Deep learning approaches for extracting adverse events and indications of dietary supplements from clinical text.

Objective: We sought to demonstrate the feasibility of utilizing deep learning models to extract safety signals related to the use of dietary supplements (DSs) in clinical text.Materials and Methods: Two tasks were performed in this study. For the named entity recognition (NER) task, Bi-LSTM-CRF (bi...

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Publicado en:Journal of the American Medical Informatics Association Vol. 28; no. 3; pp. 569 - 578
Autores principales: Fan, Yadan, Zhou, Sicheng, Li, Yifan, Zhang, Rui
Formato: Journal Article
Publicado: Oxford University Press / USA Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
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      pub: Oxford University Press / USA
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        atl: Deep learning approaches for extracting adverse events and indications of dietary supplements from clinical text.
      aug:
        au:
          Fan, Yadan
          Zhou, Sicheng
          Li, Yifan
          Zhang, Rui
        affil: Institute for Health Informatics, University of Minnesota , Minneapolis, Minnesota, USA
      sug:
        subj:
          Adverse Drug Event
          Natural Language Processing
          Dietary Supplements Adverse Effects
          Pilot Studies
          Short Portable Mental Status Questionnaire
          Scales
          Barthel Index
      ab: Objective: We sought to demonstrate the feasibility of utilizing deep learning models to extract safety signals related to the use of dietary supplements (DSs) in clinical text.Materials and Methods: Two tasks were performed in this study. For the named entity recognition (NER) task, Bi-LSTM-CRF (bidirectional long short-term memory conditional random field) and BERT (bidirectional encoder representations from transformers) models were trained and compared with CRF model as a baseline to recognize the named entities of DSs and events from clinical notes. In the relation extraction (RE) task, 2 deep learning models, including attention-based Bi-LSTM and convolutional neural network as well as a random forest model were trained to extract the relations between DSs and events, which were categorized into 3 classes: positive (ie, indication), negative (ie, adverse events), and not related. The best performed NER and RE models were further applied on clinical notes mentioning 88 DSs for discovering DSs adverse events and indications, which were compared with a DS knowledge base.Results: For the NER task, deep learning models achieved a better performance than CRF, with F1 scores above 0.860. The attention-based Bi-LSTM model performed the best in the RE task, with an F1 score of 0.893. When comparing DS event pairs generated by the deep learning models with the knowledge base for DSs and event, we found both known and unknown pairs.Conclusions: Deep learning models can detect adverse events and indication of DSs in clinical notes, which hold great potential for monitoring the safety of DS use.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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