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    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>LABERINTO at ShARe/CLEF eHealth Evaluation Lab 2014</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Juan Manuel Crdoba Malagn</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Manuel Jesoes Maaea Lpez</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>LABERINTO Laboratorio de Recuperacin de informacin y Minera de Texto y Datos Universidad de Huelva Carretera Palos de La Frontera</institution>
          <addr-line>s/n 21819 Palos de la Frontera (Huelva)</addr-line>
          ,
          <country country="ES">Spain</country>
        </aff>
      </contrib-group>
      <fpage>195</fpage>
      <lpage>202</lpage>
      <abstract>
        <p>This paper describes the participation of LABERINTO team at the ShARe/CLEF eHealth Evaluation Lab 2014 task 3a. We perform four dierent experiments which consist of a baseline and three variants of the baseline model. The rst was mandatory baseline system with only title and description in the query. Our baseline retrieval system used a Lucene Index scheme with traditional stopping and stemming, no external resources was used. We submitted three additional runs (without the discharge summaries), two from a Lucene-based system with MeSH query expansion and one of which made use of the National Library of Medicine's MetaMap tool to perform term boosting.</p>
      </abstract>
      <kwd-group>
        <kwd>Lucene</kwd>
        <kwd>Solr</kwd>
        <kwd>MetaMap</kwd>
        <kwd>MeSH</kwd>
        <kwd>query expansion</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        ShARe/CLEF (Cross-Language Evaluation Forum) eHealth Evaluation Lab goal
is to evaluate systems that support laypeople in searching for and understanding
their health information [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. It comprises three tasks: Visual-Interactive Search
and Exploration of eHealth Data (Task 1), Information extraction from
clinical text (Task 2) and User-centred health information retrieval (Task 3). Task
3 goal is to develop methods and resources for the evaluation of Information
Retrieval (IR) from patients’ perspective. Towards this, ShARe/CLEF eHealth
Evaluation Lab 2014 task 3 is split into two parts: monolingual retrieval (task
3a) and multilingual retrieval (task 3b) [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. In particular, LABERINTO team
have focused on task 3a.
      </p>
      <p>The LABERINTO group contributed 4 runs to this year’s challenge. Our
methods are based on Lucene retrieval engine. It’s the rst time that we are
participating in the ShARe/CLEF eHealth Evaluation Lab and, for a rst
approximation, our baseline submission uses Lucene’s default standard analyzer to
process free-text title and description elds. The remaining submissions build
upon this baseline approach. Specically, we consider the contribution to
retrieval eectiveness using boosting of Metamap identied terms and two versions
of query expansion using MeSH.</p>
      <p>This working notes are organised as follows. In Section 2 we describe some
issues related to document preprocessing and indexing. Section 3 describes our
approaches for task 3a. Section 4 lists the results of our work in comparison to
median and best values obtained across all systems. Finally, we make conclusions
and state the future work in Section 5.
2</p>
      <p>
        Document collection preprocessing and indexing
The goal of the third task is to provide valuable and relevant documents to
patients, so as to satisfy their health-related information needs. To evaluate systems
that tackle this third task, the lab organizers provide potential patient queries
and a document collection containing various health and biomedical documents
for task participants to create their search system. As is common in evaluation
of information retrieval (IR), the test collection consists of documents, queries,
and corresponding relevance judgements [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. Specically, Task 3a uses an
approximately one million medical documents made available by the EU-FP7 Khresmoi
project[
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]1 and a set of English general public queries that individuals may
realistically pose2.
      </p>
      <p>This collection consists of web pages covering a broad range of health topics,
targeted at both the general public and healthcare professionals. The crawled
documents are provided in the dataset in their raw HTML (Hyper Text Markup
Language) format along with their uniform resource locators (URL). In order to
remove html tags ,raw webpages are preprocessed to extract main content by the
Html parser Apache Tika. The Apache Tika toolkit detects and extracts
metadata and structured text content from various documents using existing parser
libraries including Html. Tika is a project of the Apache Software Foundation
and was formerly a subproject of Apache Lucene.</p>
      <p>
        After the data has been cleaned, we indexed all the documents. We used
a very traditional IR system based on the Apache Lucene open-source toolkit
that was essentially a successor to the system used by LABERINTO team for
the 2011 TREC medical track [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. Lucene is a powerful Java library that lets
you easily add document retrieval to any application. In recent years, Lucene
has become exceptionally popular and is now the most widely used information
retrieval library.
      </p>
      <p>Documents and elds are Lucene’s fundamental units of indexing and
searching. A document is Lucene’s atomic unit of indexing and searching. It is a
container that holds one or more elds, which in turn contain the real content.
Each eld has a name to identify it, a text or binary value, and a series of
detailed options that describe what Lucene should do with the eld value when you
add the document to the index. To index our collection sources, we must rst
translate it into Lucene’s documents and elds. Our indexing module takes every
clean Html le from preprocessed collection into a single Lucene document.</p>
    </sec>
    <sec id="sec-2">
      <title>1 http://www.khresmoi.eu/ 2 http://clefehealth2014.dcu.ie/task-3</title>
      <p>What we end up after running Lucene is a directory named index, which
contains les used by Lucene to associate terms with documents. To accomplish
this, a Lucene index was created with a specic analyzer model-dependent. An
Analyzer takes a series of terms or tokens and creates the terms to be indexed. A
unique kind of Lucene index has been used for all developed models, or in other
words, all LABERINTO models for ShARe/CLEF eHealth Evaluation Lab 2014
share the same Lucene index.
3</p>
      <sec id="sec-2-1">
        <title>Retrieval approaches</title>
        <p>This section presents the dierent models developed for evaluation. Among the
dierent test models developed, four have been selected for submission:
Mandatory baseline run using only title and description elds 3.
Model with Metamap boost terms 4.</p>
        <p>Baseline with Query expansion using MeSH 5.</p>
        <p>Baseline with query expansion using MeSH and adding narrative eld 6.
All the proposed models no uses the discharge summaries. The dierences
between models are described in the following sections.
3.1</p>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>Baseline</title>
      <p>This model has been designed to be the simplest approximation to the task. The
Baseline model is based on the method of bag of words. In this model, topics text
is represented as an unordered collection of words, disregarding grammar and
even word order. Therefore, the model matches the words in the topic with the
words contained in the index. The usefulness of the model is twofold: provides
a basis results for comparing and, on the other hand, its code serves as a basis
for implementing more complex models. In order to maintain the simplicity, the
baseline model makes match the topics words only with the title and description
elds.</p>
      <p>To develop this model we used Lucene’s default StandardAnalyzer . The
analyzer takes only the text and provides a set of terms to be searched in the index.
Our base analyzer discards stops words with little semantic value, such as "the",
"a", "an","for",.... Cutting down on the number of terms indexed can save time
and space in an index, but it can also limit accuracy.</p>
    </sec>
    <sec id="sec-4">
      <title>3 UHU_EN_Run1.dat run submission. 4 UHU_EN_Run5.dat run submission. 5 UHU_EN_Run6.dat run submission. 6 UHU_EN_Run7.dat run submission.</title>
      <p>3.2</p>
    </sec>
    <sec id="sec-5">
      <title>Metamap terms Boost</title>
      <p>Lucene provides the relevance level of matching documents based on the terms
found. The higher the boost factor, the more relevant the term will be. Boosting
allows you to control the relevance of a document by boosting its term 7.</p>
      <p>
        In this model, we used medical main concepts identication by Metamap.
Queries was built from the title and description elds. Next, UMLS concepts in
queries are recognized using MetaMap [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>
        Because our method don’t need any special score mapping or disambiguation,
Metamap’s default options was used. Only medical term identication
functionality was used. In other words, our method only need medical terms detection in
order to know which topic part needs to be boosted. No overmatches are allowed
and the highers score mappings are selected. For this UMLS detected mappings,
a boost factor hits value is set. In particular, values from 1.25 to 2.25 (carried
out with an interval of 0.25) were applied by an exploratory approach, centred
mainly in the training topics and the ImageCLEFmed 2013 database and topics
[
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. From this experimental test we selected a boost of 1.5 for submission. Since
the set of training topics so small, we believed that no further tuning wasn’t
possible.
3.3
      </p>
    </sec>
    <sec id="sec-6">
      <title>Query expansion with MeSH</title>
      <p>
        Term expansion is one possible retrieval technique that can benet from public
accessibility of structured medical vocabularies. Applied at query-time usually
it deals with the problem that real-world concepts are referred to using diferent
terms. An information retrieval system can help users and also automatically
rene their queries by exploiting the semantic relationships between terms [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
      </p>
      <p>
        MeSH (Medical Subject Headings) is a controlled vocabulary, produced and
maintained by the U. S. National Library of Medicine [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. There are currently
over 26,000 descriptors or Main Headings and almost 180,000 alternative
expressions (ENTRY TERMS), thus, MeSH oers many possibilities for expanding the
query by MeSH tree structure and/or entry terms [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ].
      </p>
      <p>
        In this model, an open source implementation of SKOS-based 8 term
expansion for Solr is used. For every term included in both title and description elds,
term expansion through MeSH is performed with SKOS. In this approach, we
expand the query terms with related terms from MeSH, duplicate related terms
are removed. A default expansion terms weighting of 0.7 is used according to
the previous work of Bernhard, Martins and Magalhªes [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
3.4
      </p>
    </sec>
    <sec id="sec-7">
      <title>Query expansin with MeSH adding narrative eld</title>
      <p>As in the case mentioned above, this model use query expansion with MeSH with
SKOS. The only dierence lies in the use of the query expansion in addition of</p>
    </sec>
    <sec id="sec-8">
      <title>7 http://lucene.apache.org/core/2_9_4/queryparsersyntax.html 8 https://github.com/behas/lucene-skos</title>
      <p>narrative eld terms. In this case, for every term included in title, description
and narrative elds, term expansion through MeSH was performed and terms in
narrative eld were added.</p>
      <p>It is worth mentioning at this point that narrative eld hasn’t an important
relevance for query expansion. Major dierences for information retrieval in this
model comes from adding narrative eld terms that MeSH concepts expansion
determination.</p>
      <p>In relation to this issue, table 1 shows a summary of MeSH concepts detected
in topics for query expansion and some data for synonyms extracted from MeSH
ontology in the performed expansion. For MeSH concepts, minimum, maximum
and average number of MeSH concepts detected per topic has been collected
(along with the standard deviation). In the same way, data from the synonyms
entries used for expansion are gathered.
Two main metrics were taken account for Share/CLEF eHealth 2014 task 3:
Precision at 10 (P@10) as primary measure, and Normalised Discounted
Cumulative Gain at rank 10 (nDCG@10) as secondary measure. The Share/CLEF
eHealth 2014 task 3 built result pools from participants submissions considering
the top 10 documents ranked by baseline systems (run 1), and the two highest
priority runs that used the discharge summaries (run 2 and 3) and the highest
two priority runs that did not used the discharge summaries (run 5 and 6); thus
runs 4 and 7 were not sampled to form the assessment pool.</p>
      <p>First, we nd that two of our submitted runs outperform the baseline model,
one from Metamap boost model (in all metrics) and another one from query
expansion model (taken MAP as reference). This shows that these approaches
could be more eective than a simple baseline model. In contrast, the concept
expansion approach based only in title and description elds decrease the retrieval
performance in all metrics. We think that the improper query expansion settings
may be the reason of this performance. Our query expansion models dier on
elds use, RUN6 model uses the title and description elds, and RUN7 model
uses the title, description and narrative elds to select terms to expand. Results
show that rening the set of terms used for query expansion often prevents the
query drift caused by blind expansion and yields substantial improvements in
retrieval eectiveness. Although RUN7 improves map, and taking into account
the reference values used at 2014 lab, our query expansion runs have proved that
not all query expansion lead to improvements of retrieval.</p>
      <p>By other hand, in RUN5, we consider positive the contribution of increase
weights of query medical concepts for scoring a document. Empirical results show
that considering boost medical concepts along with the original query concepts
can improve retrieval eectiveness; which concepts to consider (with Metamap
or other tool) and how to weight these is however a challenging issue.</p>
      <p>Plots comparing each of our runs against the median and best performance
(p@10) across all systems submitted to CLEF for each query topic are shown in
gure 1. In particular, for each query the height of a bar represents the gain/loss
of our system and the best system (for that query) over the median system.</p>
      <p>Per-topic comparison allows observe how performance varies in a important
manner by model. Thus, we can see in Fig.1a that baseline has 12 queries perform
better than the median, while 26 queries perform worse than the median, and
other 12 queries perform in the median line. In g.1b, Metamap based model
has 14 queries perform better than the median, while 26 queries perform worse
than the median, and other 10 queries perform in the median line. It means that
comparing baseline and our best method, the UMLS concept-based method can
do something better but heavily needs improvement to surpass baseline.</p>
      <p>As regards query expansion models, we can see in Fig.1c that RUN6 has only
8 queries perform better than the median, while 32 queries perform worse than
the median, and other 10 queries perform in the median line. In g.1d, RUN7 has
just 7 queries perform better than the median, while 33 queries perform worse
than the median, and other 10 queries perform in the median line. Though one
of the query expansion system has been better than baseline, per topic analysis
shows a general poor performance for query expansion.
5</p>
      <sec id="sec-8-1">
        <title>Conclusions and future work</title>
        <p>We have presented dierents approachs to medical Information Retrieval from
patients’ perspective. Our models were based mainly on concept identication
by Metamap and query expansion by MeSH. Both, the concept boosting and
query expansion needs to be improved and rened. Some hints to improve, like
.
)
g
i</p>
        <p>F
+
H
S
e
M
.
terms selection for expansion or tuning boosting parameters, has been exposed.
Despite the inconspicuous results, we think that this rst participation provides
a platform for further development into medical concept based and query
expansion retrieval systems for dealing with medical data from patients’ perspective.</p>
      </sec>
      <sec id="sec-8-2">
        <title>Acknowledgement</title>
        <p>This work has been partially funded by the Andalusian Ministry of Economy,
Innovation and Science (Bidamir project, TIC 07629).</p>
      </sec>
    </sec>
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