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Browsing by Author "Gandhi, Priyanka"
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Item A Deep Language Model for Symptom Extraction From Clinical Text and its Application to Extract COVID-19 Symptoms From Social Media(IEEE, 2022) Luo, Xiao; Gandhi, Priyanka; Storey, Susan; Huang, Kun; Biostatistics and Health Data Science, School of MedicinePatients experience various symptoms when they have either acute or chronic diseases or undergo some treatments for diseases. Symptoms are often indicators of the severity of the disease and the need for hospitalization. Symptoms are often described in free text written as clinical notes in the Electronic Health Records (EHR) and are not integrated with other clinical factors for disease prediction and healthcare outcome management. In this research, we propose a novel deep language model to extract patient-reported symptoms from clinical text. The deep language model integrates syntactic and semantic analysis for symptom extraction and identifies the actual symptoms reported by patients and conditional or negation symptoms. The deep language model can extract both complex and straightforward symptom expressions. We used a real-world clinical notes dataset to evaluate our model and demonstrated that our model achieves superior performance compared to three other state-of-the-art symptom extraction models. We extensively analyzed our model to illustrate its effectiveness by examining each component’s contribution to the model. Finally, we applied our model on a COVID-19 tweets data set to extract COVID-19 symptoms. The results show that our model can identify all the symptoms suggested by CDC ahead of their timeline and many rare symptoms.Item Analyzing the symptoms in colorectal and breast cancer patients with or without type 2 diabetes using EHR data(Sage, 2021) Luo, Xiao; Storey, Susan; Gandhi, Priyanka; Zhang, Zuoyi; Metzger, Megan; Huang, Kun; Computer Information and Graphics Technology, School of Engineering and TechnologyThis research extracted patient-reported symptoms from free-text EHR notes of colorectal and breast cancer patients and studied the correlation of the symptoms with comorbid type 2 diabetes, race, and smoking status. An NLP framework was developed first to use UMLS MetaMap to extract all symptom terms from the 366,398 EHR clinical notes of 1694 colorectal cancer (CRC) patients and 3458 breast cancer (BC) patients. Semantic analysis and clustering algorithms were then developed to categorize all the relevant symptoms into eight symptom clusters defined by seed terms. After all the relevant symptoms were extracted from the EHR clinical notes, the frequency of the symptoms reported from colorectal cancer (CRC) and breast cancer (BC) patients over three time-periods post-chemotherapy was calculated. Logistic regression (LR) was performed with each symptom cluster as the response variable while controlling for diabetes, race, and smoking status. The results show that the CRC and BC patients with Type 2 Diabetes (T2D) were more likely to report symptoms than CRC and BC without T2D over three time-periods in the cancer trajectory. We also found that current smokers were more likely to report anxiety (CRC, BC), neuropathic symptoms (CRC, BC), anxiety (BC), and depression (BC) than non-smokers.Item Attention Mechanism with BERT for Content Annotation and Categorization of Pregnancy-Related Questions on a Community Q&A Site(IEEE, 2020-12) Luo, Xiao; Ding, Haoran; Tang, Matthew; Gandhi, Priyanka; Zhang, Zhan; He, Zhe; Engineering Technology, School of Engineering and TechnologyIn recent years, the social web has been increasingly used for health information seeking, sharing, and subsequent health-related research. Women often use the Internet or social networking sites to seek information related to pregnancy in different stages. They may ask questions about birth control, trying to conceive, labor, or taking care of a newborn or baby. Classifying different types of questions about pregnancy information (e.g., before, during, and after pregnancy) can inform the design of social media and professional websites for pregnancy education and support. This research aims to investigate the attention mechanism built-in or added on top of the BERT model in classifying and annotating the pregnancy-related questions posted on a community Q&A site. We evaluated two BERT-based models and compared them against the traditional machine learning models for question classification. Most importantly, we investigated two attention mechanisms: the built-in self-attention mechanism of BERT and the additional attention layer on top of BERT for relevant term annotation. The classification performance showed that the BERT-based models worked better than the traditional models, and BERT with an additional attention layer can achieve higher overall precision than the basic BERT model. The results also showed that both attention mechanisms work differently on annotating relevant content, and they could serve as feature selection methods for text mining in general.Item Extracting Symptoms from Narrative Text using Artificial Intelligence(2020-12) Gandhi, Priyanka; Zou, Xukai; Luo, Xiao; Xia, YuniElectronic health records collect an enormous amount of data about patients. However, the information about the patient’s illness is stored in progress notes that are in an un- structured format. It is difficult for humans to annotate symptoms listed in the free text. Recently, researchers have explored the advancements of deep learning can be applied to pro- cess biomedical data. The information in the text can be extracted with the help of natural language processing. The research presented in this thesis aims at automating the process of symptom extraction. The proposed methods use pre-trained word embeddings such as BioWord2Vec, BERT, and BioBERT to generate vectors of the words based on semantics and syntactic structure of sentences. BioWord2Vec embeddings are fed into a BiLSTM neural network with a CRF layer to capture the dependencies between the co-related terms in the sentence. The pre-trained BERT and BioBERT embeddings are fed into the BERT model with a CRF layer to analyze the output tags of neighboring tokens. The research shows that with the help of the CRF layer in neural network models, longer phrases of symptoms can be extracted from the text. The proposed models are compared with the UMLS Metamap tool that uses various sources to categorize the terms in the text to different semantic types and Stanford CoreNLP, a dependency parser, that analyses syntactic relations in the sentence to extract information. The performance of the models is analyzed by using strict, relaxed, and n-gram evaluation schemes. The results show BioBERT with a CRF layer can extract the majority of the human-labeled symptoms. Furthermore, the model is used to extract symptoms from COVID-19 tweets. The model was able to extract symptoms listed by CDC as well as new symptoms.