CT-ADE: An Evaluation Benchmark for Adverse Drug Event Prediction from Clinical Trial Results

Adverse drug events (ADEs) significantly impact clinical research and public health, contributing to failures in clinical trials and leading to increased healthcare costs. The accurate prediction and management of ADEs are crucial for improving the development of safer, more effective medications, and enhancing patient outcomes. To support this effort, we introduce CT-ADE, a novel dataset compiled to enhance the predictive modeling of ADEs. Encompassing over 12,000 instances extracted from clinical trial results, the CT-ADE dataset integrates drug, patient population, and contextual information for multilabel ADE classification tasks in monopharmacy treatments, providing a comprehensive resource for developing advanced predictive models. To mirror the complex nature of ADEs, annotations are standardized at the system organ class level of the Medical Dictionary for Regulatory Activities (MedDRA) ontology. Preliminary analyses using baseline models have demonstrated promising results, achieving 73.33% F1 score and 81.54% balanced accuracy, highlighting CT-ADE's potential to advance ADE prediction. CT-ADE provides an essential tool for researchers aiming to leverage the power of artificial intelligence and machine learning to enhance patient safety and minimize the impact of ADEs on pharmaceutical research and development. Researchers interested in using the CT-ADE dataset can find all necessary resources at https://github.com/xxxx/xxxx.

DS4DH at #SMM4H 2023: Zero-Shot Adverse Drug Events Normalization using Sentence Transformers and Reciprocal-Rank Fusion

This paper outlines the performance evaluation of a system for adverse drug event normalization, developed by the Data Science for Digital Health group for the Social Media Mining for Health Applications 2023 shared task 5. Shared task 5 targeted the normalization of adverse drug event mentions in Twitter to standard concepts from the Medical Dictionary for Regulatory Activities terminology. Our system hinges on a two-stage approach: BERT fine-tuning for entity recognition, followed by zero-shot normalization using sentence transformers and reciprocal-rank fusion. The approach yielded a precision of 44.9%, recall of 40.5%, and an F1-score of 42.6%. It outperformed the median performance in shared task 5 by 10% and demonstrated the highest performance among all participants. These results substantiate the effectiveness of our approach and its potential application for adverse drug event normalization in the realm of social media text mining.

Efficient Joint Learning for Clinical Named Entity Recognition and Relation Extraction Using Fourier Networks: A Use Case in Adverse Drug Events

Current approaches for clinical information extraction are inefficient in terms of computational costs and memory consumption, hindering their application to process large-scale electronic health records (EHRs). We propose an efficient end-to-end model, the Joint-NER-RE-Fourier (JNRF), to jointly learn the tasks of named entity recognition and relation extraction for documents of variable length. The architecture uses positional encoding and unitary batch sizes to process variable length documents and uses a weight-shared Fourier network layer for low-complexity token mixing. Finally, we reach the theoretical computational complexity lower bound for relation extraction using a selective pooling strategy and distance-aware attention weights with trainable polynomial distance functions. We evaluated the JNRF architecture using the 2018 N2C2 ADE benchmark to jointly extract medication-related entities and relations in variable-length EHR summaries. JNRF outperforms rolling window BERT with selective pooling by 0.42%, while being twice as fast to train. Compared to state-of-the-art BiLSTM-CRF architectures on the N2C2 ADE benchmark, results show that the proposed approach trains 22 times faster and reduces GPU memory consumption by 1.75 folds, with a reasonable performance tradeoff of 90%, without the use of external tools, hand-crafted rules or post-processing. Given the significant carbon footprint of deep learning models and the current energy crises, these methods could support efficient and cleaner information extraction in EHRs and other types of large-scale document databases.

DS4DH at TREC Health Misinformation 2021: Multi-Dimensional Ranking Models with Transfer Learning and Rank Fusion

This paper describes the work of the Data Science for Digital Health (DS4DH) group at the TREC Health Misinformation Track 2021. The TREC Health Misinformation track focused on the development of retrieval methods that provide relevant, correct and credible information for health related searches on the Web. In our methodology, we used a two-step ranking approach that includes i) a standard retrieval phase, based on BM25 model, and ii) a re-ranking phase, with a pipeline of models focused on the usefulness, supportiveness and credibility dimensions of the retrieved documents. To estimate the usefulness, we classified the initial rank list using pre-trained language models based on the transformers architecture fine-tuned on the MS MARCO corpus. To assess the supportiveness, we utilized BERT-based models fine-tuned on scientific and Wikipedia corpora. Finally, to evaluate the credibility of the documents, we employed a random forest model trained on the Microsoft Credibility dataset combined with a list of credible sites. The resulting ranked lists were then combined using the Reciprocal Rank Fusion algorithm to obtain the final list of useful, supporting and credible documents. Our approach achieved competitive results, being top-2 in the compatibility measurement for the automatic runs. Our findings suggest that integrating automatic ranking models created for each information quality dimension with transfer learning can increase the effectiveness of health-related information retrieval.

Named entity recognition in chemical patents using ensemble of contextual language models

Chemical patent documents describe a broad range of applications holding key information, such as chemical compounds, reactions, and specific properties. However, the key information should be enabled to be utilized in downstream tasks. Text mining provides means to extract relevant information from chemical patents through information extraction techniques. As part of the Information Extraction task of the Cheminformatics Elseiver Melbourne University challenge, in this work we study the effectiveness of contextualized language models to extract reaction information in chemical patents. We compare transformer architectures trained on a generic corpus with models specialised in chemistry patents, and propose a new model based on the combination of existing architectures. Our best model, based on the ensemble approach, achieves an exact F1-score of 92.30% and a relaxed F1 -score of 96.24%. We show that the ensemble of contextualized language models provides an effective method to extract information from chemical patents. As a next step, we will investigate the effect of transformer language models pre-trained in chemical patents.