ChatGPT has drawn considerable attention from both the general public and domain experts with its remarkable text generation capabilities. This has subsequently led to the emergence of diverse applications in the field of biomedicine and health. In this work, we examine the diverse applications of large language models (LLMs), such as ChatGPT, in biomedicine and health. Specifically we explore the areas of biomedical information retrieval, question answering, medical text summarization, information extraction, and medical education, and investigate whether LLMs possess the transformative power to revolutionize these tasks or whether the distinct complexities of biomedical domain presents unique challenges. Following an extensive literature survey, we find that significant advances have been made in the field of text generation tasks, surpassing the previous state-of-the-art methods. For other applications, the advances have been modest. Overall, LLMs have not yet revolutionized biomedicine, but recent rapid progress indicates that such methods hold great potential to provide valuable means for accelerating discovery and improving health. We also find that the use of LLMs, like ChatGPT, in the fields of biomedicine and health entails various risks and challenges, including fabricated information in its generated responses, as well as legal and privacy concerns associated with sensitive patient data. We believe this survey can provide a comprehensive and timely overview to biomedical researchers and healthcare practitioners on the opportunities and challenges associated with using ChatGPT and other LLMs for transforming biomedicine and health.

MOTIVATION: Information retrieval (IR) is essential in biomedical knowledge acquisition and clinical decision support. While recent progress has shown that language model encoders perform better semantic retrieval, training such models requires abundant query-article annotations that are difficult to obtain in biomedicine. As a result, most biomedical IR systems only conduct lexical matching. In response, we introduce MedCPT, a first-of-its-kind Contrastively Pre-trained Transformer model for zero-shot semantic IR in biomedicine. RESULTS: To train MedCPT, we collected an unprecedented scale of 255 million user click logs from PubMed. With such data, we use contrastive learning to train a pair of closely integrated retriever and re-ranker. Experimental results show that MedCPT sets new state-of-the-art performance on six biomedical IR tasks, outperforming various baselines including much larger models, such as GPT-3-sized cpt-text-XL. In addition, MedCPT also generates better biomedical article and sentence representations for semantic evaluations. As such, MedCPT can be readily applied to various real-world biomedical IR tasks. AVAILABILITY AND IMPLEMENTATION: The MedCPT code and model are available at https://github.com/ncbi/MedCPT.

OBJECTIVE: A significant number of recent articles in PubMed have full text available in PubMed Central®, and the availability of full texts has been consistently growing. However, it is not currently possible for a user to simultaneously query the contents of both databases and receive a single integrated search result. In this study, we investigate how to score full text articles given a multitoken query and how to combine those full text article scores with scores originating from abstracts and achieve an overall improved retrieval performance. MATERIALS AND METHODS: For scoring full text articles, we propose a method to combine information coming from different sections by converting the traditionally used BM25 scores into log odds ratio scores which can be treated uniformly. We further propose a method that successfully combines scores from two heterogenous retrieval sources - full text articles and abstract only articles - by balancing the contributions of their respective scores through a probabilistic transformation. We use PubMed click data that consists of queries sampled from PubMed user logs along with a subset of retrieved and clicked documents to train the probabilistic functions and to evaluate retrieval effectiveness. RESULTS AND CONCLUSIONS: Random ranking achieves 0.579 MAP score on our PubMed click data. BM25 ranking on PubMed abstracts improves the MAP by 10.6%. For full text documents, experiments confirm that BM25 section scores are of different value depending on the section type and are not directly comparable. Naïvely using the body text of articles along with abstract text degrades the overall quality of the search. The proposed log odds ratio scores normalize and combine the contributions of occurrences of query tokens in different sections. By including full text where available, we gain another 0.67%, or 7% relative improvement over abstract alone. We find an advantage in the more accurate estimate of the value of BM25 scores depending on the section from which they were produced. Taking the sum of top three section scores performs the best.

OBJECTIVE: In a biomedical literature search, the link between a query and a document is often not established, because they use different terms to refer to the same concept. Distributional word embeddings are frequently used for detecting related words by computing the cosine similarity between them. However, previous research has not established either the best embedding methods for detecting synonyms among related word pairs or how effective such methods may be. MATERIALS AND METHODS: In this study, we first create the BioSearchSyn set, a manually annotated set of synonyms, to assess and compare 3 widely used word-embedding methods (word2vec, fastText, and GloVe) in their ability to detect synonyms among related pairs of words. We demonstrate the shortcomings of the cosine similarity score between word embeddings for this task: the same scores have very different meanings for the different methods. To address the problem, we propose utilizing pool adjacent violators (PAV), an isotonic regression algorithm, to transform a cosine similarity into a probability of 2 words being synonyms. RESULTS: Experimental results using the BioSearchSyn set as a gold standard reveal which embedding methods have the best performance in identifying synonym pairs. The BioSearchSyn set also allows converting cosine similarity scores into probabilities, which provides a uniform interpretation of the synonymy score over different methods. CONCLUSIONS: We introduced the BioSearchSyn corpus of 1000 term pairs, which allowed us to identify the best embedding method for detecting synonymy for biomedical search. Using the proposed method, we created PubTermVariants2.0: a large, automatically extracted set of synonym pairs that have augmented PubMed searches since the spring of 2019.

The need to organize any large document collection in a manner that facilitates human comprehension has become crucial with the increasing volume of information available. Two common approaches to provide a broad overview of the information space are document clustering and topic modeling. Clustering aims to group documents or terms into meaningful clusters. Topic modeling, on the other hand, focuses on finding coherent keywords for describing topics appearing in a set of documents. In addition, there have been efforts for clustering documents and finding keywords simultaneously. We present an algorithm to analyze document collections that is based on a notion of a theme, defined as a dual representation based on a set of documents and key terms. In this work, a novel vector space mechanism is proposed for computing themes. Starting with a single document, the theme algorithm treats terms and documents as explicit components, and iteratively uses each representation to refine the other until the theme is detected. The method heavily relies on an optimization routine that we refer to as the projection algorithm which, under specific conditions, is guaranteed to converge to the first singular vector of a data matrix. We apply our algorithm to a collection of about sixty thousand PubMed Ⓡ documents examining the subject of Single Nucleotide Polymorphism, evaluate the results and show the effectiveness and scalability of the proposed method. This study presents a contribution on theoretical and algorithmic levels, as well as demonstrates the feasibility of the method for large scale applications. The evaluation of our system on benchmark datasets demonstrates that our method compares favorably with the current state-of-the-art methods in computing clusters of documents with coherent topic terms.

UNLABELLED: Medical Subject Headings (MeSH(®)) is a controlled vocabulary for indexing and searching biomedical literature. MeSH terms and subheadings are organized in a hierarchical structure and are used to indicate the topics of an article. Biologists can use either MeSH terms as queries or the MeSH interface provided in PubMed(®) for searching PubMed abstracts. However, these are rarely used, and there is no convenient way to link standardized MeSH terms to user queries. Here, we introduce a web interface which allows users to enter queries to find MeSH terms closely related to the queries. Our method relies on co-occurrence of text words and MeSH terms to find keywords that are related to each MeSH term. A query is then matched with the keywords for MeSH terms, and candidate MeSH terms are ranked based on their relatedness to the query. The experimental results show that our method achieves the best performance among several term extraction approaches in terms of topic coherence. Moreover, the interface can be effectively used to find full names of abbreviations and to disambiguate user queries. AVAILABILITY AND IMPLEMENTATION: https://www.ncbi.nlm.nih.gov/IRET/MESHABLE/ CONTACT: [email protected] SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

Improving the search and browsing experience in PubMed is a key component in helping users detect information of interest.In particular, when exploring a novel field, it is important to provide a comprehensive view for a specific subject.One solution for providing this panoramic picture is to find sub-topics from a set of documents.We propose a method that finds sub-topics that we refer to as themes and computes representative titles based on a set of documents in each theme.The method combines a thematic clustering algorithm and the Pool Adjacent Violators algorithm to induce significant themes.Then, for each theme, a title is computed using PubMed document titles and theme-dependent term scores.We tested our system on five disease sets from OMIM and evaluated the results based on normalized point-wise mutual information and MeSH terms.For both performance measures, the proposed approach outperformed LDA.The quality of theme titles were also evaluated by comparing them with manually created titles.

Identifying unknown drug interactions is of great benefit in the early detection of adverse drug reactions. Despite existence of several resources for drug-drug interaction (DDI) information, the wealth of such information is buried in a body of unstructured medical text which is growing exponentially. This calls for developing text mining techniques for identifying DDIs. The state-of-the-art DDI extraction methods use Support Vector Machines (SVMs) with non-linear composite kernels to explore diverse contexts in literature. While computationally less expensive, linear kernel-based systems have not achieved a comparable performance in DDI extraction tasks. In this work, we propose an efficient and scalable system using a linear kernel to identify DDI information. The proposed approach consists of two steps: identifying DDIs and assigning one of four different DDI types to the predicted drug pairs. We demonstrate that when equipped with a rich set of lexical and syntactic features, a linear SVM classifier is able to achieve a competitive performance in detecting DDIs. In addition, the one-against-one strategy proves vital for addressing an imbalance issue in DDI type classification. Applied to the DDIExtraction 2013 corpus, our system achieves an F1 score of 0.670, as compared to 0.651 and 0.609 reported by the top two participating teams in the DDIExtraction 2013 challenge, both based on non-linear kernel methods.

MOTIVATION: Clustering methods can be useful for automatically grouping documents into meaningful clusters, improving human comprehension of a document collection. Although there are clustering algorithms that can achieve the goal for relatively large document collections, they do not always work well for small and homogenous datasets. METHODS: In this article, we present Retro-a novel clustering algorithm that extracts meaningful clusters along with concise and descriptive titles from small and homogenous document collections. Unlike common clustering approaches, our algorithm predicts cluster titles before clustering. It relies on the hypergeometric distribution model to discover key phrases, and generates candidate clusters by assigning documents to these phrases. Further, the statistical significance of candidate clusters is tested using supervised learning methods, and a multiple testing correction technique is used to control the overall quality of clustering. RESULTS: We test our system on five disease datasets from OMIM(®) and evaluate the results based on MeSH(®) term assignments. We further compare our method with several baseline and state-of-the-art methods, including K-means, expectation maximization, latent Dirichlet allocation-based clustering, Lingo, OPTIMSRC and adapted GK-means. The experimental results on the 20-Newsgroup and ODP-239 collections demonstrate that our method is successful at extracting significant clusters and is superior to existing methods in terms of quality of clusters. Finally, we apply our system to a collection of 6248 topical sets from the HomoloGene(®) database, a resource in PubMed(®). Empirical evaluation confirms the method is useful for small homogenous datasets in producing meaningful clusters with descriptive titles. AVAILABILITY AND IMPLEMENTATION: A web-based demonstration of the algorithm applied to a collection of sets from the HomoloGene database is available at http://www.ncbi.nlm.nih.gov/CBBresearch/Wilbur/IRET/CLUSTERING_HOMOLOGENE/index.html. CONTACT: [email protected] SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online.

Log analysis shows that PubMed users frequently use author names in queries for retrieving scientific literature. However, author name ambiguity may lead to irrelevant retrieval results. To improve the PubMed user experience with author name queries, we designed an author name disambiguation system consisting of similarity estimation and agglomerative clustering. A machine-learning method was employed to score the features for disambiguating a pair of papers with ambiguous names. These features enable the computation of pairwise similarity scores to estimate the probability of a pair of papers belonging to the same author, which drives an agglomerative clustering algorithm regulated by 2 factors: name compatibility and probability level. With transitivity violation correction, high precision author clustering is achieved by focusing on minimizing false-positive pairing. Disambiguation performance is evaluated with manual verification of random samples of pairs from clustering results. When compared with a state-of-the-art system, our evaluation shows that among all the pairs the lumping error rate drops from 10.1% to 2.2% for our system, while the splitting error rises from 1.8% to 7.7%. This results in an overall error rate of 9.9%, compared with 11.9% for the state-of-the-art method. Other evaluations based on gold standard data also show the increase in accuracy of our clustering. We attribute the performance improvement to the machine-learning method driven by a large-scale training set and the clustering algorithm regulated by a name compatibility scheme preferring precision. With integration of the author name disambiguation system into the PubMed search engine, the overall click-through-rate of PubMed users on author name query results improved from 34.9% to 36.9%.

Life science researchers and health care professionals rely heavily on biomedical literature databases such as MEDLINE to access information essential for research, health care, education, as well as to keep up with the latest developments in their fields. Providing ways to efficiently access and analyze text information is critical and is becoming more challenging with the increasing volume of publications in the biomedical domain. The last decade has shown an exponential rate of growth of biomedical literature [ 1 ].

BACKGROUND: The rapid growth of biomedical literature requires accurate text analysis and text processing tools. Detecting abbreviations and identifying their definitions is an important component of such tools. Most existing approaches for the abbreviation definition identification task employ rule-based methods. While achieving high precision, rule-based methods are limited to the rules defined and fail to capture many uncommon definition patterns. Supervised learning techniques, which offer more flexibility in detecting abbreviation definitions, have also been applied to the problem. However, they require manually labeled training data. METHODS: In this work, we develop a machine learning algorithm for abbreviation definition identification in text which makes use of what we term naturally labeled data. Positive training examples are naturally occurring potential abbreviation-definition pairs in text. Negative training examples are generated by randomly mixing potential abbreviations with unrelated potential definitions. The machine learner is trained to distinguish between these two sets of examples. Then, the learned feature weights are used to identify the abbreviation full form. This approach does not require manually labeled training data. RESULTS: We evaluate the performance of our algorithm on the Ab3P, BIOADI and Medstract corpora. Our system demonstrated results that compare favourably to the existing Ab3P and BIOADI systems. We achieve an F-measure of 91.36% on Ab3P corpus, and an F-measure of 87.13% on BIOADI corpus which are superior to the results reported by Ab3P and BIOADI systems. Moreover, we outperform these systems in terms of recall, which is one of our goals.

The rapid growth of biomedical literature requires accurate text analysis and text processing tools. Detecting abbreviations and identifying their definitions is an important component of such tools. In this work, we develop a machine learning algorithm for abbreviation definition identification in text. Most existing approaches for abbreviation definition identification employ rule-based methods. While achieving high precision, rule-based methods are limited to the rules defined and fail to capture many uncommon definition patterns. Supervised learning techniques, which offer more flexibility in detecting abbreviation definitions, have also been applied to the problem. However, they require manually labeled training data. In this study, we make use of what we term naturally labeled data. Positive training examples are extracted from text, which provides naturally occurring potential abbreviation-definition pairs. Negative training examples are generated randomly by mixing potential abbreviations with unrelated potential definitions. The machine learner is trained to distinguish between these two sets of examples. Then, the learned feature weights are used to identify the abbreviation full form. This approach does not require manually labeled training data. We evaluate the performance of our algorithm on the Ab3P, BIOADI and Meds tract corpora. We achieve an F-score that is comparable to the earlier existing systems yet with a higher recall.

indicates that many such queries are meaningful phrases, rather than simple collections of terms. In this study, we examine whether or not it makes a difference, in terms of retrieval quality, if such queries are interpreted as a phrase or as a conjunction of query terms. And, if it does, what is the optimal way of searching with such queries. To address the question, we developed an automated retrieval evaluation method, based on machine learning techniques, that enables us to evaluate and compare various retrieval outcomes. We show that the class of records that contain all the search terms, but not the phrase, qualitatively differs from the class of records containing the phrase. We also show that the difference is systematic, depending on the proximity of query terms to each other within the record. Based on these results, one can establish the best retrieval order for the records. Our findings are consistent with studies in proximity searching.