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Sep 25

COVID-19 SignSym: a fast adaptation of a general clinical NLP tool to identify and normalize COVID-19 signs and symptoms to OMOP common data model

The COVID-19 pandemic swept across the world rapidly, infecting millions of people. An efficient tool that can accurately recognize important clinical concepts of COVID-19 from free text in electronic health records (EHRs) will be valuable to accelerate COVID-19 clinical research. To this end, this study aims at adapting the existing CLAMP natural language processing tool to quickly build COVID-19 SignSym, which can extract COVID-19 signs/symptoms and their 8 attributes (body location, severity, temporal expression, subject, condition, uncertainty, negation, and course) from clinical text. The extracted information is also mapped to standard concepts in the Observational Medical Outcomes Partnership common data model. A hybrid approach of combining deep learning-based models, curated lexicons, and pattern-based rules was applied to quickly build the COVID-19 SignSym from CLAMP, with optimized performance. Our extensive evaluation using 3 external sites with clinical notes of COVID-19 patients, as well as the online medical dialogues of COVID-19, shows COVID-19 Sign-Sym can achieve high performance across data sources. The workflow used for this study can be generalized to other use cases, where existing clinical natural language processing tools need to be customized for specific information needs within a short time. COVID-19 SignSym is freely accessible to the research community as a downloadable package (https://clamp.uth.edu/covid/nlp.php) and has been used by 16 healthcare organizations to support clinical research of COVID-19.

  • 11 authors
·
Jul 13, 2020

SynIB: Informational Bottleneck for Maximizing Synergy in Multimodal Learning

A central objective in multimodal learning is to capture synergy: task-relevant information that arises only from the joint use of multiple modalities, and is not available from any single modality alone. While most approaches operate at the architectural level through larger or more complex fusion models, we propose a complementary axis: shaping the training objective itself. Standard training often emphasizes unimodal or redundant information, falling short on examples that require cross-modal reasoning. We formalize multimodal synergy through information theory and introduce the Synergistic Information Bottleneck (SynIB), a scalable objective that targets synergy directly. To prioritize learning synergy, SynIB motivates the model to predict accurately from all modalities while penalizing confidence when information from any modality is withheld. Alongside the standard task loss, the model runs forward passes with one modality masked at a time and is penalized for remaining confident, which would indicate reliance on unimodal cues rather than cross-modal interactions. We validate SynIB in two regimes. On synthetic XOR tasks where the ground-truth synergy is known by construction, standard training fails to recover it while SynIB does. On five real-world benchmarks, including three MultiBench affective tasks, Hateful Memes with CLIP-ViT and DeBERTa backbones, and a controllable irony extension of CREMA-D we introduce, SynIB improves accuracy on synergy-dependent examples by up to 7.8% and overall accuracy by up to 3.8%.

  • 7 authors
·
May 11