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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>VSP at eHealth-KD Challenge 2019</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>V ctor Suarez-Paniagua</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Computer Science Department, Carlos III University of Madrid. Leganes 28911</institution>
          ,
          <addr-line>Madrid</addr-line>
          ,
          <country country="ES">Spain</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2019</year>
      </pub-date>
      <fpage>95</fpage>
      <lpage>104</lpage>
      <abstract>
        <p>This article describes the proposed system by the VSP team in the Relation Classi cation subtask of the eHealth-KD Challenge 2019. The architecture is a bidirectional Recurrent Neural Network with LSTM cells (BiLSTM) that uses the word embedding, position embedding and entity type embedding of each word as inputs. Later, a Softmax layer classi es the relationships between entities in the sentences. The presented BiLSTM model reached a 49.33% in F1 for the Scenario 3 of the challenge (Relation Classi cation). Moreover, the system ranked third out of eight teams that participated in this subtask. The main advantage of this approach is that any hand-crafted feature is used because the system can extract the relevant features automatically.</p>
      </abstract>
      <kwd-group>
        <kwd>Relation Classi cation</kwd>
        <kwd>Deep Learning</kwd>
        <kwd>Recurrent Neural Network</kwd>
        <kwd>LSTM</kwd>
        <kwd>Biomedical Texts</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        The number of scienti c publications increased until 6% each year, whose largest
subject area is the biomedical domain [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. The manual revision and annotation of
all the texts is a very arduous and time-consuming task. However, the extraction
of the key information from electronic health (eHealth) documents is vital for
health professionals to be up to date. For this reason, the automatic detection
and classi cation of the most relevant words and their relationships can reduce
the vast of time for these tasks.
      </p>
      <p>
        The TASS-2018 Task 3 [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] was the rst challenge about the development and
evaluation of Natural Language Processing (NLP) systems for extracting the
relevant information in Spanish eHealth documents. Following this task, a new
edition of this competition was created with an increased number of example in
the dataset and the de nition of new key phrase and relationship categories [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
      </p>
      <p>
        Nowadays, Recurrent Neural Networks (RNN) has shown good performance
for tasks where the data are sequential. Concretely, Long-Short Term Memory
(LSTM) cells are designed to capture the long distance dependencies between
words in the sentences. In Relation Classi cation, the bidirectional Recurrent
Neural Network with LSTM cells (BiLSTM) of [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ] improves the results for
sentences that involve drug interactions. This model overcomes the previous works
based on Convolutional Neural Networks (CNN) in the biomedical domain. The
top systems in TASS-2018 Task 3 were based on CNN architectures [
        <xref ref-type="bibr" rid="ref6">6, 9</xref>
        ], while
RNN architectures were unexplored for the Relation Classi cation in Spanish
eHealth documents.
      </p>
      <p>This work describes the participation of the VSP in the Scenario 3 of the
eHealth-KD Challenge 2019 that involves the classi cation between entities. The
proposed architecture is a BiLSTM that generates the representation of the
sentences with a relationship and a Softmax layer that classi es the categories
of the relationships in one model. The system uses the representation of the
words in the sentences together with the information of the entity types labels
and the position with respect to the two interacting entities as embeddings.
2</p>
    </sec>
    <sec id="sec-2">
      <title>Dataset</title>
      <p>An annotated dataset of Spanish eHealth documents was developed for the
development and evaluation of the systems in the eHealth-KD Challenge 2019.
This corpus was manually extracted from MedlinePlus documents using only
the health and medicine topic written in the Spanish language. The data was
divided into three datasets: training, development and test sets. The training set
and development sets have 600 and 100 manually annotated sentences used for
the learning step and the validation of the models, respectively. Additionally, the
test set contains 100 sentences together with the annotations of the mentions for
the evaluation of the Scenario 3.</p>
      <p>The annotated relationship between entities are divide in four categories:
{ General relations: indicates general relationships between the entities, they
are is-a, same-as, has-property, part-of, causes and entails classes.
{ Contextual relations: indicates the re nement of an entity, they are in-time,
in-place and in-context classes.
{ Action roles: de nes the role plays related to an Action entity, they are the
subject and target classes.
{ Predicate roles: de nes the role plays related to an Predicate entity, they are
the domain and arg classes.</p>
      <p>
        A more detailed description of the annotation guidelines can be found in [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ].
2.1
      </p>
      <p>Pre-processing phase
The relationships in the eHealth-KD Challenge 2019 are asymmetrical, that is
the two entities are related in one direction. For this reason, a pair of entities are
annotated with two labels for both directions. Thus, a sentence with n entities
will have (n 1) n instances. Each instance is labelled with one of the thirteen
classes de ned by the task. In addition, a None class is also considered for the
non-relationship between the entities. Table 1 shows the resulting number of
instances for each class on the train, validation and test sets.</p>
      <p>
        Once the instances are extracted from the documents, the sentences are
tokenized and cleaned similarly to [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], converting the numbers to a common name,
words to lower-case, replacing special Spanish accents to Unicode, e.g n~ to n, and
separating special characters with white spaces by regular expressions. Besides,
the two target entities of each instance are replaced by the labels "entity1 ",
"entity2 ", and by "entity0 " for the remaining entities. This method blinds the
mentions in the instance for the generalization of the model.
      </p>
      <p>Relationship between entities Instances after entity blinding Label
(asma ! enfermedad) 'el entity1 es una entity2 que entity0 las entity0 .' is-a
(asma enfermedad) 'el entity2 es una entity1 que entity0 las entity0 .' None
(asma ! afecta) 'el entity1 es una entity0 que entity2 las entity0 .' None
(asma afecta) 'el entity2 es una entity0 que entity1 las entity0 .' subject
(asma ! v as respiratorias) 'el entity1 es una entity0 que entity0 las entity2 .' None
(asma v as respiratorias) 'el entity2 es una entity0 que entity0 las entity1 .' None
(enfermedad ! afecta) 'el entity0 es una entity1 que entity2 las entity0 .' None
(enfermedad afecta) 'el entity0 es una entity2 que entity1 las entity0 .' None
(enfermedad ! v as respiratorias) 'el entity0 es una entity1 que entity0 las entity2 .' None
(enfermedad v as respiratorias) 'el entity0 es una entity2 que entity0 las entity1 .' None
(afecta ! v as respiratorias) 'el entity0 es una entity0 que entity1 las entity2 .' target
(afecta v as respiratorias) 'el entity0 es una entity0 que entity2 las entity1 .' None</p>
      <p>In the corpus, there are some instances with multiple annotations, the vast
of them are annotated like target and subject. Only one of these classes is kept
because the proposed system does not tackle the multi-class classi cation.
Additionally, there are entities with discontinuous tokens that have some overlapping
parts with other entities. Thus, only the non-overlapping parts of the mentions
are kept given that the entity blinding process cannot deal with this kind of
entities.
3</p>
    </sec>
    <sec id="sec-3">
      <title>BiLSTM model</title>
      <p>This section presents the BiLSTM architecture which is used for the Scenario 3
of the eHealth-KD Challenge 2019. Figure 2 shows the RNN model where the
inputs are the preprocessed sentences and it generates a prediction label of the
relationship between the marked entities.
3.1</p>
      <p>Word table layer
Firstly, the preprocessed sentences are transformed into an input matrix for
the RNN architecture. Padding is added to all the sentences until reaching the
maximum length of a sentence in the dataset (denoted by n). Thus, the sentences
shorter than n are padded with an auxiliary token "0 ".</p>
      <p>Each word in the sentences is represented by its word and entity type
embeddings. These embeddings are extracted from the word embedding matrix
We 2 RjV j me where V is the vocabulary size and me is the word embedding</p>
      <p>El &lt;e1&gt;asma&lt;/e1&gt; es una &lt;e2&gt;enfermedad&lt;/e2&gt; que &lt;e0&gt;afecta&lt;/e0&gt; las &lt;e0&gt;vías respiratorias&lt;/e0&gt;.
n
|V|
el
entity1
es
una
entity2</p>
      <p>que
entity0</p>
      <p>las
entity0
0
…
0</p>
      <p>Preprocessing
Sentence: el entity1 es una entity2 que entity0 las entity0
Enddtiissitttyaanntyccpee21e::: -O-14 Co-n03cept-O12 -O21 Con03cept O41 Ac25tion 6O3 Con47cept</p>
      <p>We</p>
      <p>WEntity</p>
      <p>Wd1</p>
      <p>Wd2
me
Word embeddings</p>
      <p>md
Entity type Position
embeddings embeddings</p>
      <p>md
Position
embeddings
|E|
mEntity</p>
      <p>X
Look-up table layer
2n-1
…</p>
      <p>S
Recurrent layer
z
m</p>
      <p>k
Ws</p>
      <p>o
Pooling
layer</p>
      <p>Softmax layer
with dropout
dimension and the entity embedding matrix WEntity 2 RjEj mEntity where E is
the vocabulary size of the entity types and mEntity is the entity type embedding
dimension, respectively.</p>
      <p>In addition, two position embeddings are concatenated to these vector in
order to represent the relative position of each word with respect to the two
interacting mentions. These distances are mapped into a real value vectors with the
two position embedding matrices, Wd1 2 R(2n 1) md and Wd2 2 R(2n 1) md
where md is the position embedding dimension.</p>
      <p>
        Finally, each word in the sentence is described by a vector giving a matrix
that represents the sentence of the relationship X 2 Rn (me+mEntity+2md).
The resulting matrix is the input for the Recurrent layer. In this system, LSTM
cells [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ] are implemented in the RNN. This kind of cells de nes a gating
mechanism for creating a word representation taking the information of the current
and previous cells. The input gate it, the forget gate ft and the output gate ot
for the current t step transform the input vector xt taking the previous output
ht 1 using its corresponding weights and bias computed with a sigmoid function.
The cell state ct takes the information given from the previous cell state ct 1
regulated by the forget cell and the information given from the current cell c0t
regulated by the input cell using the element-wise represented as:
ft = (Wf [ht 1; xt] + bf )
      </p>
      <p>it = (Wi [ht 1; xt] + bi)
c0t = tanh(Wc [ht 1; xt] + bc)
ct = ft ct 1 + it c0</p>
      <p>t
ot = (Wo [ht 1; xt] + bo)</p>
      <p>ht = ot tanh(ct)
where Wf , Wi, Wc and Wo are the weights and bf , bi, bc and bo are the
bias term of each gate.</p>
      <p>Later, the current output ht is represented with the hyperbolic function of
the cell state and controlled by the output gate. Furthermore, another Recurrent
layer can be applied in the other direction from the end of the sequence to the
starting word. Computing the two representations is bene cial for extracting the
relevant features of each word because they have dependencies in both directions.
Finally, the output vector of both directions is concatenated giving an output
matrix S 2 Rn m where m is the number of output dimensions for the Recurrent
layer.
3.3</p>
      <p>Pooling layer
The pooling layer extracts the most relevant features of the output matrix in
the Recurrent layer using an aggregating function. In this model, the max
function is selected to produce a single value for each output as zf = maxfsg =
maxfs1; s2; :::; sng. Thus, the vector z = [z1; z2; :::; zm] is created, whose
dimension is the total number of lters m representing the relation instance.
3.4</p>
      <p>Softmax layer
Before the classi cation, a dropout is applied to prevent over tting. Thus, a
reduced vector zd is obtained from randomly setting the elements of z to zero
with a probability p following a Bernoulli distribution. After that, this vector is
fed into a fully connected Softmax layer with weights Ws 2 Rm k to compute
the output prediction values for the classi cation as o = zdWs + d where d is a
bias term; in this case, there are k = 13 classes in the dataset and the "None "
class. At test time, the vector z of a new instance is directly classi ed by the
Softmax layer without a dropout.
3.5</p>
      <p>Learning
The following BiLSTM parameters
!b f , W!i, !b i, W!c, !b c, W!o, !b o, Wf , b f , Wi, b i, Wc, b c, Wo, b o) need to
= (We, WEntity, Wd1, Wd2, Ws, d, W!f ,
be learned in training the network. To this end, the conditional probability of a
relation r obtained by the Softmax operation as
is minimized by the negative log-likelihood function for all instances (xi,yi) in
the training set T as follows
p(rjx; ) =</p>
      <p>exp(or)</p>
      <p>Plk=1 exp(ol)
J ( ) =</p>
      <p>
        T
X log p(yijxi; )
i=1
In addition, the stochastic gradient descent over shu ed mini-batches and the
Adam update rule [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] minimizes the objective function to learn the parameters.
4
      </p>
    </sec>
    <sec id="sec-4">
      <title>Results and Discussion</title>
      <p>
        The weights of the BiLSTM model were learned on the training set during 25
epochs using mini-batches and Adam update rule [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], while the best model was
chosen with the best performance on the validation set. Table 3 shows the model
parameters and their values ne-tuned for the classi cation of relationships
between entities in Spanish eHealth documents. The embeddings of the words, the
entity types and the two positions were randomly initialized and learned during
the training of the network.
The results were measured with precision (P), recall (R) and F1, de ned as:
P =
      </p>
      <p>C
C + S</p>
      <p>R =</p>
      <p>C
C + M</p>
      <p>F 1 = 2</p>
      <p>P R</p>
      <p>P + R
where Correct (C) are the relations that matched to the test set and the
prediction, Missing (M) are the relations that are in the test set but not in the
prediction, and Spurious (S) are the relations that are in the prediction but not
in the test set.</p>
      <p>Table 4 presents the results of the BiLSTM for all the classes and the nal
results in the Scenario 3 (Relation Classi cation). It can be observe that the
number of Missing is higher compared to the number of Spurious which makes
a low Recall in almost all the classes. In general the Action and Predicate roles
are classi ed better than the General or the Contextual relations. In addition,
the classes with less than 100 examples in the training set, such as same-as,
has-property, part-of, entails or in-time, has a low performance because the
architecture can not extract the relevant features of these classes compared with
the more than 20,000 examples of the None class. Thus, the vast of them are
classi ed as None and taken as Missing.</p>
      <p>Eight teams participated in this subtask being the BiLSTM model the third
highest F1. The performance of the proposed system is very promising obtaining
49.33% in F1 as o cial results in Scenario 3 of the eHealth-KD Challenge 2019
that has thirteen relation categories. One of the main advantage of this approach
is that it does not require any external knowledge resource.</p>
    </sec>
    <sec id="sec-5">
      <title>Conclusions and Future work</title>
      <p>This paper presents a BiLSTM model for the eHealth-KD Challenge 2019
Scenario 3 (Relation Classi cation of Spanish eHealth documentss). The o cial
results for the proposed system are very promising because the model is a simple
architecture that does not need expert domain knowledge or external features.
However, the performance of the method is very low in Recall measure because
there are a high number of Missing instances that are classi ed as the None
class. One possible solution could be the creation of four independent classi
cation systems for the four kind of classes taking into consideration the entity
types of the mentions. Thus, each system could be more balanced and
specialized in each type of relationships. Moreover, it is hard for the system detecting
the directionality of the relationships. For this reason, the creation of a reverse
class for each relation type could help to the architecture in order to distinguish
the direction of the relation.</p>
      <p>As future work, the aggregation of external feature as embedding vector, such
as Part-of-Speech tags, semantic tags or syntactic parse trees, could improves
the representation of each word and increase the performance. Furthermore, the
exploration of deeper layers in the Recurrent layer is proposed to be included
in the BiLSTM model for the classi cation of relationships in Spanish eHealth
documents.</p>
    </sec>
  </body>
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