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    <article-meta>
      <title-group>
        <article-title>Representation of parts within the Foundational Model of Anatomy ontology</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Melissa Clarkson</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Structural Informatics Group University of Washington Seattle</institution>
          ,
          <country country="US">USA</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>- As biomedical ontologies grow in size and complexity it is crucial to develop methods for detecting inconsistencies within ontologies. The Foundational Model of Anatomy (FMA) ontology represents knowledge of human anatomy, with structural organization provided by class and part relationships. Using a manual audit, I identify types of inconsistencies arising from class and regional part relationships for regions of the body and the parts of organs. Inconsistencies arise from both explicitly declared relationships and relationships that are implied by the lexical constructs of class names. The purpose of this work is to propose methods of structural organization and lexical consistency that will make the FMA more compatible with computational auditing and increase its usability.</p>
      </abstract>
      <kwd-group>
        <kwd>ontology</kwd>
        <kwd>partonomy</kwd>
        <kwd>anatomy</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>I. INTRODUCTION</p>
      <p>As biomedical ontologies grow in size, specificity and
complexity, maintaining internal consistency of the
representation becomes increasingly difficult. Because
ontologies can contain tens of thousands of classes,
computational methods for detecting inconsistencies are
necessary for quality assurance efforts. One step toward
designing computational auditing methods is to identify
patterns within the content that are useful for identifying
inconsistencies in modeling or possible errors.</p>
      <p>This paper examines part and class relationships within the
Foundational Model of Anatomy (FMA) ontology—both
those explicitly declared and those implied by the lexical
constructs of class names. The purpose of this work is to
identify types of inconsistencies and to propose methods of
structural organization and lexical consistency that will make
the FMA more compatible with computational auditing and
increase its usability.</p>
    </sec>
    <sec id="sec-2">
      <title>II. BACKGROUND</title>
      <p>
        The FMA represents knowledge of human anatomy using
a series of organizing units at different levels of granularity.
These units include “Cardinal body part”, “Organ system”,
and “Organ” (Fig. 1) [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. The FMA is one of the largest
biomedical ontologies, with over 104,000 classes and 140
types of relations. In addition to the subClass_of relation
defining the class hierachy, the main organizational structure
is provided by the regional_part relation (for spatial divisions
of the body) and the constitutional_part relation (describing
divisions for which the parts are simpler in composition than
the whole) [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ].
      </p>
    </sec>
    <sec id="sec-3">
      <title>III. METHODS This work is based on version 4.3 of the FMA, released in February 2016. The OWL file was manually inspected in Protégé (version 4.3.0).</title>
      <p>Fig. 1. Overview of part relationships using high-level classes within the FMA. Classes representing organizing units are in the blue bar. Typical regional_part
and constitutional_part relationships among the subclasses are indicated with solid black arrows. SubClass_of relationships are indicated with gray dashed arrows.</p>
    </sec>
    <sec id="sec-4">
      <title>IV. SUBDIVISIONS OF CARDINAL BODY PARTS</title>
      <p>Each of the cardinal body parts (“Head”, “Body proper”,
left and right “Upper limb”, and left and right “Lower limb”)
are divided into a hierarchy of smaller regions using the
regional_part relation. These divisions of the body are crucial
in helping users understand and navigate the FMA and to
provide classes that can be lexically modified to create other
classes.</p>
      <sec id="sec-4-1">
        <title>A. Alignment to the class hierarchy</title>
        <p>As demonstrated in Fig. 2, there is an opportunity to tightly
align the regional part hierarchy for cardinal body parts to the
class hierarchy. Much of the structure for coordinating the two
hierarchies is already in place, but some regions of the body
are classified as types of anatomical clusters instead of
subdivisions of the body. This obscures the relationship of
those classes to other regions of the body.</p>
        <p>There are two benefits to formalizing this organizational
structure. First, it provides a place to classify all divisions of a
particular region—even if a class represents an alternative
partition which is not reflected in the regional_part hierarchy.
This is important for classes such as “Trunk”, which have
more then one partition scheme. Second, users could more
easily answer the question of what partitions are provided by
the FMA for a particular region of the body by navigating the
class hierarchy beneath “Subdivision of cardinal body part”.
For example, classes such as “Right side of head” and “Left
side of head” do not currently have any relationships to other
classes. But because they are subclasses of “Subdivision of
head”, users can locate these terms to use in annotation.</p>
      </sec>
      <sec id="sec-4-2">
        <title>B. Lexical consistency within class names</title>
        <p>As shown in Fig. 3, some class names consist of a modifier
(such as “Surface of…”) and a body region or high-level class
for types of body regions. Consistency in referring to body
regions would aid auditing and ontology users. In cases where
another anatomical term is traditionally used, the term
reflecting a consistent construct could be added as a synonym.</p>
      </sec>
      <sec id="sec-4-3">
        <title>C. Consistency within the class hierarchy</title>
        <p>Another source of inconsistency arises from the lexical
implications of class names and their positions within the class
hierarchy. As shown in Fig. 4, “Integument of chin” is a
subclass of “Integument of subdivision of mouth.” From this
a user would infer that “Chin” is a “Subdivision of mouth”,
which is confirmed by the subclass relationship for “Chin”
found in the FMA. However, as detailed in Fig. 4,
contradictions can easily arise. For example, “Set of jaws” is
a subclass of “Set of subdivisons of head”, but “Jaw” is a
subclass of “Organ cluster.” Correcting these inconsistencies
depends upon first establishing a comprehensive
regional_part hierarchy for subdivisions of cardinal body
parts.</p>
        <p>The FMA has a complex representation of organ parts.
Parts are classified as either an “Organ component” (bounded
predominately by bona fide boundaries) or an “Organ region”
(defined by fiat boundaries). Each organ region is further
classified as an “Organ segment” (with anchored fiat
boundaries) or an “Organ zone” (with floating fiat
boundaries).</p>
        <p>As shown in Fig. 5, inconsistencies arise when the lexical
implications of class names do not match the class hierarchy.
For example, “Region of crown of tooth” is a subclass of
“Region of organ component”. However, “Crown of tooth” is
classified as an “Organ segment”.</p>
        <p>It is unclear if the complexity of representation for organ
parts adds value to the FMA. But if retained, then auditing
methods should be developed to ensure consistency.</p>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>VI. BRANCHES AND TRIBUTARIES</title>
      <p>Several types of organs have a tree structure, including
arterial tree organs and venous tree organs. The regional parts
of these trees can be described as a trunk plus either branches
or tributaries. The FMA has two specific types of
regional_part relations (branch and tributary) to relate branch
and tributary parts to the tree. However these relations are
applied inconsistently—duplicating the regional_part
relationship, substituting for the general relationship, or not
used at all. This inconsistency impacts efforts to access
knowledge about tree organs and determine the completeness
of representations.</p>
    </sec>
    <sec id="sec-6">
      <title>VII. KEYWORDS INDICATING REGIONAL PARTS</title>
      <p>The terms “branch” and “tributary” have specific
anatomical meanings in the FMA. But for other terms such as
“subdivision”, “region”, “segment”, and “subsegment” it is
unclear whether these are synonyms or they carry specific
meaning when used in class names.</p>
      <p>The term “portion” should be reserved for subclasses of
“Portion of tissue” and “Portion of body substance”, but has
been applied to several regions of organs (such as
“Intrapulmonary portion of pulmonary artery”).</p>
    </sec>
    <sec id="sec-7">
      <title>VIII. CONCLUSION</title>
      <p>I have documented a variety of ways that inconsistencies
in the representation of regional parts occur within the FMA.
The first step to addressing these inconsistencies is to establish
a robust regional part representation of the cardinal body parts.</p>
      <p>
        Previous work to audit the FMA has used symmetric terms
(for example, “left” and “right”, “superior” and “inferior”) [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
This work identifies additional lexical modifiers that can be
used to detect inconsistencies in the class hierarchy, regional
part hierarchy, and class names.
      </p>
    </sec>
    <sec id="sec-8">
      <title>ACKNOWLEDGMENT</title>
      <p>I thank José L. V. Mejino Jr. for helpful discussions. This
work was supported in part by funding from the International
Health Terminology Standards Development Organization
(IHTSDO) to the Structural Informatics Group.</p>
    </sec>
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