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Goran Nenadic

Publications and source records attributed to Goran Nenadic.

At least 37 records · Page 2Linked to original sources

Generating Synthetic Free-text Medical Records with Low Re-identification Risk using Masked Language Modeling

The vast amount of available medical records has the potential to improve healthcare and biomedical research. However, privacy restrictions make these data accessible for internal use only. Recent works have addressed this problem by generating synthetic data using Causal Language Modeling. Unfortunately, by taking this approach, it is often impossible to guarantee patient privacy while offering the ability to control the diversity of generations without increasing the cost of generating such data. In contrast, we present a system for generating synthetic free-text medical records using Masked Language Modeling. The system preserves critical medical information while introducing diversity in the generations and minimising re-identification risk. The system's size is about 120M parameters, minimising inference cost. The results demonstrate high-quality synthetic data with a HIPAA-compliant PHI recall rate of 96% and a re-identification risk of 3.5%. Moreover, downstream evaluations show that the generated data can effectively train a model with performance comparable to real data.

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INSIGHTBUDDY-AI: Medication Extraction and Entity Linking using Large Language Models and Ensemble Learning

Medication Extraction and Mining play an important role in healthcare NLP research due to its practical applications in hospital settings, such as their mapping into standard clinical knowledge bases (SNOMED-CT, BNF, etc.). In this work, we investigate state-of-the-art LLMs in text mining tasks on medications and their related attributes such as dosage, route, strength, and adverse effects. In addition, we explore different ensemble learning methods (\textsc{Stack-Ensemble} and \textsc{Voting-Ensemble}) to augment the model performances from individual LLMs. Our ensemble learning result demonstrated better performances than individually fine-tuned base models BERT, RoBERTa, RoBERTa-L, BioBERT, BioClinicalBERT, BioMedRoBERTa, ClinicalBERT, and PubMedBERT across general and specific domains. Finally, we build up an entity linking function to map extracted medical terminologies into the SNOMED-CT codes and the British National Formulary (BNF) codes, which are further mapped to the Dictionary of Medicines and Devices (dm+d), and ICD. Our model's toolkit and desktop applications are publicly available (at \url{https://github.com/HECTA-UoM/ensemble-NER}).

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AutoLLM-CARD: Towards a Description and Landscape of Large Language Models

With the rapid growth of the Natural Language Processing (NLP) field, a vast variety of Large Language Models (LLMs) continue to emerge for diverse NLP tasks. As more papers are published, researchers and developers face the challenge of information overload. Thus, developing a system that can automatically extract and organise key information about LLMs from academic papers is particularly important. The standard format for documenting information about LLMs is the LLM model card (\textbf{LLM-Card}). We propose a method for automatically generating LLM model cards from scientific publications. We use Named Entity Recognition (\textbf{NER}) and Relation Extraction (\textbf{RE}) methods that automatically extract key information about LLMs from the papers, helping researchers to access information about LLMs efficiently. These features include model \textit{licence}, model \textit{name}, and model \textit{application}. With these features, we can form a model card for each paper. We processed 106 academic papers by defining three dictionaries -- LLM's name, licence, and application. 11,051 sentences were extracted through dictionary lookup, and the dataset was constructed through manual review of the final selection of 129 sentences with a link between the name and the \textit{licence}, and 106 sentences with a link between the model name and the \textit{application}. The resulting resource is relevant for LLM card illustrations using relational knowledge graphs. Our code and findings can contribute to automatic LLM card generation. Data and code in \textsc{autoLLM-Card} will be shared and freely available at \url{https://github.com/shengwei-tian/dependency-parser-visualization}

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Large Language Models for Biomedical Text Simplification: Promising But Not There Yet

In this system report, we describe the models and methods we used for our participation in the PLABA2023 task on biomedical abstract simplification, part of the TAC 2023 tracks. The system outputs we submitted come from the following three categories: 1) domain fine-tuned T5-like models including Biomedical-T5 and Lay-SciFive; 2) fine-tuned BARTLarge model with controllable attributes (via tokens) BART-w-CTs; 3) ChatGPTprompting. We also present the work we carried out for this task on BioGPT finetuning. In the official automatic evaluation using SARI scores, BeeManc ranks 2nd among all teams and our model LaySciFive ranks 3rd among all 13 evaluated systems. In the official human evaluation, our model BART-w-CTs ranks 2nd on Sentence-Simplicity (score 92.84), 3rd on Term-Simplicity (score 82.33) among all 7 evaluated systems; It also produced a high score 91.57 on Fluency in comparison to the highest score 93.53. In the second round of submissions, our team using ChatGPT-prompting ranks the 2nd in several categories including simplified term accuracy score 92.26 and completeness score 96.58, and a very similar score on faithfulness score 95.3 to re-evaluated PLABA-base-1 (95.73) via human evaluations. Our codes, fine-tuned models, prompts, and data splits from the system development stage will be available at https://github.com/ HECTA-UoM/PLABA-MU

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Synthetic4Health: Generating Annotated Synthetic Clinical Letters

Since clinical letters contain sensitive information, clinical-related datasets can not be widely applied in model training, medical research, and teaching. This work aims to generate reliable, various, and de-identified synthetic clinical letters. To achieve this goal, we explored different pre-trained language models (PLMs) for masking and generating text. After that, we worked on Bio\_ClinicalBERT, a high-performing model, and experimented with different masking strategies. Both qualitative and quantitative methods were used for evaluation. Additionally, a downstream task, Named Entity Recognition (NER), was also implemented to assess the usability of these synthetic letters. The results indicate that 1) encoder-only models outperform encoder-decoder models. 2) Among encoder-only models, those trained on general corpora perform comparably to those trained on clinical data when clinical information is preserved. 3) Additionally, preserving clinical entities and document structure better aligns with our objectives than simply fine-tuning the model. 4) Furthermore, different masking strategies can impact the quality of synthetic clinical letters. Masking stopwords has a positive impact, while masking nouns or verbs has a negative effect. 5) For evaluation, BERTScore should be the primary quantitative evaluation metric, with other metrics serving as supplementary references. 6) Contextual information does not significantly impact the models' understanding, so the synthetic clinical letters have the potential to replace the original ones in downstream tasks.

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Which Side Are You On? A Multi-task Dataset for End-to-End Argument Summarisation and Evaluation

With the recent advances of large language models (LLMs), it is no longer infeasible to build an automated debate system that helps people to synthesise persuasive arguments. Previous work attempted this task by integrating multiple components. In our work, we introduce an argument mining dataset that captures the end-to-end process of preparing an argumentative essay for a debate, which covers the tasks of claim and evidence identification (Task 1 ED), evidence convincingness ranking (Task 2 ECR), argumentative essay summarisation and human preference ranking (Task 3 ASR) and metric learning for automated evaluation of resulting essays, based on human feedback along argument quality dimensions (Task 4 SQE). Our dataset contains 14k examples of claims that are fully annotated with the various properties supporting the aforementioned tasks. We evaluate multiple generative baselines for each of these tasks, including representative LLMs. We find, that while they show promising results on individual tasks in our benchmark, their end-to-end performance on all four tasks in succession deteriorates significantly, both in automated measures as well as in human-centred evaluation. This challenge presented by our proposed dataset motivates future research on end-to-end argument mining and summarisation. The repository of this project is available at https://github.com/HaoBytes/ArgSum-Datatset

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Exploration of Masked and Causal Language Modelling for Text Generation

Large Language Models (LLMs) have revolutionised the field of Natural Language Processing (NLP) and have achieved state-of-the-art performance in practically every task in this field. However, the prevalent approach used in text generation, Causal Language Modelling (CLM), which generates text sequentially from left to right, inherently limits the freedom of the model, which does not decide when and where each token is generated. In contrast, Masked Language Modelling (MLM), primarily used for language understanding tasks, can generate tokens anywhere in the text and any order. This paper conducts an extensive comparison of MLM and CLM approaches for text generation tasks. To do so, we pre-train several language models of comparable sizes on three different datasets, namely 1) medical discharge summaries, 2) movie plot synopses, and 3) authorship verification datasets. To assess the quality of the generations, we first employ quantitative metrics and then perform a qualitative human evaluation to analyse coherence and grammatical correctness. In addition, we evaluate the usefulness of the generated texts by using them in three different downstream tasks: 1) Entity Recognition, 2) Text Classification, and 3) Authorship Verification. The results show that MLM consistently outperforms CLM in text generation across all datasets, with higher quantitative scores and better coherence in the generated text. The study also finds \textit{no strong correlation} between the quality of the generated text and the performance of the models in the downstream tasks. With this study, we show that MLM for text generation has great potential for future research and provides direction for future studies in this area.

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Investigating a Benchmark for Training-set free Evaluation of Linguistic Capabilities in Machine Reading Comprehension

Performance of NLP systems is typically evaluated by collecting a large-scale dataset by means of crowd-sourcing to train a data-driven model and evaluate it on a held-out portion of the data. This approach has been shown to suffer from spurious correlations and the lack of challenging examples that represent the diversity of natural language. Instead, we examine a framework for evaluating optimised models in training-set free setting on synthetically generated challenge sets. We find that despite the simplicity of the generation method, the data can compete with crowd-sourced datasets with regard to naturalness and lexical diversity for the purpose of evaluating the linguistic capabilities of MRC models. We conduct further experiments and show that state-of-the-art language model-based MRC systems can learn to succeed on the challenge set correctly, although, without capturing the general notion of the evaluated phenomenon.

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The Multi-Range Theory of Translation Quality Measurement: MQM scoring models and Statistical Quality Control

The year 2024 marks the 10th anniversary of the Multidimensional Quality Metrics (MQM) framework for analytic translation quality evaluation. The MQM error typology has been widely used by practitioners in the translation and localization industry and has served as the basis for many derivative projects. The annual Conference on Machine Translation (WMT) shared tasks on both human and automatic translation quality evaluations used the MQM error typology. The metric stands on two pillars: error typology and the scoring model. The scoring model calculates the quality score from annotation data, detailing how to convert error type and severity counts into numeric scores to determine if the content meets specifications. Previously, only the raw scoring model had been published. This April, the MQM Council published the Linear Calibrated Scoring Model, officially presented herein, along with the Non-Linear Scoring Model, which had not been published before. This paper details the latest MQM developments and presents a universal approach to translation quality measurement across three sample size ranges. It also explains why Statistical Quality Control should be used for very small sample sizes, starting from a single sentence.

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A Comparative Study on Automatic Coding of Medical Letters with Explainability

This study aims to explore the implementation of Natural Language Processing (NLP) and machine learning (ML) techniques to automate the coding of medical letters with visualised explainability and light-weighted local computer settings. Currently in clinical settings, coding is a manual process that involves assigning codes to each condition, procedure, and medication in a patient's paperwork (e.g., 56265001 heart disease using SNOMED CT code). There are preliminary research on automatic coding in this field using state-of-the-art ML models; however, due to the complexity and size of the models, the real-world deployment is not achieved. To further facilitate the possibility of automatic coding practice, we explore some solutions in a local computer setting; in addition, we explore the function of explainability for transparency of AI models. We used the publicly available MIMIC-III database and the HAN/HLAN network models for ICD code prediction purposes. We also experimented with the mapping between ICD and SNOMED CT knowledge bases. In our experiments, the models provided useful information for 97.98\% of codes. The result of this investigation can shed some light on implementing automatic clinical coding in practice, such as in hospital settings, on the local computers used by clinicians , project page \url{https://github.com/Glenj01/Medical-Coding}.

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MTUncertainty: Assessing the Need for Post-editing of Machine Translation Outputs by Fine-tuning OpenAI LLMs

Translation Quality Evaluation (TQE) is an essential step of the modern translation production process. TQE is critical in assessing both machine translation (MT) and human translation (HT) quality without reference translations. The ability to evaluate or even simply estimate the quality of translation automatically may open significant efficiency gains through process optimisation. This work examines whether the state-of-the-art large language models (LLMs) can be used for this purpose. We take OpenAI models as the best state-of-the-art technology and approach TQE as a binary classification task. On eight language pairs including English to Italian, German, French, Japanese, Dutch, Portuguese, Turkish, and Chinese, our experimental results show that fine-tuned gpt3.5 can demonstrate good performance on translation quality prediction tasks, i.e. whether the translation needs to be edited. Another finding is that simply increasing the sizes of LLMs does not lead to apparent better performances on this task by comparing the performance of three different versions of OpenAI models: curie, davinci, and gpt3.5 with 13B, 175B, and 175B parameters, respectively.

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CantonMT: Cantonese to English NMT Platform with Fine-Tuned Models Using Synthetic Back-Translation Data

Neural Machine Translation (NMT) for low-resource languages is still a challenging task in front of NLP researchers. In this work, we deploy a standard data augmentation methodology by back-translation to a new language translation direction Cantonese-to-English. We present the models we fine-tuned using the limited amount of real data and the synthetic data we generated using back-translation including OpusMT, NLLB, and mBART. We carried out automatic evaluation using a range of different metrics including lexical-based and embedding-based. Furthermore. we create a user-friendly interface for the models we included in this\textsc{ CantonMT} research project and make it available to facilitate Cantonese-to-English MT research. Researchers can add more models into this platform via our open-source\textsc{ CantonMT} toolkit \url{https://github.com/kenrickkung/CantoneseTranslation}.

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CANTONMT: Investigating Back-Translation and Model-Switch Mechanisms for Cantonese-English Neural Machine Translation

This paper investigates the development and evaluation of machine translation models from Cantonese to English, where we propose a novel approach to tackle low-resource language translations. The main objectives of the study are to develop a model that can effectively translate Cantonese to English and evaluate it against state-of-the-art commercial models. To achieve this, a new parallel corpus has been created by combining different available corpora online with preprocessing and cleaning. In addition, a monolingual Cantonese dataset has been created through web scraping to aid the synthetic parallel corpus generation. Following the data collection process, several approaches, including fine-tuning models, back-translation, and model switch, have been used. The translation quality of models has been evaluated with multiple quality metrics, including lexicon-based metrics (SacreBLEU and hLEPOR) and embedding-space metrics (COMET and BERTscore). Based on the automatic metrics, the best model is selected and compared against the 2 best commercial translators using the human evaluation framework HOPES. The best model proposed in this investigation (NLLB-mBART) with model switch mechanisms has reached comparable and even better automatic evaluation scores against State-of-the-art commercial models (Bing and Baidu Translators), with a SacreBLEU score of 16.8 on our test set. Furthermore, an open-source web application has been developed to allow users to translate between Cantonese and English, with the different trained models available for effective comparisons between models from this investigation and users. CANTONMT is available at https://github.com/kenrickkung/CantoneseTranslation

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Investigating Large Language Models and Control Mechanisms to Improve Text Readability of Biomedical Abstracts

Biomedical literature often uses complex language and inaccessible professional terminologies. That is why simplification plays an important role in improving public health literacy. Applying Natural Language Processing (NLP) models to automate such tasks allows for quick and direct accessibility for lay readers. In this work, we investigate the ability of state-of-the-art large language models (LLMs) on the task of biomedical abstract simplification, using the publicly available dataset for plain language adaptation of biomedical abstracts (\textbf{PLABA}). The methods applied include domain fine-tuning and prompt-based learning (PBL) on: 1) Encoder-decoder models (T5, SciFive, and BART), 2) Decoder-only GPT models (GPT-3.5 and GPT-4) from OpenAI and BioGPT, and 3) Control-token mechanisms on BART-based models. We used a range of automatic evaluation metrics, including BLEU, ROUGE, SARI, and BERTscore, and also conducted human evaluations. BART-Large with Control Token (BART-L-w-CT) mechanisms reported the highest SARI score of 46.54 and T5-base reported the highest BERTscore 72.62. In human evaluation, BART-L-w-CTs achieved a better simplicity score over T5-Base (2.9 vs. 2.2), while T5-Base achieved a better meaning preservation score over BART-L-w-CTs (3.1 vs. 2.6). We also categorised the system outputs with examples, hoping this will shed some light for future research on this task. Our code, fine-tuned models, and data splits are available at \url{https://github.com/HECTA-UoM/PLABA-MU} \begin{IEEEkeywords} Large Language Models, Text Simplification, Biomedical NLP, Control Mechanisms, Health Informatics \end{IEEEkeywords}

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Neural Machine Translation of Clinical Text: An Empirical Investigation into Multilingual Pre-Trained Language Models and Transfer-Learning

We conduct investigations on clinical text machine translation by examining multilingual neural network models using deep learning such as Transformer based structures. Furthermore, to address the language resource imbalance issue, we also carry out experiments using a transfer learning methodology based on massive multilingual pre-trained language models (MMPLMs). The experimental results on three subtasks including 1) clinical case (CC), 2) clinical terminology (CT), and 3) ontological concept (OC) show that our models achieved top-level performances in the ClinSpEn-2022 shared task on English-Spanish clinical domain data. Furthermore, our expert-based human evaluations demonstrate that the small-sized pre-trained language model (PLM) won over the other two extra-large language models by a large margin, in the clinical domain fine-tuning, which finding was never reported in the field. Finally, the transfer learning method works well in our experimental setting using the WMT21fb model to accommodate a new language space Spanish that was not seen at the pre-training stage within WMT21fb itself, which deserves more exploitation for clinical knowledge transformation, e.g. to investigate into more languages. These research findings can shed some light on domain-specific machine translation development, especially in clinical and healthcare fields. Further research projects can be carried out based on our work to improve healthcare text analytics and knowledge transformation. Our data will be openly available for research purposes at https://github.com/HECTA-UoM/ClinicalNMT

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Generating Medical Prescriptions with Conditional Transformer

Access to real-world medication prescriptions is essential for medical research and healthcare quality improvement. However, access to real medication prescriptions is often limited due to the sensitive nature of the information expressed. Additionally, manually labelling these instructions for training and fine-tuning Natural Language Processing (NLP) models can be tedious and expensive. We introduce a novel task-specific model architecture, Label-To-Text-Transformer (\textbf{LT3}), tailored to generate synthetic medication prescriptions based on provided labels, such as a vocabulary list of medications and their attributes. LT3 is trained on a set of around 2K lines of medication prescriptions extracted from the MIMIC-III database, allowing the model to produce valuable synthetic medication prescriptions. We evaluate LT3's performance by contrasting it with a state-of-the-art Pre-trained Language Model (PLM), T5, analysing the quality and diversity of generated texts. We deploy the generated synthetic data to train the SpacyNER model for the Named Entity Recognition (NER) task over the n2c2-2018 dataset. The experiments show that the model trained on synthetic data can achieve a 96-98\% F1 score at Label Recognition on Drug, Frequency, Route, Strength, and Form. LT3 codes and data will be shared at \url{https://github.com/HECTA-UoM/Label-To-Text-Transformer}

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Exploring the Consistency, Quality and Challenges in Manual and Automated Coding of Free-text Diagnoses from Hospital Outpatient Letters

Coding of unstructured clinical free-text to produce interoperable structured data is essential to improve direct care, support clinical communication and to enable clinical research.However, manual clinical coding is difficult and time consuming, which motivates the development and use of natural language processing for automated coding. This work evaluates the quality and consistency of both manual and automated clinical coding of diagnoses from hospital outpatient letters. Using 100 randomly selected letters, two human clinicians performed coding of diagnosis lists to SNOMED CT. Automated coding was also performed using IMO's Concept Tagger. A gold standard was constructed by a panel of clinicians from a subset of the annotated diagnoses. This was used to evaluate the quality and consistency of both manual and automated coding via (1) a distance-based metric, treating SNOMED CT as a graph, and (2) a qualitative metric agreed upon by the panel of clinicians. Correlation between the two metrics was also evaluated. Comparing human and computer-generated codes to the gold standard, the results indicate that humans slightly out-performed automated coding, while both performed notably better when there was only a single diagnosis contained in the free-text description. Automated coding was considered acceptable by the panel of clinicians in approximately 90% of cases.

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Exploring the Value of Pre-trained Language Models for Clinical Named Entity Recognition

The practice of fine-tuning Pre-trained Language Models (PLMs) from general or domain-specific data to a specific task with limited resources, has gained popularity within the field of natural language processing (NLP). In this work, we re-visit this assumption and carry out an investigation in clinical NLP, specifically Named Entity Recognition on drugs and their related attributes. We compare Transformer models that are trained from scratch to fine-tuned BERT-based LLMs namely BERT, BioBERT, and ClinicalBERT. Furthermore, we examine the impact of an additional CRF layer on such models to encourage contextual learning. We use n2c2-2018 shared task data for model development and evaluations. The experimental outcomes show that 1) CRF layers improved all language models; 2) referring to BIO-strict span level evaluation using macro-average F1 score, although the fine-tuned LLMs achieved 0.83+ scores, the TransformerCRF model trained from scratch achieved 0.78+, demonstrating comparable performances with much lower cost - e.g. with 39.80\% less training parameters; 3) referring to BIO-strict span-level evaluation using weighted-average F1 score, ClinicalBERT-CRF, BERT-CRF, and TransformerCRF exhibited lower score differences, with 97.59\%/97.44\%/96.84\% respectively. 4) applying efficient training by down-sampling for better data distribution further reduced the training cost and need for data, while maintaining similar scores - i.e. around 0.02 points lower compared to using the full dataset. Our models will be hosted at \url{https://github.com/HECTA-UoM/TransformerCRF}

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