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arXiv 2503.01302cs.CL
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从医疗病例报告中提取因果树:一项面向类专家文本理解的新任务

Causal Tree Extraction from Medical Case Reports: A Novel Task for Experts-like Text Comprehension

Kyoto University(京都大学);Precision Inc.(普雷西ision公司);Jichi Medical University(自治医科大学)

Sakiko Yahata, Zhen Wan, Fei Cheng, Sadao Kurohashi, Hisahiko Sato, Ryozo Nagai

AI总结:

提出因果树提取(CTE)任务,通过生成以主要疾病为根的因果树来捕捉医疗病例诊断过程的层次结构,构建日语数据集J-Casemap并验证其方法优于基线且能提升其他医疗任务性能。

摘要:

从医疗病例报告中提取因果关系对于理解病例(尤其是其诊断过程)至关重要。由于诊断过程被视为一种自下而上的推理,病例中的因果关系自然形成多层树状结构。现有任务(如医疗关系提取)不足以捕捉整个病例的因果关系,因为它们将所有关系同等对待,未考虑诊断过程中固有的层次结构。因此,我们提出了一项新任务——因果树提取(CTE),该任务接收病例报告并生成以主要疾病为根的因果树,为病例的诊断过程提供直观理解。随后,我们构建了一个日语病例报告CTE数据集J-Casemap,提出了一种基于生成的CTE方法,在人工评估中比基线高出20.2分,并引入了反映临床医生偏好的评估指标。进一步实验还表明,J-Casemap提升了其他医疗任务(如问答)的解决性能。

英文摘要:

Extracting causal relationships from a medical case report is essential for comprehending the case, particularly its diagnostic process. Since the diagnostic process is regarded as a bottom-up inference, causal relationships in cases naturally form a multi-layered tree structure. The existing tasks, such as medical relation extraction, are insufficient for capturing the causal relationships of an entire case, as they treat all relations equally without considering the hierarchical structure inherent in the diagnostic process. Thus, we propose a novel task, Causal Tree Extraction (CTE), which receives a case report and generates a causal tree with the primary disease as the root, providing an intuitive understanding of a case's diagnostic process. Subsequently, we construct a Japanese case report CTE dataset, J-Casemap, propose a generation-based CTE method that outperforms the baseline by 20.2 points in the human evaluation, and introduce evaluation metrics that reflect clinician preferences. Further experiments also show that J-Casemap enhances the performance of solving other medical tasks, such as question answering.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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