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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>RePaLi participation to CLEF eHealth IR challenge 2014: leveraging term variation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Vincent Claveau</string-name>
          <email>vincent.claveau@irisa.fr</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Thierry Hamon</string-name>
          <email>thierry.hamon@limsi.fr</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Natalia Grabar</string-name>
          <email>natalia.grabar@univ-lille3.fr</email>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sebastien Le Maguer</string-name>
          <email>sebastien.le_maguer@irisa.fr</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>INRIA - IRISA</institution>
          ,
          <addr-line>Rennes</addr-line>
          ,
          <country country="FR">France</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>IRISA - CNRS</institution>
          ,
          <addr-line>Rennes</addr-line>
          ,
          <country country="FR">France</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>LIMSI - CNRS, Orsay, France Universite Paris 13</institution>
          ,
          <addr-line>Sorbonne Paris Cite</addr-line>
          ,
          <country country="FR">France</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>STL UMR8163 CNRS, Universite Lille 3</institution>
          ,
          <country country="FR">France</country>
        </aff>
      </contrib-group>
      <fpage>176</fpage>
      <lpage>188</lpage>
      <abstract>
        <p>This paper describes the participation of RePaLi, a team composed with members of IRISA, LIMSI and STL, to the biomedical information retrieval challenge proposed in the framework of CLEF eHealth. For this rst participation, our approach relies on a state-of-theart IR system called Indri, based on statistical language modeling, and on semantic resources. The purpose of semantic resources and methods is to manage the term variation such as synonyms, morpho-syntactic variants, abbreviation or nested terms. Di erent combinations of resources and Indri settings are explored, mostly based on query expansion. For the runs submitted, our system shows up to 67.40 p@10 and up to 67.93 NDCG@10.</p>
      </abstract>
      <kwd-group>
        <kwd>Patient-oriented information retrieval</kwd>
        <kwd>semantic resources</kwd>
        <kwd>terminological variation</kwd>
        <kwd>Indri</kwd>
        <kwd>UMLS</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        Since several years, patients have an increasing access to their Electronic Health
Records (EHRs)). However the understanding of clinical texts by laymen is often
di cult although they are concerned with such important topics like the health
condition of patients. The situation leads to an increasing use of the Internet for
searching health information [
        <xref ref-type="bibr" rid="ref3 ref7">3, 7</xref>
        ], and consequently important changes in the
doctor-patient communication [
        <xref ref-type="bibr" rid="ref11 ref2">11, 2</xref>
        ].
      </p>
      <p>
        In that respect, it becomes crucial that the patients can use information
retrieval systems which are able to make links between the specialized vocabulary
of the physicians and the Web documents understandable by patients (in other
words, to manage specialized queries and provide answers understandable by
patients). Moreover, it is also required that such system provides relevant and
trustworthy information [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ]. In the framework of CLEF eHealth 2014 [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], one
of the proposed shared tasks (task 3) addresses this challenge [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]: queries have
been de ned from real patient cases issued from the clinical documents provided
by the CLEF eHealth 2014's task 2. The participating systems have to return
health related web documents previously collected by the KRESMOI project
(http://www.khresmoi.eu).
      </p>
      <p>
        Hence, the purpose of this challenge is to nd expert documents that contain
answers to non-expert medical users' questions, such as those that can be
submitted by patients when reading their EHRs. In this context, this paper describes
the participation to this biomedical information retrieval (IR) task of our team
composed of members from three French labs: IRISA, LIMSI and STL. For this
rst participation, our team has focused on using a state-of-the-art IR system
and worked on di erent strategies to expand queries with relevant biomedical
terms. Only the English query set was considered. In particular, the objective of
the participating systems is to guarantee the semantic interoperability and
compatibility between the expert and non-expert language, as the former is used
in the documents searched while the latter occurs in the questions processed.
The corresponding research topics have been addressed in previous work and
mainly are related to the aligning of expert and non-expert terms and
expressions. An important amount of this work has been done within the Consumer
Health Vocabulary [
        <xref ref-type="bibr" rid="ref20 ref21 ref22 ref23">21, 20, 22, 23</xref>
        ] or related initiatives [
        <xref ref-type="bibr" rid="ref4 ref5 ref6">4, 6, 5</xref>
        ]. Most of the
alignments produced within the Consumer Health Vocabulary initiative are included
in the UMLS [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ], which motivates its use in our systems.
      </p>
      <p>
        The paper is structured as follows. In the next section, we present the IR
system at the heart of our participation, which is based on language-modeling
techniques implemented in the Indri search engine [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. In Section 3, we present
the di erent resources that are used to process and expand the queries. The
description of the submitted runs is given in Section 4, and their results are
detailed in Section 5. The last section is dedicated to some concluding remarks
and insights about this rst participation to this biomedical IR challenge.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>IR model</title>
      <p>
        The IR system at the heart of our runs is based on statistical language modeling
(LM) as implemented by Indri, a toolkit for LM-based IR [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. This system has
shown high performance in numerous IR tasks; in our biomedical context, it also
o ers interesting capabilities to express complex queries.
2.1
      </p>
      <sec id="sec-2-1">
        <title>Markov Random Field</title>
        <p>Considering a collection of N random variables x = (x1; : : : ; xN ), a Markov
Random Field (MRF) is a graphical probabilistic model which can be represented
by an undirected graph G. This graph is de ned by G = (V; E ) where nodes
are the random variables (V = x) and edges represent conditional dependencies
between these variables. Therefore a clique c 2 C(G) represent a set of dependent
variables. Based on this graph, P (x) is de ned as follows:</p>
        <p>P (x) =
where Z = Px Qc2C(G) (c; ) is a normalization coe cient, c(c; ) the
potential functions and the model.</p>
        <p>
          In order to use MRF to information retrieval problems, [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ] proposed to
considered the graph G composed of query nodes Q and a document node D.
Therefore, nodes involved into a clique c, which contains the document node, are
queries for which the document is relevant. As the objective is to rank documents,
the following score (Retrieval status value, RSV, which represents the similarity
between the query and the document considered) is used:
(1)
(3)
(4)
RSV (Q; D) = log(P (DjQ)) = log(
        </p>
        <p>P (Q; D)</p>
        <p>P (Q)
) =</p>
        <p>X log( (c; ))</p>
        <p>(2)
c2C(G)</p>
        <p>
          The (c; ) proposed in [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ] is de ned as (c; ) = exp[ c f (c)] where f (c)
is a real-valued feature function and c corresponding to the weight.
        </p>
        <p>
          For this challenge task, as a basis for our runs, we used the implementation
proposed in [
          <xref ref-type="bibr" rid="ref14">14</xref>
          ] which considers 3 kinds of neighborhood: the unigram
neighborhood, the bigram neighborhood and the unordered bigram in a user de ned
size window neighborhood.
        </p>
        <p>First, the unigram neighborhood modeling function fT (t; D) is de ned as
follows:
fT (t; D) =
nb(t; D) +</p>
        <p>P (tjC)
jDj +
where t is the current term index of a query qi and the Dirichlet smoothing
coe cient.</p>
        <p>In addition to the unigram t, the bigram (t; t + 1) and the unordered bigram
ft; t + 1g in a user de ned window of size w are now considered to get,
respectively, fBi((t; t + 1); D) and fW (fti; ti+1g; w; D). Therefore, the implemented
score function is:</p>
        <p>RSV (Q; D) =</p>
        <p>T
Bi
W</p>
        <p>Q fT (t; D)+
t2Q
jQQj 1
i=1
jQQj 1
i=1
fBi((ti; ti+1); D)+
fW (fti; ti+1g; w; D)
In a typical setting, these parameters are set to these default values: w = 8,
= 2500, T = 0:85, Bi = 0:1 and W = 0:05. In our case, the parameters
were adjusted as explained in Section 2.3.
2.2</p>
      </sec>
      <sec id="sec-2-2">
        <title>Preparing the data</title>
        <p>For the indexing step, the collection of web pages has been preprocessed in several
ways with Python scripts. First, the HTML formatting marks and scripts were
removed. In order to do that, we have tested existing libraries (e.g. Beautiful
Soup), but nally end up in writing our own HTML-to-text scripts which allow us
to better control the speed vs. quality of this important but time-consuming task.
Thus, it is worth noting that we do not exploit the structure (titles, subtitles)
or the hypertext links in our approach.</p>
        <p>Secondly, the resulting text undergoes several other processing steps. For
instance, the most common HTML codes (for example, &amp;eacute;) are replaced
by the corresponding UTF-8 character (e). Since the language model takes into
account bigrams of terms in w-sized windows, parts of sentences that were
separated by the previous processing steps are collected together.</p>
        <p>Finally, when building the index with Indri, stemming is performed on the
result text. Porter and Krovetz stemming algorithms were both tested on the 2013
dataset; Krovetz yielded the best results and is thus chosen for every experiment
reported in this paper. Also, stop-words are removed at this step.
2.3</p>
      </sec>
      <sec id="sec-2-3">
        <title>Setting the parameters</title>
        <p>To set the smoothing parameter and the combination parameters , we used
the 2013 query set and the corresponding (binary) relevance judgment. The
objective measure to maximize was the MAP. For , we systematically explored
values from 0 up to 30,000 by steps of 500; for s, we explored from 0 to 1 by
steps of 0.05.</p>
        <p>Table 1 sums up the performance of the system with the default
parameters (hereafter default) and those maximizing the MAP on the 2013 query set
(best). The signi cant di erences illustrate the importance of this parameter
optimization step.</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Semantic resources for query expansion</title>
      <p>
        The purpose for the generation of the semantic resources is to prepare knowledge
required for the enrichment of the queries. We generate several types of
semantically equivalent term sets: known synonyms from the existing resources (e.g.
UMLS, see below) such as ftheophyllamine, ammophylling, morpho-syntactic
variants such as fstenotic aorta, stenosis of the aortag, hierarchical relations
through lexical inclusions such as fmuscle, muscle paing, and abbreviations such
as fAHCD, acquired hepatocellular degenerationg. Such resources convey more or
less close semantics of terms and may play an important role for the enrichment
of the queries. Besides, a list of stopwords is used. When needed, the processing
of data for the generation of the resources is performed through the Ogmios NLP
Platform [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ].
3.1
      </p>
      <sec id="sec-3-1">
        <title>Synonyms from the UMLS</title>
        <p>
          The UMLS (Uni ed Medical Language System) [
          <xref ref-type="bibr" rid="ref15">15</xref>
          ] aggregates several
biomedical terminologies. In order to align these terminologies, each term is associated
with a CUI (Concept unique identi er). Two terms with a same CUI can then be
considered as synonyms. In our experiments, the synonymy relations collected
in the UMLS are used in di erent ways to process the queries.
        </p>
        <p>In Run 5, (simple and multi-word) UMLS terms are searched in the queries,
and UMLS synonyms are used to expand the queries. When dealing with
multiword terms, it is very common that these terms also contains other terms: for
instance, Crohn's disease is a multi-word term, but disease also appear as a term
in the UMLS. To expand the query, we choose to only consider the longest term;
so in the previous example, only synonyms of Crohn's disease will be considered.
Note that overlapping terms are considered independently.</p>
        <p>In Run 6 and 7, only simple (single word) terms are considered. 227,887
synonymy relations between single word terms are extracted from the UMLS,
which are latter processed as described below.
3.2</p>
      </sec>
      <sec id="sec-3-2">
        <title>Morpho-syntactic variants</title>
        <p>
          Morpho-syntactic variants convey very close semantics because the only
modication is related to the word order, syntactic organisation of words and their
morphological modi cations. Such variants go beyond the stemming as they take
into account complex terms and consider the semantic relations between
morphologically modi ed words. Working with fastr [
          <xref ref-type="bibr" rid="ref10">10</xref>
          ] for the identi cation of
morpho-syntactic variants between the terms, additional rules and
transformations can be involved. Fastr uses indeed several transformation rules, such as
insertion (cardiac disease/cardiac valve disease), morphological derivation (artery
restenosis/arterial restenosis) or permutation (aorta coarctation/coarctation of
the aorta).
        </p>
        <p>
          Several steps are applied on the set test1 (other sets have not been processed
because of the time needed):
{ segmentation of the test1 and of queries into words and sentences,
{ their part-of-speech tagging with TreeTagger [
          <xref ref-type="bibr" rid="ref17">17</xref>
          ],
{ their syntactic shallow parsing with YATEA [
          <xref ref-type="bibr" rid="ref1">1</xref>
          ] for the acquision of noun
phrases and term candidates,
{ application of fastr for the acquisition of variants of term candidates: terms
extracted from queries are the reference set of terms, while terms extracted
from the test1 set are the variations of the queries terms. In this way, we
perform the controled indexing.
        </p>
        <p>We extract 284 terms from the 50 queries processed. On the whole, we generate
575 morpho-syntactic variants for these terms.
3.3</p>
      </sec>
      <sec id="sec-3-3">
        <title>Lexical inclusion and hierarchical relations</title>
        <p>
          The lexical inclusion hypothesis [
          <xref ref-type="bibr" rid="ref13">13</xref>
          ] states that when a given term is lexically
included in another term there is a semantic relation and hierarchical
subsumption between them. The semantics of lexical inclusions may be weaker than the
semantic of synonyms. Still, hierarchical subsumption relations may be useful
for the information retrieval, especially in the context of non-expert information
retrieval, during which the non-expert users may submit queries that are less
precise and speci c than terms used in the scienti c literature.
        </p>
        <p>The processing is done in two steps:
{ the terms extracted by YATEA are syntactically analyzed into head and
expansion components. For instance, the syntactic analysis of the term muscle
pain results in two components: head component pain and expansion
component muscle;
{ the semantic relation is then established between a given term and its head
component. For instance, there is semantic relation between muscle pain
(the whole term) and pain (the head component of the term). With these
speci cations, the identi ed relations are hierarchical: the long term muscle
pain is the hierarchical child of the short term pain. Indeed, muscle pain
conveys more speci c information.</p>
        <p>
          This process is applied to the whole set of data (part1 to part8). First, we
perform the segmentation into words and sentences. We then apply the
partof-speech tagging with TreeTagger [
          <xref ref-type="bibr" rid="ref17">17</xref>
          ] and the syntactic shallow parsing with
YATEA [
          <xref ref-type="bibr" rid="ref1">1</xref>
          ] for the acquision of noun phrases and term candidates. Finally, we
induce the lexical inclusion relations further to the decomposition of complex
terms (containing more than one word) in syntactic head and modi er
components. As explained earlier, we build pairs fsyntactic head, complex termg that
convey hierarchical relations.
        </p>
        <p>On the whole set of the data, we obtain 1,114,959 such pairs of terms.
3.4</p>
      </sec>
      <sec id="sec-3-4">
        <title>Abbreviations</title>
        <p>The abbreviations are very frequent in the biomedical literature, both clinical
and scienti c) and we expect that both their short and expanded forms may be
helpful for information retrieval. The resource with 1,897 abbreviations has been
built from information available online.
3.5</p>
      </sec>
      <sec id="sec-3-5">
        <title>English stopwords</title>
        <p>We use the list of 627 stopwords in English. These are grammatical words and
also words that are very frequent and common in the biomedical documents
(e.g., accordance, amongst, indicate...).
4</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Run description</title>
      <p>This section sums up the four runs submitted for the challenge by our team. They
all rely on the same index (as described in Section 2.2) since no modi cation to
the document representation is performed. As we were instructed, only the 1 000
rst results (highest RSV) of each query is kept.
4.1</p>
      <p>Run 1
4.2</p>
      <p>Run 5
The goal of this run is to measure the performance of our IR system without
any modi cation or use of biomedical resources. Therefore, it only consists in
running the Indri search engine (cf. Section 2.1), with the parameters estimated
on the 2013 dataset as described in Section 2.3.</p>
      <p>For this run, the queries are expanded with synonyms found in the UMLS. As
it was explained in Section 3.1, the expansion is performed as follows:
1. UMLS terms of maximal length are searched within each query;
2. synonyms are searched in the UMLS (terms with the same CUI);
3. synonyms are added to the initial query.</p>
      <p>It is important to note that a term can be ambiguous and thus have several
CUIs. Since we do not perform a sense disambiguation, we may expand the
queries with synonyms that do not correspond to the initial sense of the term.
In order to limit the e ect of adding unrelated terms, or more generally in order
to prevent the expanded query to be too far from the initial information need of
the user, the expansion is given a weight much lower than the initial part of the
query. Here again, we rely on the 2013 data to set this weight: we found that
the expansion weight should not exceed 0.1 (considering 1 as the weight of the
initial query).
4.3</p>
      <sec id="sec-4-1">
        <title>Run 6 and 7, and other non submitted runs</title>
        <p>
          Several other runs were prepared, including those submitted as Run 6 and 7.
They follow the same principle than Run 5 but the queries undergo a more
complex processing in order to parse them and to enrich them semantically with
the help of all the semantic resources described in Section 3. As it was previously
explained, for these runs, the processing of queries is performed through the
Ogmios NLP Platform [
          <xref ref-type="bibr" rid="ref9">9</xref>
          ].
        </p>
        <p>
          More precisely, the following steps are applied to process the queries:
{ segmentation of queries in words and sentences, if relevant,
{ part-of-speech tagging with TreeTagger [
          <xref ref-type="bibr" rid="ref17">17</xref>
          ],
{ syntactic shallow parsing with YATEA [
          <xref ref-type="bibr" rid="ref1">1</xref>
          ] for the acquision of noun phrases
and term candidates.
        </p>
        <p>The queries are then enriched with the resources built and prepared for this
task. The resources are used in combination with each other. In every run, the
stopwords are removed. Several runs have been generated:
{ expanded: expansion with UMLS synonyms,
{ expanded-ab: expansion with UMLS synonyms and abbreviations,
{ expanded-ab-terms: expansion with UMLS synonyms, abbreviations, and the
complex terms extracted,
{ expanded-ab-fastr: expansion with UMLS synonyms, abbreviations, and
fastr morpho-syntactic variants,
{ expanded-ab-IL: expansion with the UMLS synonyms, abbreviations, and the
lexical inclusion relations in the generalization way, such as fcrohn disease,
diseaseg, where crohn disease is reduced to disease,
{ expanded-ab-IL-r: expansion with the UMLS synonyms, abbreviations, and
the lexical inclusion relations in the speci cation way, such as fdisease, crohn
diseaseg, where disease is speci ed to crohn disease.</p>
        <p>Due to the limitations imposed by the organizers on the number of runs,
only two of among these runs were actually submitted: expanded as Run 6 and
expanded-ab-IL as Run 7. However, experiments not reported here on the 2013
dataset show only slight di erences in terms of global performance between these
runs (except for expanded-ab-IL-r, see below). Yet, it should be also highlighted
that for some particular queries, the di erences may be important. Another
lesson learned from the 2013 dataset is that the speci cation link used in the
expansion strategy expanded-ab-IL-r does not yield good results, as the expanded
may be semantically too far from the original user's information need.
5</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>Results</title>
      <p>5.1</p>
      <p>Run 1
In Figure 1, the IR performance measures provided by the 2014 o cial evaluation
are displayed. They are compared with the 2013 query set results. Note that the
two systems are identical (in particular, same parameters of the RSV function),
as well as the index. Yet, one can see that the 2014 results are signi cantly
better than the 2013 ones. Such a di erence is di cult to explain; the 2014
query set may be easier than the 2013 one, or the pooling process used to build
the relevance judgment may be more suited this year with more homogeneous
systems provided by the participants.
The o cial results of Run 5, as well as Run 6 and Run 7 are reported in
Figure 2. It appears that all the runs obtain results very similar to those of Run 1.
This is expected since the query expansions is down-weighted compared to the
initial query (as it was explained in Section 4.2, giving more weight to expansion
tends to degrade the results on the 2013 dataset). Yet, Run 5 obtains slightly
better results than our other runs. Moreover, the relative ranking of our ranks
is identical whatever the evaluation measure used.</p>
      <p>In order to examine the e ect of the query expansion strategy used for Run
5, we compare its results to Run 1 in Figure 3. For each query, it represents the
gain or loss compared with the median result from all participants. The e ect of
the query expansion process varies according to the query. For some queries (7,
11 , 24, 34, 46), it improves the precision. For other queries (21, 25, 32, 33, 39,
47, 50), the expansion degrades the results. More interestingly, expansion does
not a ect P@10 for the 38 remaining queries. Among these queries, a few of
them were not expanded (query 2 for example); it means that either no UMLS
term was found in the query, or that no synonyms were found in the UMLS for
the term. Yet, for most of the queries, some terms were actually added to the
initial query, but they do not change the 10 rst results.</p>
      <p>Similarly, Figure 4 and 5 respectively present the same query by query
analysis for Run 6 and 7. Compared to Run 5, these runs rely on more complex
processing of the queries. Unfortunately, they perform slightly worse than Run
5. It is di cult to nd the precise reasons of this loss of precision. It appears
that this is due to only a subset of queries that perform worse than Run 5. In
most of the cases, this is due to terms used as expansion in addition to those
already used in Run 5. These terms mislead the IR process; for example, for query
48, the term white blood cell was expanded with synonyms of white (caucasoid
caucasian caucasians occidental ) in Run 6 and 7 but not in Run 5.</p>
    </sec>
    <sec id="sec-6">
      <title>Conclusive remarks and foreseen work</title>
      <p>For our rst participation, we have based our work on a state-of-the-art IR
system and simple techniques to incorporate knowledge in the biomedical IR
process. With the help of the 2013 dataset, some important parameters of the
IR systems have been set.</p>
      <p>
        The overall results of our submitted runs are good, compared with other
IR evaluation campaigns, with P@10 as high as 0.65. Yet, our 3 strategies to
incorporate external knowledge have yielded disappointing results. Indeed, the
global bene ts of the three query expansion strategies are limited, even though it
appears as very interesting for particular queries. These mixed results are similar
to existing studies on query expansion for general language [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ]. Nonetheless,
we plan to push further our investigation on how to exploit the biomedical
terminologies in IR tasks. A detailed analysis of the results, when the relevance
judgment will be released, may lead to better ways to choose which term to
consider in the queries, and which synonyms of this term to add to the query.
The incorporation of the terminological knowledge during the indexing step is
also a promising avenue but raises computational issues.
      </p>
    </sec>
  </body>
  <back>
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