Cross-document attention-based gated fusion network for automated medical licensing exam. (1st November 2022)

• Record Type: Journal Article
• Authors: Liu, Jiandong; Ren, Jianfeng; Lu, Zheng; He, Wentao; Cui, Menglin; Zhang, Zibo; Bai, Ruibin
• Is Part Of: Expert systems with applications. Volume 205(2022)
• Publication Date: 2022-11-01
• Subjects: Machine reading comprehension -- Clinical diagnosis -- Multiple document reasoning; Expert systems (Computer science) -- Periodicals; Systèmes experts (Informatique) -- Périodiques; Electronic journals; 006.33
• DOI: 10.1016/j.eswa.2022.117588
• Languages: English
• ISSNs: 0957-4174

Abstract

Abstract: One of the applications of machine-learning in the medical industry is to automatically learn knowledge from medical textbooks and transfer medical knowledge into diagnosis abilities. Because of complex nature of medical issues, the learning process usually requires multiple knowledge documents to form a comprehensive reasoning chain for diagnosis, which increases the difficulty of the automatic learning process. Existing models for multiple document comprehension either concatenate multiple documents together for inference or reason on every document independently. In this paper, we propose a Co-Attention-based Multi-document Inference (CAMI) framework for better reasoning over multiple documents. The proposed framework makes use of not only the attentional information among questions, answers and support documents but also the complementary attentional information across different documents. In addition, a gated fusion network is designed to fuse the cross-document information. The proposed model outperforms the state-of-the-art methods on Chinese National Medical Licensing Examination (CNMLE) dataset, ClinicQA, which contains 27, 432 plain text documents and 13, 827 CNMLE questions. We intend to make it publicly available as the first clinical OpenQA dataset. Highlights: A CAMI frame is proposed to tackle the OpenQA medical MRC tasks. The proposed CDCA could extract the attentional information across documents. The proposed HGFN could dynamically fuse information from multiple documents. The proposed ClinicQA is the first public dataset to evaluate clinical diagnosis ability. The proposed method greatly outperforms SOTA openQA medical MRC models.