MedicalSum: A Guided Clinical Abstractive Summarization Model for Generating Medical Reports from Patient-Doctor Conversations

George Michalopoulos, Kyle Brandon Williams, Gagandeep Singh, Thomas T. Lin · 2022

We introduce MedicalSum, a transformer-based sequence-to-sequence architecture for summarizing medical conversations by integrating medical domain knowledge from the Unified Medical Language System (UMLS).The novel knowledge augmentation is performed in three ways: (i) introducing a guidance signal that consists of the medical words in the input sequence, (ii) leveraging semantic type knowledge in UMLS to create clinically meaningful input embeddings, and (iii) making use of a novel weighted loss function that provides a stronger incentive for the model to correctly predict words with a medical meaning.By applying these three strategies, MedicalSum takes clinical knowledge into consideration during the summarization process and achieves stateof-the-art ROUGE score improvements of 0.8-2.1 points (including 6.2% ROUGE-1 error reduction in the PE section) when producing medical summaries of patient-doctor conversations.* * This work was conducted at Microsoft.

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