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Register a new userDr. Summarize: Global Summarization of Medical Dialogue by Exploiting Local Structures
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Added by
Anirudh Joshi
Publication date
2020
fields
Informatics Engineering
and research's language is
English
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Understanding a medical conversation between a patient and a physician poses a unique natural language understanding challenge since it combines elements of standard open ended conversation with very domain specific elements that require expertise and medical knowledge. Summarization of medical conversations is a particularly important aspect of medical conversation understanding since it addresses a very real need in medical practice: capturing the most important aspects of a medical encounter so that they can be used for medical decision making and subsequent follow ups. In this paper we present a novel approach to medical conversation summarization that leverages the unique and independent local structures created when gathering a patients medical history. Our approach is a variation of the pointer generator network where we introduce a penalty on the generator distribution, and we explicitly model negations. The model also captures important properties of medical conversations such as medical knowledge coming from standardized medical ontologies better than when those concepts are introduced explicitly. Through evaluation by doctors, we show that our approach is preferred on twice the number of summaries to the baseline pointer generator model and captures most or all of the information in 80% of the conversations making it a realistic alternative to costly manual summarization by medical experts.
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To assess the effectiveness of any medical intervention, researchers must conduct a time-intensive and highly manual literature review. NLP systems can help to automate or assist in parts of this expensive process. In support of this goal, we release MS^2 (Multi-Document Summarization of Medical Studies), a dataset of over 470k documents and 20k summaries derived from the scientific literature. This dataset facilitates the development of systems that can assess and aggregate contradictory evidence across multiple studies, and is the first large-scale, publicly available multi-document summarization dataset in the biomedical domain. We experiment with a summarization system based on BART, with promising early results. We formulate our summarization inputs and targets in both free text and structured forms and modify a recently proposed metric to assess the quality of our systems generated summaries. Data and models are available at https://github.com/allenai/ms2
Summarizing conversations via neural approaches has been gaining research traction lately, yet it is still challenging to obtain practical solutions. Examples of such challenges include unstructured information exchange in dialogues, informal interactions between speakers, and dynamic role changes of speakers as the dialogue evolves. Many of such challenges result in complex coreference links. Therefore, in this work, we investigate different approaches to explicitly incorporate coreference information in neural abstractive dialogue summarization models to tackle the aforementioned challenges. Experimental results show that the proposed approaches achieve state-of-the-art performance, implying it is useful to utilize coreference information in dialogue summarization. Evaluation results on factual correctness suggest such coreference-aware models are better at tracing the information flow among interlocutors and associating accurate status/actions with the corresponding interlocutors and person mentions.
Unlike well-structured text, such as news reports and encyclopedia articles, dialogue content often comes from two or more interlocutors, exchanging information with each other. In such a scenario, the topic of a conversation can vary upon progression and the key information for a certain topic is often scattered across multiple utterances of different speakers, which poses challenges to abstractly summarize dialogues. To capture the various topic information of a conversation and outline salient facts for the captured topics, this work proposes two topic-aware contrastive learning objectives, namely coherence detection and sub-summary generation objectives, which are expected to implicitly model the topic change and handle information scattering challenges for the dialogue summarization task. The proposed contrastive objectives are framed as auxiliary tasks for the primary dialogue summarization task, united via an alternative parameter updating strategy. Extensive experiments on benchmark datasets demonstrate that the proposed simple method significantly outperforms strong baselines and achieves new state-of-the-art performance. The code and trained models are publicly available via href{https://github.com/Junpliu/ConDigSum}{https://github.com/Junpliu/ConDigSum}.
In this paper, we aim to improve abstractive dialogue summarization quality and, at the same time, enable granularity control. Our model has two primary components and stages: 1) a two-stage generation strategy that generates a preliminary summary sketch serving as the basis for the final summary. This summary sketch provides a weakly supervised signal in the form of pseudo-labeled interrogative pronoun categories and key phrases extracted using a constituency parser. 2) A simple strategy to control the granularity of the final summary, in that our model can automatically determine or control the number of generated summary sentences for a given dialogue by predicting and highlighting different text spans from the source text. Our model achieves state-of-the-art performance on the largest dialogue summarization corpus SAMSum, with as high as 50.79 in ROUGE-L score. In addition, we conduct a case study and show competitive human evaluation results and controllability to human-annotated summaries.
As language models become more powerful, training and evaluation are increasingly bottlenecked by the data and metrics used for a particular task. For example, summarization models are often trained to predict human reference summaries and evaluated using ROUGE, but both of these metrics are rough proxies for what we really care about---summary quality. In this work, we show that it is possible to significantly improve summary quality by training a model to optimize for human preferences. We collect a large, high-quality dataset of human comparisons between summaries, train a model to predict the human-preferred summary, and use that model as a reward function to fine-tune a summarization policy using reinforcement learning. We apply our method to a version of the TL;DR dataset of Reddit posts and find that our models significantly outperform both human reference summaries and much larger models fine-tuned with supervised learning alone. Our models also transfer to CNN/DM news articles, producing summaries nearly as good as the human reference without any news-specific fine-tuning. We conduct extensive analyses to understand our human feedback dataset and fine-tuned models We establish that our reward model generalizes to new datasets, and that optimizing our reward model results in better summaries than optimizing ROUGE according to humans. We hope the evidence from our paper motivates machine learning researchers to pay closer attention to how their training loss affects the model behavior they actually want.
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