A Dataset for Pharmacovigilance in German, French, and Japanese: Annotating Adverse Drug Reactions across Languages

User-generated data sources have gained significance in uncovering Adverse Drug Reactions (ADRs), with an increasing number of discussions occurring in the digital world. However, the existing clinical corpora predominantly revolve around scientific articles in English. This work presents a multilingual corpus of texts concerning ADRs gathered from diverse sources, including patient fora, social media, and clinical reports in German, French, and Japanese. Our corpus contains annotations covering 12 entity types, four attribute types, and 13 relation types. It contributes to the development of real-world multilingual language models for healthcare. We provide statistics to highlight certain challenges associated with the corpus and conduct preliminary experiments resulting in strong baselines for extracting entities and relations between these entities, both within and across languages.

Unsupervised Paraphrasing of Multiword Expressions

We propose an unsupervised approach to paraphrasing multiword expressions (MWEs) in context. Our model employs only monolingual corpus data and pre-trained language models (without fine-tuning), and does not make use of any external resources such as dictionaries. We evaluate our method on the SemEval 2022 idiomatic semantic text similarity task, and show that it outperforms all unsupervised systems and rivals supervised systems.

Is In-hospital Meta-information Useful for Abstractive Discharge Summary Generation?

During the patient's hospitalization, the physician must record daily observations of the patient and summarize them into a brief document called "discharge summary" when the patient is discharged. Automated generation of discharge summary can greatly relieve the physicians' burden, and has been addressed recently in the research community. Most previous studies of discharge summary generation using the sequence-to-sequence architecture focus on only inpatient notes for input. However, electric health records (EHR) also have rich structured metadata (e.g., hospital, physician, disease, length of stay, etc.) that might be useful. This paper investigates the effectiveness of medical meta-information for summarization tasks. We obtain four types of meta-information from the EHR systems and encode each meta-information into a sequence-to-sequence model. Using Japanese EHRs, meta-information encoded models increased ROUGE-1 by up to 4.45 points and BERTScore by 3.77 points over the vanilla Longformer. Also, we found that the encoded meta-information improves the precisions of its related terms in the outputs. Our results showed the benefit of the use of medical meta-information.

Switching to Discriminative Image Captioning by Relieving a Bottleneck of Reinforcement Learning

Discriminativeness is a desirable feature of image captions: captions should describe the characteristic details of input images. However, recent high-performing captioning models, which are trained with reinforcement learning (RL), tend to generate overly generic captions despite their high performance in various other criteria. First, we investigate the cause of the unexpectedly low discriminativeness and show that RL has a deeply rooted side effect of limiting the output words to high-frequency words. The limited vocabulary is a severe bottleneck for discriminativeness as it is difficult for a model to describe the details beyond its vocabulary. Then, based on this identification of the bottleneck, we drastically recast discriminative image captioning as a much simpler task of encouraging low-frequency word generation. Hinted by long-tail classification and debiasing methods, we propose methods that easily switch off-the-shelf RL models to discriminativeness-aware models with only a single-epoch fine-tuning on the part of the parameters. Extensive experiments demonstrate that our methods significantly enhance the discriminativeness of off-the-shelf RL models and even outperform previous discriminativeness-aware methods with much smaller computational costs. Detailed analysis and human evaluation also verify that our methods boost the discriminativeness without sacrificing the overall quality of captions.

Exploring Optimal Granularity for Extractive Summarization of Unstructured Health Records: Analysis of the Largest Multi-Institutional Archive of Health Records in Japan

Automated summarization of clinical texts can reduce the burden of medical professionals. "Discharge summaries" are one promising application of the summarization, because they can be generated from daily inpatient records. Our preliminary experiment suggests that 20-31% of the descriptions in discharge summaries overlap with the content of the inpatient records. However, it remains unclear how the summaries should be generated from the unstructured source. To decompose the physician's summarization process, this study aimed to identify the optimal granularity in summarization. We first defined three types of summarization units with different granularities to compare the performance of the discharge summary generation: whole sentences, clinical segments, and clauses. We defined clinical segments in this study, aiming to express the smallest medically meaningful concepts. To obtain the clinical segments, it was necessary to automatically split the texts in the first stage of the pipeline. Accordingly, we compared rule-based methods and a machine learning method, and the latter outperformed the formers with an F1 score of 0.846 in the splitting task. Next, we experimentally measured the accuracy of extractive summarization using the three types of units, based on the ROUGE-1 metric, on a multi-institutional national archive of health records in Japan. The measured accuracies of extractive summarization using whole sentences, clinical segments, and clauses were 31.91, 36.15, and 25.18, respectively. We found that the clinical segments yielded higher accuracy than sentences and clauses. This result indicates that summarization of inpatient records demands finer granularity than sentence-oriented processing. Although we used only Japanese health records, it can be interpreted as follows: physicians extract "concepts of medical significance" from patient records and recombine them ...

Unsupervised Lexical Substitution with Decontextualised Embeddings

We propose a new unsupervised method for lexical substitution using pre-trained language models. Compared to previous approaches that use the generative capability of language models to predict substitutes, our method retrieves substitutes based on the similarity of contextualised and decontextualised word embeddings, i.e. the average contextual representation of a word in multiple contexts. We conduct experiments in English and Italian, and show that our method substantially outperforms strong baselines and establishes a new state-of-the-art without any explicit supervision or fine-tuning. We further show that our method performs particularly well at predicting low-frequency substitutes, and also generates a diverse list of substitute candidates, reducing morphophonetic or morphosyntactic biases induced by article-noun agreement.

Removing Word-Level Spurious Alignment between Images and Pseudo-Captions in Unsupervised Image Captioning

Unsupervised image captioning is a challenging task that aims at generating captions without the supervision of image-sentence pairs, but only with images and sentences drawn from different sources and object labels detected from the images. In previous work, pseudo-captions, i.e., sentences that contain the detected object labels, were assigned to a given image. The focus of the previous work was on the alignment of input images and pseudo-captions at the sentence level. However, pseudo-captions contain many words that are irrelevant to a given image. In this work, we investigate the effect of removing mismatched words from image-sentence alignment to determine how they make this task difficult. We propose a simple gating mechanism that is trained to align image features with only the most reliable words in pseudo-captions: the detected object labels. The experimental results show that our proposed method outperforms the previous methods without introducing complex sentence-level learning objectives. Combined with the sentence-level alignment method of previous work, our method further improves its performance. These results confirm the importance of careful alignment in word-level details.

Learning Contextualised Cross-lingual Word Embeddings for Extremely Low-Resource Languages Using Parallel Corpora

We propose a new approach for learning contextualised cross-lingual word embeddings based only on a small parallel corpus (e.g. a few hundred sentence pairs). Our method obtains word embeddings via an LSTM-based encoder-decoder model that performs bidirectional translation and reconstruction of the input sentence. Through sharing model parameters among different languages, our model jointly trains the word embeddings in a common multilingual space. We also propose a simple method to combine word and subword embeddings to make use of orthographic similarities across different languages. We base our experiments on real-world data from endangered languages, namely Yongning Na, Shipibo-Konibo and Griko. Our experiments on bilingual lexicon induction and word alignment tasks show that our model outperforms existing methods by a large margin for most language pairs. These results demonstrate that, contrary to common belief, an encoder-decoder translation model is beneficial for learning cross-lingual representations, even in extremely low-resource scenarios.

LUKE: Deep Contextualized Entity Representations with Entity-aware Self-attention

Entity representations are useful in natural language tasks involving entities. In this paper, we propose new pretrained contextualized representations of words and entities based on the bidirectional transformer. The proposed model treats words and entities in a given text as independent tokens, and outputs contextualized representations of them. Our model is trained using a new pretraining task based on the masked language model of BERT. The task involves predicting randomly masked words and entities in a large entity-annotated corpus retrieved from Wikipedia. We also propose an entity-aware self-attention mechanism that is an extension of the self-attention mechanism of the transformer, and considers the types of tokens (words or entities) when computing attention scores. The proposed model achieves impressive empirical performance on a wide range of entity-related tasks. In particular, it obtains state-of-the-art results on five well-known datasets: Open Entity (entity typing), TACRED (relation classification), CoNLL-2003 (named entity recognition), ReCoRD (cloze-style question answering), and SQuAD 1.1 (extractive question answering). Our source code and pretrained representations are available at https://github.com/studio-ousia/luke.

Length-controllable Abstractive Summarization by Guiding with Summary Prototype

We propose a new length-controllable abstractive summarization model. Recent state-of-the-art abstractive summarization models based on encoder-decoder models generate only one summary per source text. However, controllable summarization, especially of the length, is an important aspect for practical applications. Previous studies on length-controllable abstractive summarization incorporate length embeddings in the decoder module for controlling the summary length. Although the length embeddings can control where to stop decoding, they do not decide which information should be included in the summary within the length constraint. Unlike the previous models, our length-controllable abstractive summarization model incorporates a word-level extractive module in the encoder-decoder model instead of length embeddings. Our model generates a summary in two steps. First, our word-level extractor extracts a sequence of important words (we call it the "prototype text") from the source text according to the word-level importance scores and the length constraint. Second, the prototype text is used as additional input to the encoder-decoder model, which generates a summary by jointly encoding and copying words from both the prototype text and source text. Since the prototype text is a guide to both the content and length of the summary, our model can generate an informative and length-controlled summary. Experiments with the CNN/Daily Mail dataset and the NEWSROOM dataset show that our model outperformed previous models in length-controlled settings.