of the query component increased recall to 85 without changing precision. In this paper, we present a Multi-Task Deep Neural Network (MT-DNN) for learning representations across multiple natural language understanding (NLU) tasks. MT-DNN not only leverages large amounts of cross-task data, but also benefits from a regularization effect that leads to more general representations in order to adapt to new tasks and domains. MT-DNN extends the model proposed in (2015) by incorporating a pre-trained bidirectional transformer language model, known as BERT (, 2018). MT-DNN obtains new state-of-the-art results on ten NLU tasks, including SNLI, SciTail, and eight out of nine GLUE tasks, pushing the GLUE benchmark to 82.7 (2.2 absolute improvement). We also demonstrate using the SNLI and SciTail datasets that the representations learned by MT-DNN allow domain adaptation with substantially fewer in-domain labels than the pre-trained BERT representations. The code and pre-trained models are publicly available at this https URL. Motivation: In recent years, several biomedical event extraction (EE) systems have been developed. However, the nature of the annotated training corpora, as well as the training process itself, can limit the performance levels of the trained EE systems. In particular, most event-annotated corpora do not deal adequately with coreference. This impacts on the trained systems' ability to recognize biomedical entities, thus affecting their performance in extracting events accurately. Additionally, the fact that most EE systems are trained on a single annotated corpus further restricts their coverage. Results: We have enhanced our existing EE system, EventMine, in two ways. First, we developed a new coreference resolution (CR) system and integrated it with EventMine. The standalone performance of our CR system in resolving anaphoric references to proteins is considerably higher than the best ranked system in the COREF subtask of the BioNLP'11 Shared Task. Secondly, the improved EventMine incorporates domain adaptation (DA) methods, which extend EE coverage by allowing several different annotated corpora to be used during training. Combined with a novel set of methods to increase the generality and efficiency of EventMine, the integration of both CR and DA have resulted in significant improvements in EE, ranging between 0.5 and 3.4 F-Score. The enhanced EventMine outperforms the highest ranked systems from the BioNLP'09 shared task, and from the GENIA and Infectious Diseases subtasks of the BioNLP'11 shared task. Availability: The improved version of EventMine, incorporating the CR system and DA methods, is available at: http: www.nactem.ac.uk EventMine . Contact: makoto.miwa@manchester.ac.uk SemEval 2016 task 11 involved determining whether words in a sentence were complex or simple for a cohort of people with English as a second language. Training data consisted of 200 annotated sentences, representing the combined judgements of 20 human annota- tors, such that if any annotator of the group labelled a word as complex, then it was con- sidered to be complex. Testing was based on single annotator judgements. Our system used a random forest classifier with a variety of features, the most important of which were term frequency statistics garnered from four large corpora, and style lexicons built on two large corpora. Minor features in the final system include the presence or absence of words in various readability word lists; many other features we tried were not successful. Our rank- ing amongst submitted systems did not reflect the strength of our system, due to submitting a far from optimal weighting between complex and simple, but we show that when a more ap- propriate weighting is used, our system ranks amongst the best submitted systems. This paper presents the second round of the task on Cross-lingual Textual Entailment for Content Synchronization, organized within SemEval-2013. The task was designed to promote research on semantic inference over texts written in different languages, targeting at the same time a real application scenario. Participants were presented with datasets for different language pairs, where multi-directional entailment relations (“forward”, “backward”, “bidirectional”, “no entailment”) had to be identified. We report on the training and test data used for evaluation, the process of their creation, the participating systems (six teams, 61 runs), the approaches adopted and the results achieved. This work presents a general unsupervised learning method to improve the accuracy of sequence to sequence (seq2seq) models. In our method, the weights of the encoder and decoder of a seq2seq model are initialized with the pretrained weights of two language models and then fine-tuned with labeled data. We apply this method to challenging benchmarks in machine translation and abstractive summarization and find that it significantly improves the subsequent supervised models. Our main result is that the pretraining accelerates training and improves generalization of seq2seq models, achieving state-of-the-art results on the WMT English->German task, surpassing a range of methods using both phrase-based machine translation and neural machine translation. Our method achieves an improvement of 1.3 BLEU from the previous best models on both WMT'14 and WMT'15 English->German. On summarization, our method beats the supervised learning baseline. The 2010 i2b2 VA Workshop on Natural Language Processing Challenges for Clinical Records presented three tasks: a concept extraction task focused on the extraction of medical concepts from patient reports; an assertion classification task focused on assigning assertion types for medical problem concepts; and a relation classification task focused on assigning relation types that hold between medical problems, tests, and treatments. i2b2 and the VA provided an annotated reference standard corpus for the three tasks. Using this reference standard, 22 systems were developed for concept extraction, 21 for assertion classification, and 16 for relation classification. @PARASPLIT These systems showed that machine learning approaches could be augmented with rule-based systems to determine concepts, assertions, and relations. Depending on the task, the rule-based systems can either provide input for machine learning or post-process the output of machine learning. Ensembles of classifiers, information from unlabeled data, and external knowledge sources can help when the training data are inadequate. We introduce a new language representation model called BERT, which stands for Bidirectional Encoder Representations from Transformers. Unlike recent language representation models, BERT is designed to pre-train deep bidirectional representations from unlabeled text by jointly conditioning on both left and right context in all layers. As a result, the pre-trained BERT model can be fine-tuned with just one additional output layer to create state-of-the-art models for a wide range of tasks, such as question answering and language inference, without substantial task-specific architecture modifications. BERT is conceptually simple and empirically powerful. It obtains new state-of-the-art results on eleven natural language processing tasks, including pushing the GLUE score to 80.5 (7.7 point absolute improvement), MultiNLI accuracy to 86.7 (4.6 absolute improvement), SQuAD v1.1 question answering Test F1 to 93.2 (1.5 point absolute improvement) and SQuAD v2.0 Test F1 to 83.1 (5.1 point absolute improvement). The dominant sequence transduction models are based on complex recurrent or convolutional neural networks in an encoder-decoder configuration. The best performing models also connect the encoder and decoder through an attention mechanism. We propose a new simple network architecture, the Transformer, based solely on attention mechanisms, dispensing with recurrence and convolutions entirely. Experiments on two machine translation tasks show these models to be superior in quality while being more parallelizable and requiring significantly less time to train. Our model achieves 28.4 BLEU on the WMT 2014 English-to-German translation task, improving over the existing best results, including ensembles by over 2 BLEU. On the WMT 2014 English-to-French translation task, our model establishes a new single-model state-of-the-art BLEU score of 41.8 after training for 3.5 days on eight GPUs, a small fraction of the training costs of the best models from the literature. We show that the Transformer generalizes well to other tasks by applying it successfully to English constituency parsing both with large and limited training data. Language model pretraining has led to significant performance gains but careful comparison between different approaches is challenging. Training is computationally expensive, often done on private datasets of different sizes, and, as we will show, hyperparameter choices have significant impact on the final results. We present a replication study of BERT pretraining (, 2019) that carefully measures the impact of many key hyperparameters and training data size. We find that BERT was significantly undertrained, and can match or exceed the performance of every model published after it. Our best model achieves state-of-the-art results on GLUE, RACE and SQuAD. These results highlight the importance of previously overlooked design choices, and raise questions about the source of recently reported improvements. We release our models and code. This work presents a general unsupervised learning method to improve the accuracy of sequence to sequence (seq2seq) models. In our method, the weights of the encoder and decoder of a seq2seq model are initialized with the pretrained weights of two language models and then fine-tuned with labeled data. We apply this method to challenging benchmarks in machine translation and abstractive summarization and find that it significantly improves the subsequent supervised models. Our main result is that pretraining improves the generalization of seq2seq models. We achieve state-of-the art results on the WMT English @math German task, surpassing a range of methods using both phrase-based machine translation and neural machine translation. Our method achieves a significant improvement of 1.3 BLEU from the previous best models on both WMT'14 and WMT'15 English @math German. We also conduct human evaluations on abstractive summarization and find that our method outperforms a purely supervised learning baseline in a statistically significant manner.