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Nov 21

COVID-19 SignSym: a fast adaptation of a general clinical NLP tool to identify and normalize COVID-19 signs and symptoms to OMOP common data model

The COVID-19 pandemic swept across the world rapidly, infecting millions of people. An efficient tool that can accurately recognize important clinical concepts of COVID-19 from free text in electronic health records (EHRs) will be valuable to accelerate COVID-19 clinical research. To this end, this study aims at adapting the existing CLAMP natural language processing tool to quickly build COVID-19 SignSym, which can extract COVID-19 signs/symptoms and their 8 attributes (body location, severity, temporal expression, subject, condition, uncertainty, negation, and course) from clinical text. The extracted information is also mapped to standard concepts in the Observational Medical Outcomes Partnership common data model. A hybrid approach of combining deep learning-based models, curated lexicons, and pattern-based rules was applied to quickly build the COVID-19 SignSym from CLAMP, with optimized performance. Our extensive evaluation using 3 external sites with clinical notes of COVID-19 patients, as well as the online medical dialogues of COVID-19, shows COVID-19 Sign-Sym can achieve high performance across data sources. The workflow used for this study can be generalized to other use cases, where existing clinical natural language processing tools need to be customized for specific information needs within a short time. COVID-19 SignSym is freely accessible to the research community as a downloadable package (https://clamp.uth.edu/covid/nlp.php) and has been used by 16 healthcare organizations to support clinical research of COVID-19.

  • 11 authors
·
Jul 13, 2020

OThink-MR1: Stimulating multimodal generalized reasoning capabilities via dynamic reinforcement learning

Multimodal Large Language Models (MLLMs) have gained significant traction for their ability to process diverse input data types and generate coherent, contextually relevant outputs across various applications. While supervised fine-tuning (SFT) has been the predominant approach to enhance MLLM capabilities in task-specific optimization, it often falls short in fostering crucial generalized reasoning abilities. Although reinforcement learning (RL) holds great promise in overcoming these limitations, it encounters two significant challenges: (1) its generalized capacities in multimodal tasks remain largely unexplored, and (2) its training constraints, including the constant Kullback-Leibler divergence or the clamp strategy, often result in suboptimal bottlenecks. To address these challenges, we propose OThink-MR1, an advanced MLLM equipped with profound comprehension and reasoning capabilities across multimodal tasks. Specifically, we introduce Group Relative Policy Optimization with a dynamic Kullback-Leibler strategy (GRPO-D), which markedly enhances reinforcement learning (RL) performance. For Qwen2-VL-2B-Instruct, GRPO-D achieves a relative improvement of more than 5.72% over SFT and more than 13.59% over GRPO in same-task evaluation on two adapted datasets. Furthermore, GRPO-D demonstrates remarkable cross-task generalization capabilities, with an average relative improvement of more than 61.63% over SFT in cross-task evaluation. These results highlight that the MLLM trained with GRPO-D on one multimodal task can be effectively transferred to another task, underscoring the superior generalized reasoning capabilities of our proposed OThink-MR1 model.

  • 6 authors
·
Mar 20 3