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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Creating Multilingual Gold Standard Corpora for Biomedical Concept Recognition</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Jan A. Kors</string-name>
          <email>j.kors@erasmusmc.nl</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Simon Clematide</string-name>
          <email>clematide@ifi.uzh.ch</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Saber A. Akhondi</string-name>
          <email>s.ahmadakhondi@erasmusmc.nl</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Erik M. van Mulligen</string-name>
          <email>e.vanmulligen@erasmusmc.nl</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Dietrich Rebholz-Schuhmann</string-name>
          <email>rebholz@ifi.uzh.ch</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Medical Informatics, Erasmus University Medical Center</institution>
          ,
          <addr-line>Rotterdam</addr-line>
          ,
          <country country="NL">The Netherlands</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Institute of Computational Linguistics, University of Zurich</institution>
          ,
          <addr-line>Zurich</addr-line>
          ,
          <country country="CH">Switzerland</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>We describe our approach to create gold standard corpora for biomedical concept recognition in multiple languages, including English, French, German, Spanish, and Dutch. The annotations are based on a subset of the Unified Medical Language System and cover a wide variety of semantic groups. Gold standard corpora (GSCs) are essential for the development and evaluation of systems that perform natural language processing tasks. Currently available GSCs are only in English, often contain annotations for a limited set of semantic types, and generally do not link the annotations to ontological information. In the MANTRA project (http://www.mantra-project.eu), community efforts are solicited to provide two types of resources: enriched multilingual biomedical terminologies and semantically annotated multilingual documents for a wide range of semantic types. To achieve these goals, the MANTRA project capitalizes on a variety of existing parallel corpora and terminologies. The corpora include multilingual titles of scientific abstracts, drug labels, and biomedical patents. The terminologies are drawn from the Unified Medical Language System (UMLS). The quality of the newly generated resources has to be evaluated on multilingual GSCs in which entity mentions of different semantic types are mapped to unique concept identifiers. In this paper, we describe our approach to construct such GSCs and report initial results.</p>
      </abstract>
      <kwd-group>
        <kwd>gold standard corpus</kwd>
        <kwd>multilingual</kwd>
        <kwd>concept annotation</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Introduction</title>
      <sec id="sec-1-1">
        <title>2.1 Corpora</title>
        <p>The GCSs are based on three multilingual corpora that have been collected in the
MANTRA project: abstract titles from Medline, drug labels from the European
Medicines Agency (EMEA) (freely available through the OPUS collection,
http://opus.lingfil.uu.se/EMEA.php), and patents in the biomedical domain from
IFI Claims (http://ificlaims.com). The languages of interest in the MANTRA
project include English, German, French, Spanish, and Dutch. The Medline titles
are bilingual, always in English and one of the other languages. The EMEA labels
are available in all languages, the patents only in English, German, and French.
Each document in the MANTRA corpora consists of one or more units of text,
where a unit may contain a title (Medline abstracts), sentence (EMEA labels), or a
paragraph of text (patents). From each MANTRA corpus, units were randomly
selected for constructing a GSC: 100 units from the EMEA labels, 100 units from
each set of bilingual Medline titles (400 units in total), and 50 units from the
patents. Another 20 English units (11 titles, 5 labels, 4 patents) were selected for
the development of annotation guidelines.</p>
      </sec>
      <sec id="sec-1-2">
        <title>2.2 Terminology</title>
        <p>
          The annotators had to make their annotations based on the terminology that is used
in the MANTRA project. The MANTRA terminology contains a subset of the
UMLS, including MeSH, MedDRA, and SNOMED-CT. For each concept in these
terminologies, all terms were culled together with their semantic type and concept
unique identifier (CUI). Concepts were included if their semantic type belonged to
one of the following semantic groups [
          <xref ref-type="bibr" rid="ref1">1</xref>
          ]: anatomy, chemicals and drugs, devices,
disorders, geographic areas, living beings, objects, phenomena, and physiology.
        </p>
      </sec>
      <sec id="sec-1-3">
        <title>2.3 Annotation Process</title>
        <p>
          The annotations are made independently by at least three annotators, using the brat
rapid annotation tool [
          <xref ref-type="bibr" rid="ref2">2</xref>
          ]. The annotation process consists of the following steps:
1. For each unit, pre-annotations are provided based on the annotations made by
the concept recognition systems participating in the MANTRA project. A
preannotation consists of the span of text corresponding with the concept, and its
preferred name, semantic type, semantic group, and CUI (all based on the
MANTRA terminology).
2. All English units are annotated. Annotators have to correct the pre-annotations
if they are wrong, and add annotations that were missed by the systems. To
find further information on a marked span of text in brat (pre-annotated or
marked by the annotator), annotators can easily link out to the UMLS
Terminology Services (https://uts.nlm.nih.gov/home.html) or to the Mantra
terminology.
3. The English GSCs are established by harmonizing the individual annotations.
        </p>
        <p>
          For harmonization we use the e-centroid method, an extension of the centroid
method that was developed in the CALBC project [
          <xref ref-type="bibr" rid="ref3">3</xref>
          ].
4. The non-English units are annotated. For each unit, the annotators are provided
with the pre-annotations and with the gold-standard annotations of the
corresponding English unit. This should make the concept recognition and
annotation in the non-English units less demanding for the annotators.
5. The non-English GSCs are established using the same approach as for the
        </p>
        <p>English GSCs.</p>
      </sec>
      <sec id="sec-1-4">
        <title>2.4 Annotation Guidelines</title>
        <p>Annotation guidelines were established based on the 20 units that were selected for
development purposes. In case of multiple pre-annotations of the same stretch of
text, the annotators should try to disambiguate. If the difference in meaning
between the concepts is not clear or the context provides insufficient information to
disambiguate, all annotations are kept. When an entity is nested within another
entity, only the most detailed description of the entity is annotated. The general
principle is to annotate the entity that is more specific and informative. Only
concepts that are part of the MANTRA terminology should be annotated.</p>
      </sec>
      <sec id="sec-1-5">
        <title>2.5 Inter-Annotator Agreement</title>
        <p>Inter-annotator agreement was measured by the F-score (harmonic mean of recall
and precision) between two annotators or between one annotator and the gold
standard. Note that the F-score is invariant to who of the two annotators is taken as
the reference when computing precision and recall.
3</p>
      </sec>
    </sec>
    <sec id="sec-2">
      <title>Results</title>
      <p>Fig. 1 shows two screen shots of the brat annotation tool for one of the English
units. Information on the (pre-)annotated concepts is shown when the cursor is
hovered over the annotations. Double-clicking a word or phrase shows a window
that allows to make modifications or to link out to further information.</p>
      <p>The annotation guidelines were developed based on the annotations of the 20
English training units by three independent annotators and subsequent discussions.
A harmonized annotation for this set was automatically constructed, and
interannotator agreement scores were computed (Table 1). The F-scores indicate good
to excellent agreement between annotators 1 and 3 and the harmonized set.</p>
      <p>The annotation of the 550 units in the full GSC has been started and is still
work in progress.</p>
    </sec>
    <sec id="sec-3">
      <title>Discussion</title>
      <p>We described our approach to create multilingual GSCs for biomedical concept
recognition. First steps have been taken, including the development of annotation
guidelines and a flexible annotation environment, and the selection of multilingual
text units from different document types. Inter-annotator agreement scores on a
small development set suggest that the annotations of different annotators are in
good agreement.</p>
      <p>To our knowledge, this is the first attempt to create GSCs for biomedical
concept recognition in languages other than English. Other distinguishing features
are the wide variety of semantic groups that are being covered, and the diverse text
genres from which units have to be annotated.</p>
      <p>The creation of the GSCs is currently under development. Once available, the
GSCs will be made publicly available.</p>
    </sec>
  </body>
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