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Mar 11

Natural Language Processing in Electronic Health Records in Relation to Healthcare Decision-making: A Systematic Review

Background: Natural Language Processing (NLP) is widely used to extract clinical insights from Electronic Health Records (EHRs). However, the lack of annotated data, automated tools, and other challenges hinder the full utilisation of NLP for EHRs. Various Machine Learning (ML), Deep Learning (DL) and NLP techniques are studied and compared to understand the limitations and opportunities in this space comprehensively. Methodology: After screening 261 articles from 11 databases, we included 127 papers for full-text review covering seven categories of articles: 1) medical note classification, 2) clinical entity recognition, 3) text summarisation, 4) deep learning (DL) and transfer learning architecture, 5) information extraction, 6) Medical language translation and 7) other NLP applications. This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Result and Discussion: EHR was the most commonly used data type among the selected articles, and the datasets were primarily unstructured. Various ML and DL methods were used, with prediction or classification being the most common application of ML or DL. The most common use cases were: the International Classification of Diseases, Ninth Revision (ICD-9) classification, clinical note analysis, and named entity recognition (NER) for clinical descriptions and research on psychiatric disorders. Conclusion: We find that the adopted ML models were not adequately assessed. In addition, the data imbalance problem is quite important, yet we must find techniques to address this underlining problem. Future studies should address key limitations in studies, primarily identifying Lupus Nephritis, Suicide Attempts, perinatal self-harmed and ICD-9 classification.

On the State of German (Abstractive) Text Summarization

With recent advancements in the area of Natural Language Processing, the focus is slowly shifting from a purely English-centric view towards more language-specific solutions, including German. Especially practical for businesses to analyze their growing amount of textual data are text summarization systems, which transform long input documents into compressed and more digestible summary texts. In this work, we assess the particular landscape of German abstractive text summarization and investigate the reasons why practically useful solutions for abstractive text summarization are still absent in industry. Our focus is two-fold, analyzing a) training resources, and b) publicly available summarization systems. We are able to show that popular existing datasets exhibit crucial flaws in their assumptions about the original sources, which frequently leads to detrimental effects on system generalization and evaluation biases. We confirm that for the most popular training dataset, MLSUM, over 50% of the training set is unsuitable for abstractive summarization purposes. Furthermore, available systems frequently fail to compare to simple baselines, and ignore more effective and efficient extractive summarization approaches. We attribute poor evaluation quality to a variety of different factors, which are investigated in more detail in this work: A lack of qualitative (and diverse) gold data considered for training, understudied (and untreated) positional biases in some of the existing datasets, and the lack of easily accessible and streamlined pre-processing strategies or analysis tools. We provide a comprehensive assessment of available models on the cleaned datasets, and find that this can lead to a reduction of more than 20 ROUGE-1 points during evaluation. The code for dataset filtering and reproducing results can be found online at https://github.com/dennlinger/summaries

Are You Robert or RoBERTa? Deceiving Online Authorship Attribution Models Using Neural Text Generators

Recently, there has been a rise in the development of powerful pre-trained natural language models, including GPT-2, Grover, and XLM. These models have shown state-of-the-art capabilities towards a variety of different NLP tasks, including question answering, content summarisation, and text generation. Alongside this, there have been many studies focused on online authorship attribution (AA). That is, the use of models to identify the authors of online texts. Given the power of natural language models in generating convincing texts, this paper examines the degree to which these language models can generate texts capable of deceiving online AA models. Experimenting with both blog and Twitter data, we utilise GPT-2 language models to generate texts using the existing posts of online users. We then examine whether these AI-based text generators are capable of mimicking authorial style to such a degree that they can deceive typical AA models. From this, we find that current AI-based text generators are able to successfully mimic authorship, showing capabilities towards this on both datasets. Our findings, in turn, highlight the current capacity of powerful natural language models to generate original online posts capable of mimicking authorial style sufficiently to deceive popular AA methods; a key finding given the proposed role of AA in real world applications such as spam-detection and forensic investigation.

Text Summarization Using Large Language Models: A Comparative Study of MPT-7b-instruct, Falcon-7b-instruct, and OpenAI Chat-GPT Models

Text summarization is a critical Natural Language Processing (NLP) task with applications ranging from information retrieval to content generation. Leveraging Large Language Models (LLMs) has shown remarkable promise in enhancing summarization techniques. This paper embarks on an exploration of text summarization with a diverse set of LLMs, including MPT-7b-instruct, falcon-7b-instruct, and OpenAI ChatGPT text-davinci-003 models. The experiment was performed with different hyperparameters and evaluated the generated summaries using widely accepted metrics such as the Bilingual Evaluation Understudy (BLEU) Score, Recall-Oriented Understudy for Gisting Evaluation (ROUGE) Score, and Bidirectional Encoder Representations from Transformers (BERT) Score. According to the experiment, text-davinci-003 outperformed the others. This investigation involved two distinct datasets: CNN Daily Mail and XSum. Its primary objective was to provide a comprehensive understanding of the performance of Large Language Models (LLMs) when applied to different datasets. The assessment of these models' effectiveness contributes valuable insights to researchers and practitioners within the NLP domain. This work serves as a resource for those interested in harnessing the potential of LLMs for text summarization and lays the foundation for the development of advanced Generative AI applications aimed at addressing a wide spectrum of business challenges.

Exploring the Limits of ChatGPT for Query or Aspect-based Text Summarization

Text summarization has been a crucial problem in natural language processing (NLP) for several decades. It aims to condense lengthy documents into shorter versions while retaining the most critical information. Various methods have been proposed for text summarization, including extractive and abstractive summarization. The emergence of large language models (LLMs) like GPT3 and ChatGPT has recently created significant interest in using these models for text summarization tasks. Recent studies goyal2022news, zhang2023benchmarking have shown that LLMs-generated news summaries are already on par with humans. However, the performance of LLMs for more practical applications like aspect or query-based summaries is underexplored. To fill this gap, we conducted an evaluation of ChatGPT's performance on four widely used benchmark datasets, encompassing diverse summaries from Reddit posts, news articles, dialogue meetings, and stories. Our experiments reveal that ChatGPT's performance is comparable to traditional fine-tuning methods in terms of Rouge scores. Moreover, we highlight some unique differences between ChatGPT-generated summaries and human references, providing valuable insights into the superpower of ChatGPT for diverse text summarization tasks. Our findings call for new directions in this area, and we plan to conduct further research to systematically examine the characteristics of ChatGPT-generated summaries through extensive human evaluation.

Unraveling the Capabilities of Language Models in News Summarization

Given the recent introduction of multiple language models and the ongoing demand for improved Natural Language Processing tasks, particularly summarization, this work provides a comprehensive benchmarking of 20 recent language models, focusing on smaller ones for the news summarization task. In this work, we systematically test the capabilities and effectiveness of these models in summarizing news article texts which are written in different styles and presented in three distinct datasets. Specifically, we focus in this study on zero-shot and few-shot learning settings and we apply a robust evaluation methodology that combines different evaluation concepts including automatic metrics, human evaluation, and LLM-as-a-judge. Interestingly, including demonstration examples in the few-shot learning setting did not enhance models' performance and, in some cases, even led to worse quality of the generated summaries. This issue arises mainly due to the poor quality of the gold summaries that have been used as reference summaries, which negatively impacts the models' performance. Furthermore, our study's results highlight the exceptional performance of GPT-3.5-Turbo and GPT-4, which generally dominate due to their advanced capabilities. However, among the public models evaluated, certain models such as Qwen1.5-7B, SOLAR-10.7B-Instruct-v1.0, Meta-Llama-3-8B and Zephyr-7B-Beta demonstrated promising results. These models showed significant potential, positioning them as competitive alternatives to large models for the task of news summarization.

Read, Highlight and Summarize: A Hierarchical Neural Semantic Encoder-based Approach

Traditional sequence-to-sequence (seq2seq) models and other variations of the attention-mechanism such as hierarchical attention have been applied to the text summarization problem. Though there is a hierarchy in the way humans use language by forming paragraphs from sentences and sentences from words, hierarchical models have usually not worked that much better than their traditional seq2seq counterparts. This effect is mainly because either the hierarchical attention mechanisms are too sparse using hard attention or noisy using soft attention. In this paper, we propose a method based on extracting the highlights of a document; a key concept that is conveyed in a few sentences. In a typical text summarization dataset consisting of documents that are 800 tokens in length (average), capturing long-term dependencies is very important, e.g., the last sentence can be grouped with the first sentence of a document to form a summary. LSTMs (Long Short-Term Memory) proved useful for machine translation. However, they often fail to capture long-term dependencies while modeling long sequences. To address these issues, we have adapted Neural Semantic Encoders (NSE) to text summarization, a class of memory-augmented neural networks by improving its functionalities and proposed a novel hierarchical NSE that outperforms similar previous models significantly. The quality of summarization was improved by augmenting linguistic factors, namely lemma, and Part-of-Speech (PoS) tags, to each word in the dataset for improved vocabulary coverage and generalization. The hierarchical NSE model on factored dataset outperformed the state-of-the-art by nearly 4 ROUGE points. We further designed and used the first GPU-based self-critical Reinforcement Learning model.

Multi-LexSum: Real-World Summaries of Civil Rights Lawsuits at Multiple Granularities

With the advent of large language models, methods for abstractive summarization have made great strides, creating potential for use in applications to aid knowledge workers processing unwieldy document collections. One such setting is the Civil Rights Litigation Clearinghouse (CRLC) (https://clearinghouse.net),which posts information about large-scale civil rights lawsuits, serving lawyers, scholars, and the general public. Today, summarization in the CRLC requires extensive training of lawyers and law students who spend hours per case understanding multiple relevant documents in order to produce high-quality summaries of key events and outcomes. Motivated by this ongoing real-world summarization effort, we introduce Multi-LexSum, a collection of 9,280 expert-authored summaries drawn from ongoing CRLC writing. Multi-LexSum presents a challenging multi-document summarization task given the length of the source documents, often exceeding two hundred pages per case. Furthermore, Multi-LexSum is distinct from other datasets in its multiple target summaries, each at a different granularity (ranging from one-sentence "extreme" summaries to multi-paragraph narrations of over five hundred words). We present extensive analysis demonstrating that despite the high-quality summaries in the training data (adhering to strict content and style guidelines), state-of-the-art summarization models perform poorly on this task. We release Multi-LexSum for further research in summarization methods as well as to facilitate development of applications to assist in the CRLC's mission at https://multilexsum.github.io.

Low Resource Summarization using Pre-trained Language Models

With the advent of Deep Learning based Artificial Neural Networks models, Natural Language Processing (NLP) has witnessed significant improvements in textual data processing in terms of its efficiency and accuracy. However, the research is mostly restricted to high-resource languages such as English and low-resource languages still suffer from a lack of available resources in terms of training datasets as well as models with even baseline evaluation results. Considering the limited availability of resources for low-resource languages, we propose a methodology for adapting self-attentive transformer-based architecture models (mBERT, mT5) for low-resource summarization, supplemented by the construction of a new baseline dataset (76.5k article, summary pairs) in a low-resource language Urdu. Choosing news (a publicly available source) as the application domain has the potential to make the proposed methodology useful for reproducing in other languages with limited resources. Our adapted summarization model urT5 with up to 44.78\% reduction in size as compared to mT5 can capture contextual information of low resource language effectively with evaluation score (up to 46.35 ROUGE-1, 77 BERTScore) at par with state-of-the-art models in high resource language English (PEGASUS: 47.21, BART: 45.14 on XSUM Dataset). The proposed method provided a baseline approach towards extractive as well as abstractive summarization with competitive evaluation results in a limited resource setup.

Thesis: Document Summarization with applications to Keyword extraction and Image Retrieval

Automatic summarization is the process of reducing a text document in order to generate a summary that retains the most important points of the original document. In this work, we study two problems - i) summarizing a text document as set of keywords/caption, for image recommedation, ii) generating opinion summary which good mix of relevancy and sentiment with the text document. Intially, we present our work on an recommending images for enhancing a substantial amount of existing plain text news articles. We use probabilistic models and word similarity heuristics to generate captions and extract Key-phrases which are re-ranked using a rank aggregation framework with relevance feedback mechanism. We show that such rank aggregation and relevant feedback which are typically used in Tagging Documents, Text Information Retrieval also helps in improving image retrieval. These queries are fed to the Yahoo Search Engine to obtain relevant images 1. Our proposed method is observed to perform better than all existing baselines. Additonally, We propose a set of submodular functions for opinion summarization. Opinion summarization has built in it the tasks of summarization and sentiment detection. However, it is not easy to detect sentiment and simultaneously extract summary. The two tasks conflict in the sense that the demand of compression may drop sentiment bearing sentences, and the demand of sentiment detection may bring in redundant sentences. However, using submodularity we show how to strike a balance between the two requirements. Our functions generate summaries such that there is good correlation between document sentiment and summary sentiment along with good ROUGE score. We also compare the performances of the proposed submodular functions.

Embrace Divergence for Richer Insights: A Multi-document Summarization Benchmark and a Case Study on Summarizing Diverse Information from News Articles

Previous research in multi-document news summarization has typically concentrated on collating information that all sources agree upon. However, to our knowledge, the summarization of diverse information dispersed across multiple articles about an event has not been previously investigated. The latter imposes a different set of challenges for a summarization model. In this paper, we propose a new task of summarizing diverse information encountered in multiple news articles encompassing the same event. To facilitate this task, we outlined a data collection schema for identifying diverse information and curated a dataset named DiverseSumm. The dataset includes 245 news stories, with each story comprising 10 news articles and paired with a human-validated reference. Moreover, we conducted a comprehensive analysis to pinpoint the position and verbosity biases when utilizing Large Language Model (LLM)-based metrics for evaluating the coverage and faithfulness of the summaries, as well as their correlation with human assessments. We applied our findings to study how LLMs summarize multiple news articles by analyzing which type of diverse information LLMs are capable of identifying. Our analyses suggest that despite the extraordinary capabilities of LLMs in single-document summarization, the proposed task remains a complex challenge for them mainly due to their limited coverage, with GPT-4 only able to cover less than 40% of the diverse information on average.

NapSS: Paragraph-level Medical Text Simplification via Narrative Prompting and Sentence-matching Summarization

Accessing medical literature is difficult for laypeople as the content is written for specialists and contains medical jargon. Automated text simplification methods offer a potential means to address this issue. In this work, we propose a summarize-then-simplify two-stage strategy, which we call NapSS, identifying the relevant content to simplify while ensuring that the original narrative flow is preserved. In this approach, we first generate reference summaries via sentence matching between the original and the simplified abstracts. These summaries are then used to train an extractive summarizer, learning the most relevant content to be simplified. Then, to ensure the narrative consistency of the simplified text, we synthesize auxiliary narrative prompts combining key phrases derived from the syntactical analyses of the original text. Our model achieves results significantly better than the seq2seq baseline on an English medical corpus, yielding 3%~4% absolute improvements in terms of lexical similarity, and providing a further 1.1% improvement of SARI score when combined with the baseline. We also highlight shortcomings of existing evaluation methods, and introduce new metrics that take into account both lexical and high-level semantic similarity. A human evaluation conducted on a random sample of the test set further establishes the effectiveness of the proposed approach. Codes and models are released here: https://github.com/LuJunru/NapSS.

Clinical Text Summarization: Adapting Large Language Models Can Outperform Human Experts

Sifting through vast textual data and summarizing key information imposes a substantial burden on how clinicians allocate their time. Although large language models (LLMs) have shown immense promise in natural language processing (NLP) tasks, their efficacy across diverse clinical summarization tasks has not yet been rigorously examined. In this work, we employ domain adaptation methods on eight LLMs, spanning six datasets and four distinct summarization tasks: radiology reports, patient questions, progress notes, and doctor-patient dialogue. Our thorough quantitative assessment reveals trade-offs between models and adaptation methods in addition to instances where recent advances in LLMs may not lead to improved results. Further, in a clinical reader study with six physicians, we depict that summaries from the best adapted LLM are preferable to human summaries in terms of completeness and correctness. Our ensuing qualitative analysis delineates mutual challenges faced by both LLMs and human experts. Lastly, we correlate traditional quantitative NLP metrics with reader study scores to enhance our understanding of how these metrics align with physician preferences. Our research marks the first evidence of LLMs outperforming human experts in clinical text summarization across multiple tasks. This implies that integrating LLMs into clinical workflows could alleviate documentation burden, empowering clinicians to focus more on personalized patient care and other irreplaceable human aspects of medicine.

ChatGPT as a Factual Inconsistency Evaluator for Text Summarization

The performance of text summarization has been greatly boosted by pre-trained language models. A main concern of existing methods is that most generated summaries are not factually inconsistent with their source documents. To alleviate the problem, many efforts have focused on developing effective factuality evaluation metrics based on natural language inference, question answering, and syntactic dependency et al. However, these approaches are limited by either their high computational complexity or the uncertainty introduced by multi-component pipelines, resulting in only partial agreement with human judgement. Most recently, large language models(LLMs) have shown excellent performance in not only text generation but also language comprehension. In this paper, we particularly explore ChatGPT's ability to evaluate factual inconsistency under a zero-shot setting by examining it on both coarse-grained and fine-grained evaluation tasks including binary entailment inference, summary ranking, and consistency rating. Experimental results indicate that ChatGPT generally outperforms previous evaluation metrics across the three tasks, indicating its great potential for factual inconsistency evaluation. However, a closer inspection of ChatGPT's output reveals certain limitations including its preference for more lexically similar candidates, false reasoning, and inadequate understanding of instructions.

How Ready are Pre-trained Abstractive Models and LLMs for Legal Case Judgement Summarization?

Automatic summarization of legal case judgements has traditionally been attempted by using extractive summarization methods. However, in recent years, abstractive summarization models are gaining popularity since they can generate more natural and coherent summaries. Legal domain-specific pre-trained abstractive summarization models are now available. Moreover, general-domain pre-trained Large Language Models (LLMs), such as ChatGPT, are known to generate high-quality text and have the capacity for text summarization. Hence it is natural to ask if these models are ready for off-the-shelf application to automatically generate abstractive summaries for case judgements. To explore this question, we apply several state-of-the-art domain-specific abstractive summarization models and general-domain LLMs on Indian court case judgements, and check the quality of the generated summaries. In addition to standard metrics for summary quality, we check for inconsistencies and hallucinations in the summaries. We see that abstractive summarization models generally achieve slightly higher scores than extractive models in terms of standard summary evaluation metrics such as ROUGE and BLEU. However, we often find inconsistent or hallucinated information in the generated abstractive summaries. Overall, our investigation indicates that the pre-trained abstractive summarization models and LLMs are not yet ready for fully automatic deployment for case judgement summarization; rather a human-in-the-loop approach including manual checks for inconsistencies is more suitable at present.

EUR-Lex-Sum: A Multi- and Cross-lingual Dataset for Long-form Summarization in the Legal Domain

Existing summarization datasets come with two main drawbacks: (1) They tend to focus on overly exposed domains, such as news articles or wiki-like texts, and (2) are primarily monolingual, with few multilingual datasets. In this work, we propose a novel dataset, called EUR-Lex-Sum, based on manually curated document summaries of legal acts from the European Union law platform (EUR-Lex). Documents and their respective summaries exist as cross-lingual paragraph-aligned data in several of the 24 official European languages, enabling access to various cross-lingual and lower-resourced summarization setups. We obtain up to 1,500 document/summary pairs per language, including a subset of 375 cross-lingually aligned legal acts with texts available in all 24 languages. In this work, the data acquisition process is detailed and key characteristics of the resource are compared to existing summarization resources. In particular, we illustrate challenging sub-problems and open questions on the dataset that could help the facilitation of future research in the direction of domain-specific cross-lingual summarization. Limited by the extreme length and language diversity of samples, we further conduct experiments with suitable extractive monolingual and cross-lingual baselines for future work. Code for the extraction as well as access to our data and baselines is available online at: https://github.com/achouhan93/eur-lex-sum.

Towards Enhancing Coherence in Extractive Summarization: Dataset and Experiments with LLMs

Extractive summarization plays a pivotal role in natural language processing due to its wide-range applications in summarizing diverse content efficiently, while also being faithful to the original content. Despite significant advancement achieved in extractive summarization by Large Language Models (LLMs), these summaries frequently exhibit incoherence. An important aspect of the coherent summary is its readability for intended users. Although there have been many datasets and benchmarks proposed for creating coherent extractive summaries, none of them currently incorporate user intent to improve coherence in extractive summarization. Motivated by this, we propose a systematically created human-annotated dataset consisting of coherent summaries for five publicly available datasets and natural language user feedback, offering valuable insights into how to improve coherence in extractive summaries. We utilize this dataset for aligning LLMs through supervised fine-tuning with natural language human feedback to enhance the coherence of their generated summaries. Preliminary experiments with Falcon-40B and Llama-2-13B show significant performance improvements (~10% Rouge-L) in terms of producing coherent summaries. We further utilize human feedback to benchmark results over instruction-tuned models such as FLAN-T5 which resulted in several interesting findings. Data and source code are available at https://github.com/Mihir3009/Extract-AI.

Leveraging the Power of LLMs: A Fine-Tuning Approach for High-Quality Aspect-Based Summarization

The ever-increasing volume of digital information necessitates efficient methods for users to extract key insights from lengthy documents. Aspect-based summarization offers a targeted approach, generating summaries focused on specific aspects within a document. Despite advancements in aspect-based summarization research, there is a continuous quest for improved model performance. Given that large language models (LLMs) have demonstrated the potential to revolutionize diverse tasks within natural language processing, particularly in the problem of summarization, this paper explores the potential of fine-tuning LLMs for the aspect-based summarization task. We evaluate the impact of fine-tuning open-source foundation LLMs, including Llama2, Mistral, Gemma and Aya, on a publicly available domain-specific aspect based summary dataset. We hypothesize that this approach will enable these models to effectively identify and extract aspect-related information, leading to superior quality aspect-based summaries compared to the state-of-the-art. We establish a comprehensive evaluation framework to compare the performance of fine-tuned LLMs against competing aspect-based summarization methods and vanilla counterparts of the fine-tuned LLMs. Our work contributes to the field of aspect-based summarization by demonstrating the efficacy of fine-tuning LLMs for generating high-quality aspect-based summaries. Furthermore, it opens doors for further exploration of using LLMs for targeted information extraction tasks across various NLP domains.

Text Generation: A Systematic Literature Review of Tasks, Evaluation, and Challenges

Text generation has become more accessible than ever, and the increasing interest in these systems, especially those using large language models, has spurred an increasing number of related publications. We provide a systematic literature review comprising 244 selected papers between 2017 and 2024. This review categorizes works in text generation into five main tasks: open-ended text generation, summarization, translation, paraphrasing, and question answering. For each task, we review their relevant characteristics, sub-tasks, and specific challenges (e.g., missing datasets for multi-document summarization, coherence in story generation, and complex reasoning for question answering). Additionally, we assess current approaches for evaluating text generation systems and ascertain problems with current metrics. Our investigation shows nine prominent challenges common to all tasks and sub-tasks in recent text generation publications: bias, reasoning, hallucinations, misuse, privacy, interpretability, transparency, datasets, and computing. We provide a detailed analysis of these challenges, their potential solutions, and which gaps still require further engagement from the community. This systematic literature review targets two main audiences: early career researchers in natural language processing looking for an overview of the field and promising research directions, as well as experienced researchers seeking a detailed view of tasks, evaluation methodologies, open challenges, and recent mitigation strategies.