arXiv:2502.03257cs.CLcs.IR2025-02被引 3

提出轻量级NLP架构,高效提取中英文病历中的药物信息。

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

  • 基于Transformer设计新架构,统一处理实体与关系抽取
  • 法语和英语数据上F1分别达0.69和0.82,计算成本降低10%
  • 适合资源有限的医院部署,兼顾性能与效率

目的:评估一种新型自然语言处理方法在提取临床文本中药物信息时的准确性、计算成本与跨语言可移植性。方法:提出一种基于Transformer的原创架构,用于提取患者用药方案相关的实体及其关系。首先,在斯特拉斯堡大学医院新标注的法语文本语料上训练并评估模型;其次,通过2018年n2c2共享任务的英文临床文档评估该方法的跨语言可移植性。将该方法与现有基于Transformer的方案进行对比,评估信息抽取准确率与计算成本。结果:在关系抽取任务中,该架构在法语和英语上分别取得0.82和0.96的F-measure,优于或相当主流方法(0.81和0.95),且计算成本降低10%。端到端(命名实体识别与关系抽取)F1分数分别为0.69(法语)和0.82(英语)。讨论:尽管已有英语系统可在法语环境中部署,但本文提出的架构在两种语言上均实现相近的抽取性能与更低的计算开销。结论:该架构能以高精度与低计算成本从临床文本中提取药物信息,适用于通常资源受限的医院信息系统。

原文摘要 · Abstract (English)

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 Hôpitaux 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

医疗NLP药物提取多语言轻量化

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