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Negation and speculation processing: A study on cue-scope labelling and assertion classification in Spanish clinical

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Area of Science:

  • Computational linguistics
  • Artificial intelligence in healthcare
  • Biomedical informatics

Background:

  • Healthcare data analysis relies on Natural Language Processing (NLP) for pattern discovery in vast text volumes.
  • Accurate processing of negation and speculation is crucial for reliable NLP in clinical settings.

Purpose of the Study:

  • To address challenges in processing negation and speculation within clinical text using deep learning.
  • To propose a method for converting cue-scope annotations to assertion annotations, overcoming data limitations.
  • To evaluate deep learning models, particularly Transformer-based approaches, on clinical Spanish text.

Main Methods:

  • Utilized state-of-the-art deep learning, focusing on cue-scope labeling and assertion classification.
  • Developed a methodology for automatic conversion of cue-scope to assertion annotations.
  • Conducted experiments with varying training data and adversarial test examples.

Main Results:

  • Transformer-based models demonstrated a clear advantage over baselines and prior work.
  • The proposed annotation conversion methodology proved effective.
  • Models achieved superior performance on the NUBes clinical Spanish text corpus.

Conclusions:

  • Deep learning, especially Transformer models, significantly advances NLP for clinical text analysis.
  • The developed methods improve the handling of negation and speculation, crucial for healthcare applications.
  • This work offers a pathway to more robust and accurate interpretation of clinical narratives.