Deep Understanding And Generation Of Medical Text And Beyond

Human language text plays a pivotal role in medicine. We use text to represent and store our biomedical knowledge, to communicate clinical findings, and to document various forms of medical data as well as healthcare outcomes. While deep language understanding techniques based on neural representation learning have fundamentally advanced our ability to process human language, can we leverage this advancement to transform our ability to understand, generate and utilize medical text? If so, how can we achieve this goal? This dissertation aims to provide answers to these questions from three distinct perspectives. We first focus on a common form of medical text, biomedical scientific text, and study the long-standing challenge of extracting structured relational knowledge from this text. To handle the long textual context where biomedical relations are commonly found, we introduce a novel linguistically-motivated neural architecture that learns to represent a relation by exploiting the syntactic structure of a sentence. We show that this model not only demonstrates robust performance for biomedical relation extraction, but also achieves a new state of the art on relation extraction over general-domain text. In the second part of this work, we focus on a different form of medical text, clinical report text, and more specifically, the radiology report text commonly used to describe medical imaging studies. We study the challenging problem of compressing long, detailed radiology reports into more succinct summary text. We demonstrate how a neural sequence-to-sequence model that is tailored to the structure of radiology reports can learn to generate fluent summaries with substantial clinical validity. We further present a reinforcement learning-based method that optimizes this system for correctness, a crucial metric in medicine. Our system has the potential of saving doctors from repetitive labor and improving clinical communications. Finally, we connect text and image modalities in medicine, by addressing the challenge of transferring the knowledge that we learn from text understanding to understanding medical images. We present a novel method for improving medical image understanding by jointly modeling text and images in an unsupervised, contrastive manner. By leveraging the knowledge encoded in text, our method reduces the amount of labeled data needed for medical image understanding by an order of magnitude. Altogether, our studies demonstrate the great potential that deep language understanding and generation has in transforming medicine.

This textbook presents deep learning models and their healthcare applications. It focuses on rich health data and deep learning models that can effectively model health data. Healthcare data: Among all healthcare technologies, electronic health records (EHRs) had vast adoption and a significant impact on healthcare delivery in recent years. One crucial benefit of EHRs is to capture all the patient encounters with rich multi-modality data. Healthcare data include both structured and unstructured information. Structured data include various medical codes for diagnoses and procedures, lab results, and medication information. Unstructured data contain 1) clinical notes as text, 2) medical imaging data such as X-rays, echocardiogram, and magnetic resonance imaging (MRI), and 3) time-series data such as the electrocardiogram (ECG) and electroencephalogram (EEG). Beyond the data collected during clinical visits, patient self-generated/reported data start to grow thanks to wearable sensors’ increasing use. The authors present deep learning case studies on all data described. Deep learning models: Neural network models are a class of machine learning methods with a long history. Deep learning models are neural networks of many layers, which can extract multiple levels of features from raw data. Deep learning applied to healthcare is a natural and promising direction with many initial successes. The authors cover deep neural networks, convolutional neural networks, recurrent neural networks, embedding methods, autoencoders, attention models, graph neural networks, memory networks, and generative models. It’s presented with concrete healthcare case studies such as clinical predictive modeling, readmission prediction, phenotyping, x-ray classification, ECG diagnosis, sleep monitoring, automatic diagnosis coding from clinical notes, automatic deidentification, medication recommendation, drug discovery (drug property prediction and molecule generation), and clinical trial matching. This textbook targets graduate-level students focused on deep learning methods and their healthcare applications. It can be used for the concepts of deep learning and its applications as well. Researchers working in this field will also find this book to be extremely useful and valuable for their research.

In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.

This book provides a comprehensive overview of deep learning (DL) in medical and healthcare applications, including the fundamentals and current advances in medical image analysis, state-of-the-art DL methods for medical image analysis and real-world, deep learning-based clinical computer-aided diagnosis systems. Deep learning (DL) is one of the key techniques of artificial intelligence (AI) and today plays an important role in numerous academic and industrial areas. DL involves using a neural network with many layers (deep structure) between input and output, and its main advantage of is that it can automatically learn data-driven, highly representative and hierarchical features and perform feature extraction and classification on one network. DL can be used to model or simulate an intelligent system or process using annotated training data. Recently, DL has become widely used in medical applications, such as anatomic modelling, tumour detection, disease classification, computer-aided diagnosis and surgical planning. This book is intended for computer science and engineering students and researchers, medical professionals and anyone interested using DL techniques.

This open access book describes the results of natural language processing and machine learning methods applied to clinical text from electronic patient records. It is divided into twelve chapters. Chapters 1-4 discuss the history and background of the original paper-based patient records, their purpose, and how they are written and structured. These initial chapters do not require any technical or medical background knowledge. The remaining eight chapters are more technical in nature and describe various medical classifications and terminologies such as ICD diagnosis codes, SNOMED CT, MeSH, UMLS, and ATC. Chapters 5-10 cover basic tools for natural language processing and information retrieval, and how to apply them to clinical text. The difference between rule-based and machine learning-based methods, as well as between supervised and unsupervised machine learning methods, are also explained. Next, ethical concerns regarding the use of sensitive patient records for research purposes are discussed, including methods for de-identifying electronic patient records and safely storing patient records. The book’s closing chapters present a number of applications in clinical text mining and summarise the lessons learned from the previous chapters. The book provides a comprehensive overview of technical issues arising in clinical text mining, and offers a valuable guide for advanced students in health informatics, computational linguistics, and information retrieval, and for researchers entering these fields.

Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. Highlights different data techniques in healthcare data analysis, including machine learning and data mining Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks Includes applications and case studies across all areas of AI in healthcare data

This book includes papers in the research area of artificial intelligence, robotics and automation, IoT smart agriculture, data analysis and cloud computing, communication and technology, and signal and natural language processing. The book is a collection of research papers presented at the First International Conference on Fourth Industrial Revolution and Beyond (IC4IR 2021) organized by University Grants Commission of Bangladesh in association with IEEE Computer Society Bangladesh Chapter and Bangladesh Computer Society during December 10–11, 2021.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

The book 'Text Mining Approaches for Biomedical Data' delves into the fascinating realm of text mining in healthcare. It provides an in-depth understanding of how Artificial Intelligence (AI) and Machine Learning (ML) are revolutionizing healthcare research and patient care. The book covers a wide range of topics such as mining textual data in biomedical and health databases, analyzing literature and clinical trials, and demonstrating various applications of text mining in healthcare. This book is a guide for effectively representing textual data using vectors, knowledge graphs, and other advanced techniques. It covers various text mining applications, building descriptive and predictive models, and evaluating them. Additionally, it includes building machine learning models using textual data, covering statistical and deep learning approaches. This book is designed to be a valuable reference for computer science professionals, researchers in the biomedical field, and clinicians. It provides practical guidance and promotes collaboration between different disciplines. Therefore, it is a must-read for anyone who is interested in the intersection of text mining and healthcare.