Contextual word embedding models such as ELMo (, 2018) and BERT (, 2018) have dramatically improved performance for many natural language processing (NLP) tasks in recent months. However, these models have been minimally explored on specialty corpora, such as clinical text; moreover, in the clinical domain, no publicly-available pre-trained BERT models yet exist. In this work, we address this need by exploring and releasing BERT models for clinical text: one for generic clinical text and another for discharge summaries specifically. We demonstrate that using a domain-specific model yields performance improvements on three common clinical NLP tasks as compared to nonspecific embeddings. These domain-specific models are not as performant on two clinical de-identification tasks, and argue that this is a natural consequence of the differences between de-identified source text and synthetically non de-identified task text.
BERT has, in general, been found to be superior to ELMo and far superior to non-contextual embeddings on a variety of tasks, including those in the clinical domain @cite_1 . For this reason, we only examine BERT here, rather than including ELMo or non-contextual embedding methods.
@cite_1
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Neural network-based representations ("embeddings") have dramatically advanced natural language processing (NLP) tasks, including clinical NLP tasks such as concept extraction. Recently, however, more advanced embedding methods and representations (e.g., ELMo, BERT) have further pushed the state-of-the-art in NLP, yet there are no common best practices for how to integrate these representations into clinical tasks. The purpose of this study, then, is to explore the space of possible options in utilizing these new models for clinical concept extraction, including comparing these to traditional word embedding methods (word2vec, GloVe, fastText). Both off-the-shelf, open-domain embeddings and pre-training clinical embeddings from MIMIC-III are evaluated. We explore a battery of embedding methods consisting of traditional word embeddings and contextual embeddings, and compare these on four concept extraction corpora: i2b2 2010, i2b2 2012, SemEval 2014, and SemEval 2015. We also analyze the impact of the pre-training time of a large language model like ELMo or BERT on the extraction performance. Finally, we present an intuitive way to understand the semantic information encoded by contextual embeddings. Contextual embeddings pre-trained on a large clinical corpus achieves new state-of-the-art performances across all concept extraction tasks. The best-performing model outperforms all state-of-the-art methods with respective F1-measures of 90.25, 93.18 (partial), 80.74, and 81.65. We demonstrate the potential of contextual embeddings through the state-of-the-art performance these methods achieve on clinical concept extraction. Additionally, we demonstrate contextual embeddings encode valuable semantic information not accounted for in traditional word representations. Recently, neural models pretrained on a language modeling task, such as ELMo (, 2017), OpenAI GPT (, 2018), and BERT (, 2018), have achieved impressive results on various natural language processing tasks such as question-answering and natural language inference. In this paper, we describe a simple re-implementation of BERT for query-based passage re-ranking. Our system is the state of the art on the TREC-CAR dataset and the top entry in the leaderboard of the MS MARCO passage retrieval task, outperforming the previous state of the art by 27 (relative) in MRR@10. The code to reproduce our results is available at this https URL Pretraining sentence encoders with language modeling and related unsupervised tasks has recently been shown to be very effective for language understanding tasks. By supplementing language model-style pretraining with further training on data-rich supervised tasks, such as natural language inference, we obtain additional performance improvements on the GLUE benchmark. Applying supplementary training on BERT (, 2018), we attain a GLUE score of 81.8---the state of the art (as of 02 24 2019) and a 1.4 point improvement over BERT. We also observe reduced variance across random restarts in this setting. Our approach yields similar improvements when applied to ELMo (, 2018a) and (2018)'s model. In addition, the benefits of supplementary training are particularly pronounced in data-constrained regimes, as we show in experiments with artificially limited training data. Modern deep transfer learning approaches have mainly focused on learning generic feature vectors from one task that are transferable to other tasks, such as word embeddings in language and pretrained convolutional features in vision. However, these approaches usually transfer unary features and largely ignore more structured graphical representations. This work explores the possibility of learning generic latent relational graphs that capture dependencies between pairs of data units (e.g., words or pixels) from large-scale unlabeled data and transferring the graphs to downstream tasks. Our proposed transfer learning framework improves performance on various tasks including question answering, natural language inference, sentiment analysis, and image classification. We also show that the learned graphs are generic enough to be transferred to different embeddings on which the graphs have not been trained (including GloVe embeddings, ELMo embeddings, and task-specific RNN hidden unit), or embedding-free units such as image pixels.