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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Question Answering for Alzheimer Disease using Information Retrieval</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Sanmitra Bhattacharya</string-name>
          <email>sanmitra-bhattacharya@uiowa.edu</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Luca Toldo</string-name>
          <email>luca.toldo@merckgroup.com</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Computer Science, The University of Iowa</institution>
          ,
          <addr-line>Iowa City, IA</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Knowledge Management</institution>
          ,
          <addr-line>Merck KGaA, Darmstadt</addr-line>
          ,
          <country country="DE">Germany</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>With the tremendous growth of biomedical literature and data, it's no longer feasible for researchers to manually sift through this information for answering questions on speci c topics. The \Machine Reading of Biomedical Texts about Alzheimer Disease" task of CLEF QA4MRE encouraged the development of systems that can automatically nd answers to questions on Alzheimer disease. To this end, we developed several information retrieval(IR) and semantic web-based strategies. Our best performing strategy used a combination of query processing followed by IR on the background corpus, distributed by the organizers, to nd correct answers. Using our systems, the highest cumulative and individual c@1 scores achieved were 0.47 and 0.66 respectively.</p>
      </abstract>
      <kwd-group>
        <kwd>Question answering</kwd>
        <kwd>information retrieval</kwd>
        <kwd>semantic web</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>Research in the biomedical domain has seen unprecedented growth in the past
few decades. While the majority of biomedical research is still conducted in
wet-labs on plant and animal models i.e. in vivo, there has been a steady rise
in the use of automation and in-vitro techniques in this area. The result is an
ever-increasing volume of data and literature which can no longer be processed
manually. Making sense of this insurmountable amount of data and
information without computational techniques is practically impossible for life sciences
researchers. To this end, various biomedical text mining applications have been
developed to ful ll the information need for life sciences researchers. Information
retrieval and automated question answering (QA) are essential examples of such
applications which have found increasing importance among researchers.</p>
      <p>Biomedical information retrieval is a thriving domain. Retrieval systems like
PubMed cater to the information need of thousands of users every day. In 2011
more than 1.8 billion PubMed searches were conducted, an increase of 13% from
the year before1. While such retrieval systems facilitate the search for documents
relevant to users' queries, it does not provide precise answers to questions. In</p>
    </sec>
    <sec id="sec-2">
      <title>1 http://www.nlm.nih.gov/bsd/bsd key.html</title>
      <p>
        contrast, QA takes a ne grained approach to information retrieval in providing
precise answers to questions. In essence, it can be viewed as an information
retrieval problem where the task is to nd sections (phrases/sentences/paragraphs)
of an article that are relevant to a question rather than nding the entire
article[
        <xref ref-type="bibr" rid="ref32">32</xref>
        ].
      </p>
      <p>
        QA in the biomedical domain has two major challenges. First, entities
involved in the question can have synonyms, abbreviations and various sources
of ambiguity which makes the search process challenging. Second, in practical
settings, with the availability of millions of biomedical articles, medical records
and domain-speci c thesauri, answers to questions can vary widely depending
on the domain under discussion [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ]. Thus, it is well recognized that QA in the
medical/clinical domain is quite distinct from that of biological domain [
        <xref ref-type="bibr" rid="ref25">25</xref>
        ].
      </p>
      <p>The \Machine Reading of Biomedical Texts about Alzheimer Disease" task
of CLEF QA4MRE aimed at exploring and evaluating systems designed for
answering questions about Alzheimer disease. Similar to QA tasks in the biological
domain, the goal was to nd precise answers to questions from one or more
corpora of biomedical texts on Alzheimer disease. In our implementation of
systems to address this problem, we followed various information retrieval-based
sentence extraction approaches in nding the most suitable answer to a given
question. The rest of the paper is organized as follows: Section 2 reviews some of
the related literature in the domains of medical as well as biological QA, Section
3 discusses the details of the task and the datasets, Sections 4 and 5 elaborate on
the various strategies used for our submitted and un-submitted runs along with
the results, and nally, in Section 6 we outline future work in this direction.
2</p>
      <sec id="sec-2-1">
        <title>Related Research</title>
        <p>Automated QA has undergone tremendous progress in the recent years. QA
systems such as IBM's `Watson' gained prominence in popular culture through
participation and eventually winning the `Jeopardy! Challenge'2. `Watson' used
Apache UIMA's real-time content analytics3 in conjugation with deep natural
language processing, information retrieval, machine learning, etc. to provide
answers to open domain questions in an extremely e cient way. Application of
such advanced systems to QA in specialized domains such as Alzheimer disease
would be quite interesting. Other than such domain independent QA systems
there has been considerable research on QA for medical and biological domains.</p>
        <p>
          Evidence-based medicine (EBM) is one of the primary motivators for
medical/clinical QA [
          <xref ref-type="bibr" rid="ref35">35</xref>
          ]. EBM follows a well-studied PICO (Problem/ Population,
Intervention, Comparison and Outcome) framework for structuring questions
[
          <xref ref-type="bibr" rid="ref20">20</xref>
          ]. One of the drawbacks of PICO is that it is well-suited for answering
intervention-speci c questions but less suitable for answering other clinical
information needs [
          <xref ref-type="bibr" rid="ref12">12</xref>
          ].
        </p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>2 http://www.jeopardy.com/</title>
    </sec>
    <sec id="sec-4">
      <title>3 https://blogs.apache.org/foundation/entry/apache innovation bolsters ibm s</title>
      <p>
        Several systems have been developed over the years for clinical QA. Most
systems use some domain speci c knowledge for nding answers to questions.
Following the PICO standards, [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] proposed a system that combines knowledge
extraction from MEDLINE abstracts with document re-ranking for improving
performance of their EBM-based QA system. Several machine learning based
systems have been proposed for identifying questions along various dimensions
such as answerable or unanswerable questions, de nitional questions (\What is
X?") or categorical questions (e.g. etiology, procedure, and diagnosis),
respectively [
        <xref ref-type="bibr" rid="ref33 ref34 ref6">34, 33, 6</xref>
        ]. Some systems use pattern based semantic models and UMLS
concepts, semantic types and relationships for extracting answers from
MEDLINE abstracts [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Several studies have proposed hybrid approaches based on
information retrieval and summarization (using UMLS semantic types) for
extracting candidate answers to given questions [
        <xref ref-type="bibr" rid="ref8 ref9">8, 9</xref>
        ]. More recently, [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] proposed
an online clinical QA system called AskHERMES using machine learning
techniques on textual, syntactic and UMLS-based semantic features, derived from
questions, to form extractive summaries from candidate documents as answers.
      </p>
      <p>
        The strategies for QA in the biological domain mimics the practices of
clinical QA (except for the PICO framework). Semantic-based approaches use the
UMLS metathesaurus and other thesauri for query expansion strategies and
shortlisting candidate articles as answers [
        <xref ref-type="bibr" rid="ref28">28</xref>
        ]. Similar to the clinical QA system
of [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ], [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ] proposed a biomedical QA system based on automated summarization
of documents relevant to a particular question. Few studies have also proposed
application-speci c QA systems. For example, [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ] proposed a QA system for
bio-molecular events. Their approach uses semantic role labeling and
semantic graph-based sentence extraction followed by several post-processing steps to
generate summaries that answer speci c questions.
      </p>
      <p>
        Similar to recent research on nding important segments of biomedical text
for document summarization [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], here we explore various information
retrievalbased strategies to identify and rank the most relevant sentences to a given
question and thereby identify the correct answer to a particular question.
3
3.1
      </p>
      <sec id="sec-4-1">
        <title>Description of the Task</title>
        <sec id="sec-4-1-1">
          <title>Objective</title>
          <p>
            The objective of the \Machine Reading of Biomedical Texts about Alzheimer
Disease" task, as the title suggests, is to explore various strategies of machine
reading systems to answer questions pertaining to Alzheimer disease4. In
comparison to other domains, biomedical text has its unique challenges (as
discussed before). Over the past couple of decades various tools and applications
have been designed for so-called micro-tasks on biomedical text, namely,
information extraction [
            <xref ref-type="bibr" rid="ref14">14</xref>
            ], named-entity recognition (NER) [
            <xref ref-type="bibr" rid="ref11">11</xref>
            ], relationship
extraction [
            <xref ref-type="bibr" rid="ref4">4</xref>
            ], event extraction [
            <xref ref-type="bibr" rid="ref13">13</xref>
            ], etc. Various marco-tasks have also been built
on top of these micro-tasks such as retrieval of documents for particular genes
4 http://celct.fbk.eu/QA4MRE/index.php?page=Pages/biomedicalTask.html
[
            <xref ref-type="bibr" rid="ref1">1</xref>
            ], literature-based discovery [
            <xref ref-type="bibr" rid="ref19">19</xref>
            ], entity-based summarization [
            <xref ref-type="bibr" rid="ref16">16</xref>
            ], question
answering [
            <xref ref-type="bibr" rid="ref15">15</xref>
            ], etc.
          </p>
          <p>In the Alzheimer QA task the focus is on reading single documents and
identi cation of answers for a set of questions using information implicitly or
explicitly stated in the text. Systems developed for this task are required to identify
a correct answer from a set of 5 probable answers for a question in a Multiple
Choice Question (MCQ) setting. To identify the correct answers systems may
use a reference document collection on Alzheimer disease provided by the Lab
organizers. It is important to note here that answers to questions pertaining to
a particular document can be detected using that document only, while systems
may bene t from using the background collection and associated pre-processed
information made available to the participants.
3.2</p>
        </sec>
        <sec id="sec-4-1-2">
          <title>Datasets</title>
          <p>PubMed abstracts A set of 66,222 abstracts relevant to Alzheimer disease
was obtained using PubMed search and made available to the participants.</p>
        </sec>
        <sec id="sec-4-1-3">
          <title>Full text articles from PubMed Central (PMC) A set of 8,249 Open</title>
          <p>Access full text articles were obtained from PMC in PDF format. 7,512 of these
articles were converted into text format using LA-PDFText5.</p>
          <p>A smaller set of 1,041 full text articles in HTML and text format from the
last three years on Alzheimer disease was also obtained from PMC.
Elsevier full text articles A set of 379 full text articles and 103 abstracts were
obtained from Elsevier in XML and text format. This set, containing articles
referring to 45 core hypothesis in Alzheimer disease, was manually selected by
an expert in this area.</p>
          <p>
            Annotated Data The documents of the background collection were annotated
across di erent dimensions using various publicly available tools. The
dependency parser, GDep [
            <xref ref-type="bibr" rid="ref22">22</xref>
            ] was used for annotating words, lemmas, chunks,
partsof-speech (POS), named-entities (NE), parent nodes in the dependency syntax
trees and dependency syntax labels. The popular biomedical NE tagger ABNER
[
            <xref ref-type="bibr" rid="ref23">23</xref>
            ] along with another UMLS-based NE tagger developed at CLiPS were also
used for NE annotation.
          </p>
          <p>Training Data The training set comprised of a single full-text XML-formatted
article along with questions and answers in the MCQ format described above.
Correct answers to all the questions were also made available to the participants.</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>5 http://code.google.com/p/lapdftext</title>
      <p>Test Data The test set comprised of 4 full-text documents, each containing 10
MCQ questions in a format similar to the training set. Both training and test
documents were processed with the annotation strategy outlined above.</p>
      <p>Questions in the training and test set could be classi ed into 3 degrees of
difculty, namely, simple (answer present almost verbatim in the article), medium
(questions containing lexico-semantic alienations of NEs), complex (reasoning
and derivation-based questions). The type of questions spanned across various
topic types such as identi cation of experimental evidences, protein-protein
interactions, gene synonymy relations or regulatory relations, in the context of
Alzheimer disease.
4
4.1</p>
      <sec id="sec-5-1">
        <title>Methods</title>
        <sec id="sec-5-1-1">
          <title>Question-Answer Pre-processing</title>
          <p>Greek alphabet expansion In the rst step we expand all Greek alphabets
into their corresponding English names. For example, `Ab' is converted into
`Abeta'.</p>
          <p>
            Dictionary generation In this step we parsed the Elsevier articles to identify
expanded forms of abbreviations (marked by `QUALIFIER Abbreviations' in the
document collection). A dictionary of abbreviations and their corresponding full
forms was created and applied to the questions and answers of the test ocuments.
POS tagging In this step we used the Stanford Log-linear POS tagger [
            <xref ref-type="bibr" rid="ref31">31</xref>
            ]
to identify all terms tagged as nouns, adjectives, adverbs, symbols, cardinal
numbers, and select verbs forms (base forms and past participles).
4.2
          </p>
        </sec>
        <sec id="sec-5-1-2">
          <title>Document Processing</title>
          <p>
            Sentence splitting We used the GENIA sentence splitter [
            <xref ref-type="bibr" rid="ref21">21</xref>
            ] for all sentence
splitting mechanisms in our systems. We split the documents of the test set
and background collection (except the larger PMC full-text collection) into
sentences using this tool. However, the output from the sentence splitter had to be
xed because of incorrect sentence splitting based on certain words that appear
frequently in the scienti c literature (such as `Fig.').
          </p>
          <p>
            Indexing We created several indexes from the test document and the
background collection. The Indri information retrieval tool [
            <xref ref-type="bibr" rid="ref26">26</xref>
            ] was used for indexing
the documents. The Krovetz stemmer was used for all indexing experiments.
Test document index: Each test document was indexed individually at the
sentence level for future retrieval purposes. This index is referred to as TestIndex
in the remainder of this paper.
Background collection index:
{ Elsevier index: All sentences from the Elsevier corpus were indexed using
the Indri IR tool. A total of 101,778 sentences from 482 documents were
indexed.
{ PMC full-text index (smaller): We indexed all sentences from the smaller
PMC full-text corpus using Indri. A total of 854,034 sentences from 1,041
documents were indexed.
{ PubMed abstract index: All sentences from the PubMed abstract corpus were
indexed using Indri. A total of 599,060 sentences from 66,222 documents were
indexed.
          </p>
          <p>A single index was created by combining the above 3 indexes. This is referred
to as CombinedIndex in the remainder of the paper.
4.3</p>
        </sec>
        <sec id="sec-5-1-3">
          <title>Submitted Runs</title>
          <p>We submitted 7 o cial runs for this task. In this section we highlight the major
strategies underlying each run. For all runs except two we followed a two step
retrieval approach. Generally, in the rst step we retrieved a set of candidate
sentences that may contain the correct answer to a question. In the second step
a single correct answer from this pool of candidates is selected using retrieval
techniques. For two of the submitted runs we used a slightly di erent strategy. In
one strategy we used a hypothesis generation technique using both the questions
and answers of QA task for nding the correct answers. In the other strategy we
followed a majority voting scheme for selecting the correct answer from a pool
of runs.</p>
          <p>Run 1 In this run we used the preprocessed questions (i.e. questions processed
using the steps outlined in Section 4.1) for retrieving a candidate set of sentences
that might contain the correct answer. The retrieval of sentences was done only
on the test document for that question using Indri's default language model.
For querying we used Indris belief operator (#combine) which, unlike Boolean
operators (e.g. AND, OR, etc.) that returns only binary values, weighs each term
equally and prioritizes documents (sentences in this case) containing more query
terms. Stop words were removed for every retrieval experiment. We limited our
retrieval to the top 5 sentences from the TestIndex.</p>
          <p>In the second step we followed the same pre-processing steps as before but
only on the answers. Again we used Indri's #combine operator to retrieve the
correct answer for each question. An answer choice that's also a part of a question
was automatically discarded as a candidate. To identify the correct answer to a
question we count the number of sentences (out of 5) that are retrieved for each
answer. The answer that retrieved the most number of sentences was considered
as the correct one. In case of a tie, we did not answer that particular question.
Run 2 In this run we followed the steps identical to Run 1 except that we used
a tf*idf retreival model instead of Indri's default language model.
Run 3 This run is also similar to Run 1 but here we did not limit our retrieval
to the top 5 candidate sentences in the rst step. As a result, the retrieval in the
second step is based on a larger pool of sentences from which we select the correct
answer as the one retrieving the most number of sentences from the candidate
pool. Similar to Run 2 we use the tf*idf retrieval model instead of the default
language model of Indri. In case of a tie, we skip answering that question.
Run 4 In this run, we adopted the same strategy as in Run 3 in the rst step.
However in the second step, we selected a correct answer by ranking the retrieved
sentences by tf*idf retrieval scores and selecting the answer corresponding to the
highest scoring sentence as the correct one.</p>
          <p>Run 5 In this run we followed similar strategies as in Run 2, but instead of
selecting the correct answer by the count of retrieved documents we used the
highest retrieval score for identifying the correct answer.</p>
          <p>Run 6 This run followed a considerably di erent strategy compared to all of the
previous runs. Here each preprocessed question was combined with all possible
answers to that question to form various hypotheses. For example the question
\Which technique was used to determine the cellular locations of the CLU1
and CLU2 gene products?" has 5 probable answers, such as \intracellular and
secreted", \ER", etc. In this strategy we combined the question and the answers
into a single hypothesis. For each question we created 5 hypotheses which were
tested for validity using retrieval strategies adopted in our system.</p>
          <p>In contrast to the previous runs, here we used only the background
collection index, CombinedIndex, for retrieval of sentence. We limited our retrieval to
only the highest scoring sentences. One of the ve hypotheses which fetched the
highest scoring sentence was identi ed as the correct answer. In case of a tie we
did not answer that question.</p>
          <p>Run 7 In order to combine the retrieval results from Runs 1-5 we employed a
majority-based voting to identify the correct answers. Answers that were voted
most frequently as correct ones in the Runs 1-5 were selected as the correct
answers for this run. In case of a tie we did not answer that question.
4.4</p>
        </sec>
        <sec id="sec-5-1-4">
          <title>Unsubmitted Runs</title>
          <p>
            Other than the submitted runs, we tried various other strategies on the
training document with slightly poor performances. These runs were not included
in the submission system. For all unsubmitted runs we generated 50
pseudosentences following the hypothesis generation strategy of Run 6, combining the
query with each possible answer. The training document was (automatically)
split into individual sentences, and then both training sentences and
pseudosentences were tagged with UIMA-based Luxid R 66 Biological Entity Relation
(BER) Skill Cartridge and the Medical Entity Relation (MER) Skill Cartridge,
two rule and dictionary-based high precision taggers. We then selected the metric
that maximized the number of right answers. The steps outlined in the following
sub-sections are based roughly on the semantic search strategy used for
electronic medical record retrieval [
            <xref ref-type="bibr" rid="ref30">30</xref>
            ] for the 2012 TREC Medical Records track
(TRECMED).
          </p>
        </sec>
        <sec id="sec-5-1-5">
          <title>Luxid R 6 shallow linguistic similarity In this run we used the highest</title>
          <p>linguistic similarity score computed by Luxid R 6, using as features the shallow
linguistic entities computed using the Luxid R 6 Analytics2 Skill Cartridge, to
nd the correct answer. It returned 30% correct answers on the training set.
Luxid R 6 semantic similarity In this run we used the highest semantic
similarity score computed by Luxid R 6, using as features the tags provided by</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>6 http://www.temis.com/</title>
      <p>the BER and MER taggers, as metrices to nd the correct answer. It returned
40% correct answers on the training set.</p>
      <p>
        Luxid R 6 Crossmatch method In this run we used the highest number of
edges between the the test document and the pseudo-sentences (computed using
Luxid's Crossmatch), as a way to nd the most suitable answer. This method is
an approximation of the Literature Based Discovery method of Swanson [
        <xref ref-type="bibr" rid="ref27">27</xref>
        ]. It
delivered 40% correct answers.
      </p>
      <sec id="sec-6-1">
        <title>Nave Bayesian classi er following network analysis For this run we</title>
        <p>
          trained a Nave Bayesian classi er using as features the network descriptors [
          <xref ref-type="bibr" rid="ref29">29</xref>
          ]
computed using KNIME [
          <xref ref-type="bibr" rid="ref2">2</xref>
          ]. This method had no predictive power in the training
set.
5
        </p>
        <sec id="sec-6-1-1">
          <title>Results</title>
          <p>respectively. However, the best performing system, Run 6, surpasses other runs
in terms of mean and median scores with a moderate standard deviation. It
is also interesting to note that on average, submitted runs for reading test 2
perform considerably better than others.
In this paper we proposed various strategies for automated question answering
for Alzheimer disease. We selected an information retrieval based approach for
this purpose. In the seven submitted runs we tried two basic approaches with
some ner modi cations in each run. In the rst approach we tried a two-step
retrieval process where in the rst step we select a pool of candidate sentences
and in the next step we select the correct answer from this pool. This is done
either by the retrieved sentence count or by the highest retrieval score. In the
second approach we implemented a hypothesis generation technique using both
the questions and answers of the reading tests, followed by a retrieval score
based answer selection process. The most notable di erence between these two
approaches is that the rst one uses only the test corpus for selecting the correct
answer while the second approach uses only the background corpus. Incidentally
we nd that the second approach performs considerably better than the rst
one. Also a combination strategy for the various runs based on the rst approach
performs worse than the second approach.</p>
          <p>Further, we nd that there is signi cant variability in the performance of
the various systems. Four di erent systems provide the top scores for the four
reading tests. This shows the potential for leveraging the best results from the
di erent strategies using a unifying technique, more sophisticated than the
simple majority voting strategy used in one of our submitted runs.</p>
          <p>In future work we would like to explore other semantic web-based techniques
(similar to the ones outlined in Section 4.4) in aiding the performance of our
retrieval-based systems. We would also like to explore other techniques for
correct answer selection from the candidate answer pool. Finally, in our current
implementation use of pre-processed information provided by the organizers was
limited and largely out of scope. We would like to implement strategies that
bene t from these information in future work.</p>
        </sec>
      </sec>
    </sec>
  </body>
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