Efficient extraction of medication information from clinical notes: an evaluation in two languages

Objective: To evaluate the accuracy, computational cost and portability of a new Natural Language Processing (NLP) method for extracting medication information from clinical narratives. Materials and Methods: We propose an original transformer-based architecture for the extraction of entities and their relations pertaining to patients' medication regimen. First, we used this approach to train and evaluate a model on French clinical notes, using a newly annotated corpus from H\^opitaux Universitaires de Strasbourg. Second, the portability of the approach was assessed by conducting an evaluation on clinical documents in English from the 2018 n2c2 shared task. Information extraction accuracy and computational cost were assessed by comparison with an available method using transformers. Results: The proposed architecture achieves on the task of relation extraction itself performance that are competitive with the state-of-the-art on both French and English (F-measures 0.82 and 0.96 vs 0.81 and 0.95), but reduce the computational cost by 10. End-to-end (Named Entity recognition and Relation Extraction) F1 performance is 0.69 and 0.82 for French and English corpus. Discussion: While an existing system developed for English notes was deployed in a French hospital setting with reasonable effort, we found that an alternative architecture offered end-to-end drug information extraction with comparable extraction performance and lower computational impact for both French and English clinical text processing, respectively. Conclusion: The proposed architecture can be used to extract medication information from clinical text with high performance and low computational cost and consequently suits with usually limited hospital IT resources

How Green Can AI Be? A Study of Trends in Machine Learning Environmental Impacts

The compute requirements associated with training Artificial Intelligence (AI) models have increased exponentially over time. Optimisation strategies aim to reduce the energy consumption and environmental impacts associated with AI, possibly shifting impacts from the use phase to the manufacturing phase in the life-cycle of hardware. This paper investigates the evolution of individual graphics cards production impacts and of the environmental impacts associated with training Machine Learning (ML) models over time. We collect information on graphics cards used to train ML models and released between 2013 and 2023. We assess the environmental impacts associated with the production of each card to visualize the trends on the same period. Then, using information on notable AI systems from the Epoch AI dataset we assess the environmental impacts associated with training each system. The environmental impacts of graphics cards production have increased continuously. The energy consumption and environmental impacts associated with training models have increased exponentially, even when considering reduction strategies such as location shifting to places with less carbon intensive electricity mixes. These results suggest that current impact reduction strategies cannot curb the growth in the environmental impacts of AI. This is consistent with rebound effect, where the efficiency increases fuel the creation of even larger models thereby cancelling the potential impact reduction. Furthermore, these results highlight the importance of considering the impacts of hardware over the entire life-cycle rather than the sole usage phase in order to avoid impact shifting. The environmental impact of AI cannot be reduced without reducing AI activities as well as increasing efficiency.

Extracting Information in a Low-resource Setting: Case Study on Bioinformatics Workflows

Bioinformatics workflows are essential for complex biological data analyses and are often described in scientific articles with source code in public repositories. Extracting detailed workflow information from articles can improve accessibility and reusability but is hindered by limited annotated corpora. To address this, we framed the problem as a low-resource extraction task and tested four strategies: 1) creating a tailored annotated corpus, 2) few-shot named-entity recognition (NER) with an autoregressive language model, 3) NER using masked language models with existing and new corpora, and 4) integrating workflow knowledge into NER models. Using BioToFlow, a new corpus of 52 articles annotated with 16 entities, a SciBERT-based NER model achieved a 70.4 F-measure, comparable to inter-annotator agreement. While knowledge integration improved performance for specific entities, it was less effective across the entire information schema. Our results demonstrate that high-performance information extraction for bioinformatics workflows is achievable.

What Can Natural Language Processing Do for Peer Review?

The number of scientific articles produced every year is growing rapidly. Providing quality control over them is crucial for scientists and, ultimately, for the public good. In modern science, this process is largely delegated to peer review -- a distributed procedure in which each submission is evaluated by several independent experts in the field. Peer review is widely used, yet it is hard, time-consuming, and prone to error. Since the artifacts involved in peer review -- manuscripts, reviews, discussions -- are largely text-based, Natural Language Processing has great potential to improve reviewing. As the emergence of large language models (LLMs) has enabled NLP assistance for many new tasks, the discussion on machine-assisted peer review is picking up the pace. Yet, where exactly is help needed, where can NLP help, and where should it stand aside? The goal of our paper is to provide a foundation for the future efforts in NLP for peer-reviewing assistance. We discuss peer review as a general process, exemplified by reviewing at AI conferences. We detail each step of the process from manuscript submission to camera-ready revision, and discuss the associated challenges and opportunities for NLP assistance, illustrated by existing work. We then turn to the big challenges in NLP for peer review as a whole, including data acquisition and licensing, operationalization and experimentation, and ethical issues. To help consolidate community efforts, we create a companion repository that aggregates key datasets pertaining to peer review. Finally, we issue a detailed call for action for the scientific community, NLP and AI researchers, policymakers, and funding bodies to help bring the research in NLP for peer review forward. We hope that our work will help set the agenda for research in machine-assisted scientific quality control in the age of AI, within the NLP community and beyond.

Prompt engineering paradigms for medical applications: scoping review and recommendations for better practices

Prompt engineering is crucial for harnessing the potential of large language models (LLMs), especially in the medical domain where specialized terminology and phrasing is used. However, the efficacy of prompt engineering in the medical domain remains to be explored. In this work, 114 recent studies (2022-2024) applying prompt engineering in medicine, covering prompt learning (PL), prompt tuning (PT), and prompt design (PD) are reviewed. PD is the most prevalent (78 articles). In 12 papers, PD, PL, and PT terms were used interchangeably. ChatGPT is the most commonly used LLM, with seven papers using it for processing sensitive clinical data. Chain-of-Thought emerges as the most common prompt engineering technique. While PL and PT articles typically provide a baseline for evaluating prompt-based approaches, 64% of PD studies lack non-prompt-related baselines. We provide tables and figures summarizing existing work, and reporting recommendations to guide future research contributions.

A Benchmark Evaluation of Clinical Named Entity Recognition in French

Background: Transformer-based language models have shown strong performance on many Natural LanguageProcessing (NLP) tasks. Masked Language Models (MLMs) attract sustained interest because they can be adaptedto different languages and sub-domains through training or fine-tuning on specific corpora while remaining lighterthan modern Large Language Models (LLMs). Recently, several MLMs have been released for the biomedicaldomain in French, and experiments suggest that they outperform standard French counterparts. However, nosystematic evaluation comparing all models on the same corpora is available. Objective: This paper presentsan evaluation of masked language models for biomedical French on the task of clinical named entity recognition.Material and methods: We evaluate biomedical models CamemBERT-bio and DrBERT and compare them tostandard French models CamemBERT, FlauBERT and FrALBERT as well as multilingual mBERT using three publicallyavailable corpora for clinical named entity recognition in French. The evaluation set-up relies on gold-standardcorpora as released by the corpus developers. Results: Results suggest that CamemBERT-bio outperformsDrBERT consistently while FlauBERT offers competitive performance and FrAlBERT achieves the lowest carbonfootprint. Conclusion: This is the first benchmark evaluation of biomedical masked language models for Frenchclinical entity recognition that compares model performance consistently on nested entity recognition using metricscovering performance and environmental impact.

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.

Few shot clinical entity recognition in three languages: Masked language models outperform LLM prompting

Large Language Models are becoming the go-to solution for many natural language processing tasks, including in specialized domains where their few-shot capacities are expected to yield high performance in low-resource settings. Herein, we aim to assess the performance of Large Language Models for few shot clinical entity recognition in multiple languages. We evaluate named entity recognition in English, French and Spanish using 8 in-domain (clinical) and 6 out-domain gold standard corpora. We assess the performance of 10 auto-regressive language models using prompting and 16 masked language models used for text encoding in a biLSTM-CRF supervised tagger. We create a few-shot set-up by limiting the amount of annotated data available to 100 sentences. Our experiments show that although larger prompt-based models tend to achieve competitive F-measure for named entity recognition outside the clinical domain, this level of performance does not carry over to the clinical domain where lighter supervised taggers relying on masked language models perform better, even with the performance drop incurred from the few-shot set-up. In all experiments, the CO2 impact of masked language models is inferior to that of auto-regressive models. Results are consistent over the three languages and suggest that few-shot learning using Large language models is not production ready for named entity recognition in the clinical domain. Instead, models could be used for speeding-up the production of gold standard annotated data.

The Elephant in the Room: Analyzing the Presence of Big Tech in Natural Language Processing Research

Recent advances in deep learning methods for natural language processing (NLP) have created new business opportunities and made NLP research critical for industry development. As one of the big players in the field of NLP, together with governments and universities, it is important to track the influence of industry on research. In this study, we seek to quantify and characterize industry presence in the NLP community over time. Using a corpus with comprehensive metadata of 78,187 NLP publications and 701 resumes of NLP publication authors, we explore the industry presence in the field since the early 90s. We find that industry presence among NLP authors has been steady before a steep increase over the past five years (180% growth from 2017 to 2022). A few companies account for most of the publications and provide funding to academic researchers through grants and internships. Our study shows that the presence and impact of the industry on natural language processing research are significant and fast-growing. This work calls for increased transparency of industry influence in the field.

BLOOM: A 176B-Parameter Open-Access Multilingual Language Model

Large language models (LLMs) have been shown to be able to perform new tasks based on a few demonstrations or natural language instructions. While these capabilities have led to widespread adoption, most LLMs are developed by resource-rich organizations and are frequently kept from the public. As a step towards democratizing this powerful technology, we present BLOOM, a 176B-parameter open-access language model designed and built thanks to a collaboration of hundreds of researchers. BLOOM is a decoder-only Transformer language model that was trained on the ROOTS corpus, a dataset comprising hundreds of sources in 46 natural and 13 programming languages (59 in total). We find that BLOOM achieves competitive performance on a wide variety of benchmarks, with stronger results after undergoing multitask prompted finetuning. To facilitate future research and applications using LLMs, we publicly release our models and code under the Responsible AI License.