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Register a new userMedDG: A Large-scale Medical Consultation Dataset for Building Medical Dialogue System
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Jianheng Tang
Publication date
2020
fields
Informatics Engineering
and research's language is
English
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Developing conversational agents to interact with patients and provide primary clinical advice has attracted increasing attention due to its huge application potential, especially in the time of COVID-19 Pandemic. However, the training of end-to-end neural-based medical dialogue system is restricted by an insufficient quantity of medical dialogue corpus. In this work, we make the first attempt to build and release a large-scale high-quality Medical Dialogue dataset related to 12 types of common Gastrointestinal diseases named MedDG, with more than 17K conversations collected from the online health consultation community. Five different categories of entities, including diseases, symptoms, attributes, tests, and medicines, are annotated in each conversation of MedDG as additional labels. To push forward the future research on building expert-sensitive medical dialogue system, we proposes two kinds of medical dialogue tasks based on MedDG dataset. One is the next entity prediction and the other is the doctor response generation. To acquire a clear comprehension on these two medical dialogue tasks, we implement several state-of-the-art benchmarks, as well as design two dialogue models with a further consideration on the predicted entities. Experimental results show that the pre-train language models and other baselines struggle on both tasks with poor performance in our dataset, and the response quality can be enhanced with the help of auxiliary entity information. From human evaluation, the simple retrieval model outperforms several state-of-the-art generative models, indicating that there still remains a large room for improvement on generating medically meaningful responses.
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Medical dialogue systems are promising in assisting in telemedicine to increase access to healthcare services, improve the quality of patient care, and reduce medical costs. To facilitate the research and development of medical dialogue systems, we build two large-scale medical dialogue datasets: MedDialog-EN and MedDialog-CN. MedDialog-EN is an English dataset containing 0.3 million conversations between patients and doctors and 0.5 million utterances. MedDialog-CN is an Chinese dataset containing 1.1 million conversations and 4 million utterances. To our best knowledge, MedDialog-(EN,CN) are the largest medical dialogue datasets to date. The dataset is available at https://github.com/UCSD-AI4H/Medical-Dialogue-System
In the Chinese medical insurance industry, the assessors role is essential and requires significant efforts to converse with the claimant. This is a highly professional job that involves many parts, such as identifying personal information, collecting related evidence, and making a final insurance report. Due to the coronavirus (COVID-19) pandemic, the previous offline insurance assessment has to be conducted online. However, for the junior assessor often lacking practical experience, it is not easy to quickly handle such a complex online procedure, yet this is important as the insurance company needs to decide how much compensation the claimant should receive based on the assessors feedback. In order to promote assessors work efficiency and speed up the overall procedure, in this paper, we propose a dialogue-based information extraction system that integrates advanced NLP technologies for medical insurance assessment. With the assistance of our system, the average time cost of the procedure is reduced from 55 minutes to 35 minutes, and the total human resources cost is saved 30% compared with the previous offline procedure. Until now, the system has already served thousands of online claim cases.
Medical dialogue generation aims to provide automatic and accurate responses to assist physicians to obtain diagnosis and treatment suggestions in an efficient manner. In medical dialogues two key characteristics are relevant for response generation: patient states (such as symptoms, medication) and physician actions (such as diagnosis, treatments). In medical scenarios large-scale human annotations are usually not available, due to the high costs and privacy requirements. Hence, current approaches to medical dialogue generation typically do not explicitly account for patient states and physician actions, and focus on implicit representation instead. We propose an end-to-end variational reasoning approach to medical dialogue generation. To be able to deal with a limited amount of labeled data, we introduce both patient state and physician action as latent variables with categorical priors for explicit patient state tracking and physician policy learning, respectively. We propose a variational Bayesian generative approach to approximate posterior distributions over patient states and physician actions. We use an efficient stochastic gradient variational Bayes estimator to optimize the derived evidence lower bound, where a 2-stage collapsed inference method is proposed to reduce the bias during model training. A physician policy network composed of an action-classifier and two reasoning detectors is proposed for augmented reasoning ability. We conduct experiments on three datasets collected from medical platforms. Our experimental results show that the proposed method outperforms state-of-the-art baselines in terms of objective and subjective evaluation metrics. Our experiments also indicate that our proposed semi-supervised reasoning method achieves a comparable performance as state-of-the-art fully supervised learning baselines for physician policy learning.
Open domain question answering (OpenQA) tasks have been recently attracting more and more attention from the natural language processing (NLP) community. In this work, we present the first free-form multiple-choice OpenQA dataset for solving medical problems, MedQA, collected from the professional medical board exams. It covers three languages: English, simplified Chinese, and traditional Chinese, and contains 12,723, 34,251, and 14,123 questions for the three languages, respectively. We implement both rule-based and popular neural methods by sequentially combining a document retriever and a machine comprehension model. Through experiments, we find that even the current best method can only achieve 36.7%, 42.0%, and 70.1% of test accuracy on the English, traditional Chinese, and simplified Chinese questions, respectively. We expect MedQA to present great challenges to existing OpenQA systems and hope that it can serve as a platform to promote much stronger OpenQA models from the NLP community in the future.
Human doctors with well-structured medical knowledge can diagnose a disease merely via a few conversations with patients about symptoms. In contrast, existing knowledge-grounded dialogue systems often require a large number of dialogue instances to learn as they fail to capture the correlations between different diseases and neglect the diagnostic experience shared among them. To address this issue, we propose a more natural and practical paradigm, i.e., low-resource medical dialogue generation, which can transfer the diagnostic experience from source diseases to target ones with a handful of data for adaptation. It is capitalized on a commonsense knowledge graph to characterize the prior disease-symptom relations. Besides, we develop a Graph-Evolving Meta-Learning (GEML) framework that learns to evolve the commonsense graph for reasoning disease-symptom correlations in a new disease, which effectively alleviates the needs of a large number of dialogues. More importantly, by dynamically evolving disease-symptom graphs, GEML also well addresses the real-world challenges that the disease-symptom correlations of each disease may vary or evolve along with more diagnostic cases. Extensive experiment results on the CMDD dataset and our newly-collected Chunyu dataset testify the superiority of our approach over state-of-the-art approaches. Besides, our GEML can generate an enriched dialogue-sensitive knowledge graph in an online manner, which could benefit other tasks grounded on knowledge graph.
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