This paper presents the MasonTigers entry to the SemEval-2024 Task 8 - Multigenerator, Multidomain, and Multilingual Black-Box Machine-Generated Text Detection. The task encompasses Binary Human-Written vs. Machine-Generated Text Classification (Track A), Multi-Way Machine-Generated Text Classification (Track B), and Human-Machine Mixed Text Detection (Track C). Our best performing approaches utilize mainly the ensemble of discriminator transformer models along with sentence transformer and statistical machine learning approaches in specific cases. Moreover, zero-shot prompting and fine-tuning of FLAN-T5 are used for Track A and B.
Social determinants of health (SDoH) play a critical role in shaping health outcomes, particularly in pediatric populations where interventions can have long-term implications. SDoH are frequently studied in the Electronic Health Record (EHR), which provides a rich repository for diverse patient data. In this work, we present a novel annotated corpus, the Pediatric Social History Annotation Corpus (PedSHAC), and evaluate the automatic extraction of detailed SDoH representations using fine-tuned and in-context learning methods with Large Language Models (LLMs). PedSHAC comprises annotated social history sections from 1,260 clinical notes obtained from pediatric patients within the University of Washington (UW) hospital system. Employing an event-based annotation scheme, PedSHAC captures ten distinct health determinants to encompass living and economic stability, prior trauma, education access, substance use history, and mental health with an overall annotator agreement of 81.9 F1. Our proposed fine-tuning LLM-based extractors achieve high performance at 78.4 F1 for event arguments. In-context learning approaches with GPT-4 demonstrate promise for reliable SDoH extraction with limited annotated examples, with extraction performance at 82.3 F1 for event triggers.
Medical imaging is critical to the diagnosis, surveillance, and treatment of many health conditions, including oncological, neurological, cardiovascular, and musculoskeletal disorders, among others. Radiologists interpret these complex, unstructured images and articulate their assessments through narrative reports that remain largely unstructured. This unstructured narrative must be converted into a structured semantic representation to facilitate secondary applications such as retrospective analyses or clinical decision support. Here, we introduce the Corpus of Annotated Medical Imaging Reports (CAMIR), which includes 609 annotated radiology reports from three imaging modality types: Computed Tomography, Magnetic Resonance Imaging, and Positron Emission Tomography-Computed Tomography. Reports were annotated using an event-based schema that captures clinical indications, lesions, and medical problems. Each event consists of a trigger and multiple arguments, and a majority of the argument types, including anatomy, normalize the spans to pre-defined concepts to facilitate secondary use. CAMIR uniquely combines a granular event structure and concept normalization. To extract CAMIR events, we explored two BERT (Bi-directional Encoder Representation from Transformers)-based architectures, including an existing architecture (mSpERT) that jointly extracts all event information and a multi-step approach (PL-Marker++) that we augmented for the CAMIR schema.
Depression is a mental health disorder that has a profound impact on people's lives. Recent research suggests that signs of depression can be detected in the way individuals communicate, both through spoken words and written texts. In particular, social media posts are a rich and convenient text source that we may examine for depressive symptoms. The Beck Depression Inventory (BDI) Questionnaire, which is frequently used to gauge the severity of depression, is one instrument that can aid in this study. We can narrow our study to only those symptoms since each BDI question is linked to a particular depressive symptom. It's important to remember that not everyone with depression exhibits all symptoms at once, but rather a combination of them. Therefore, it is extremely useful to be able to determine if a sentence or a piece of user-generated content is pertinent to a certain condition. With this in mind, the eRisk 2023 Task 1 was designed to do exactly that: assess the relevance of different sentences to the symptoms of depression as outlined in the BDI questionnaire. This report is all about how our team, Mason-NLP, participated in this subtask, which involved identifying sentences related to different depression symptoms. We used a deep learning approach that incorporated MentalBERT, RoBERTa, and LSTM. Despite our efforts, the evaluation results were lower than expected, underscoring the challenges inherent in ranking sentences from an extensive dataset about depression, which necessitates both appropriate methodological choices and significant computational resources. We anticipate that future iterations of this shared task will yield improved results as our understanding and techniques evolve.
In online forums like Reddit, users share their experiences with medical conditions and treatments, including making claims, asking questions, and discussing the effects of treatments on their health. Building systems to understand this information can effectively monitor the spread of misinformation and verify user claims. The Task-8 of the 2023 International Workshop on Semantic Evaluation focused on medical applications, specifically extracting patient experience- and medical condition-related entities from user posts on social media. The Reddit Health Online Talk (RedHot) corpus contains posts from medical condition-related subreddits with annotations characterizing the patient experience and medical conditions. In Subtask-1, patient experience is characterized by personal experience, questions, and claims. In Subtask-2, medical conditions are characterized by population, intervention, and outcome. For the automatic extraction of patient experiences and medical condition information, as a part of the challenge, we proposed language-model-based extraction systems that ranked $3^{rd}$ on both subtasks' leaderboards. In this work, we describe our approach and, in addition, explore the automatic extraction of this information using domain-specific language models and the inclusion of external knowledge.
Objective: Identifying study-eligible patients within clinical databases is a critical step in clinical research. However, accurate query design typically requires extensive technical and biomedical expertise. We sought to create a system capable of generating data model-agnostic queries while also providing novel logical reasoning capabilities for complex clinical trial eligibility criteria. Materials and Methods: The task of query creation from eligibility criteria requires solving several text-processing problems, including named entity recognition and relation extraction, sequence-to-sequence transformation, normalization, and reasoning. We incorporated hybrid deep learning and rule-based modules for these, as well as a knowledge base of the Unified Medical Language System (UMLS) and linked ontologies. To enable data-model agnostic query creation, we introduce a novel method for tagging database schema elements using UMLS concepts. To evaluate our system, called LeafAI, we compared the capability of LeafAI to a human database programmer to identify patients who had been enrolled in 8 clinical trials conducted at our institution. We measured performance by the number of actual enrolled patients matched by generated queries. Results: LeafAI matched a mean 43% of enrolled patients with 27,225 eligible across 8 clinical trials, compared to 27% matched and 14,587 eligible in queries by a human database programmer. The human programmer spent 26 total hours crafting queries compared to several minutes by LeafAI. Conclusions: Our work contributes a state-of-the-art data model-agnostic query generation system capable of conditional reasoning using a knowledge base. We demonstrate that LeafAI can rival a human programmer in finding patients eligible for clinical trials.
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.
Identifying cohorts of patients based on eligibility criteria such as medical conditions, procedures, and medication use is critical to recruitment for clinical trials. Such criteria are often most naturally described in free-text, using language familiar to clinicians and researchers. In order to identify potential participants at scale, these criteria must first be translated into queries on clinical databases, which can be labor-intensive and error-prone. Natural language processing (NLP) methods offer a potential means of such conversion into database queries automatically. However they must first be trained and evaluated using corpora which capture clinical trials criteria in sufficient detail. In this paper, we introduce the Leaf Clinical Trials (LCT) corpus, a human-annotated corpus of over 1,000 clinical trial eligibility criteria descriptions using highly granular structured labels capturing a range of biomedical phenomena. We provide details of our schema, annotation process, corpus quality, and statistics. Additionally, we present baseline information extraction results on this corpus as benchmarks for future work.
Social media platforms can expose influential trends in many aspects of everyday life. However, the movements they represent can be contaminated by disinformation. Social bots are one of the significant sources of disinformation in social media. Social bots can pose serious cyber threats to society and public opinion. This research aims to develop machine learning models to detect bots based on the extracted user's profile from a Tweet's text. Online users' profile shows the user's personal information, such as age, gender, education, and personality. In this work, the user's profile is constructed based on the user's online posts. This work's main contribution is three-fold: First, we aim to improve bot detection through machine learning models based on the user's personal information generated by the user's online comments. When comparing two online posts, the similarity of personal information makes it difficult to differentiate a bot from a human user. However, this research turns personal information similarity among two online posts into an advantage for the new bot detection model. The new proposed model for bot detection creates user profiles based on personal information such as age, personality, gender, education from users' online posts and introduces a machine learning model to detect social bots with high prediction accuracy based on personal information. Second, create a new public data set that shows the user's profile for more than 6900 Twitter accounts in the Cresci 2017 data set.