We often summarize a multi-party conversation in two stages: chunking with homogeneous units and summarizing the chunks. Thus, we hypothesize that there exists a correlation between homogeneous speaker chunking and overall summarization tasks. In this work, we investigate the effectiveness of a multi-faceted approach that simultaneously produces summaries of medical concerns, doctor impressions, and an overall view. We introduce a multi-modal, multi-tasking, knowledge-infused medical dialogue summary generation (MMK-Summation) model, which is incorporated with adapter-based fine-tuning through a gated mechanism for multi-modal information integration. The model, MMK-Summation, takes dialogues as input, extracts pertinent external knowledge based on the context, integrates the knowledge and visual cues from the dialogues into the textual content, and ultimately generates concise summaries encompassing medical concerns, doctor impressions, and a comprehensive overview. The introduced model surpasses multiple baselines and traditional summarization models across all evaluation metrics (including human evaluation), which firmly demonstrates the efficacy of the knowledge-guided multi-tasking, multimodal medical conversation summarization. The code is available at https://github.com/NLP-RL/MMK-Summation.
In doctor-patient conversations, identifying medically relevant information is crucial, posing the need for conversation summarization. In this work, we propose the first deployable real-time speech summarization system for real-world applications in industry, which generates a local summary after every N speech utterances within a conversation and a global summary after the end of a conversation. Our system could enhance user experience from a business standpoint, while also reducing computational costs from a technical perspective. Secondly, we present VietMed-Sum which, to our knowledge, is the first speech summarization dataset for medical conversations. Thirdly, we are the first to utilize LLM and human annotators collaboratively to create gold standard and synthetic summaries for medical conversation summarization. Finally, we present baseline results of state-of-the-art models on VietMed-Sum. All code, data (English-translated and Vietnamese) and models are available online: https://github.com/leduckhai/MultiMed/tree/master/VietMed-Sum
With the advancement of telemedicine, both researchers and medical practitioners are working hand-in-hand to develop various techniques to automate various medical operations, such as diagnosis report generation. In this paper, we first present a multi-modal clinical conversation summary generation task that takes a clinician-patient interaction (both textual and visual information) and generates a succinct synopsis of the conversation. We propose a knowledge-infused, multi-modal, multi-tasking medical domain identification and clinical conversation summary generation (MM-CliConSummation) framework. It leverages an adapter to infuse knowledge and visual features and unify the fused feature vector using a gated mechanism. Furthermore, we developed a multi-modal, multi-intent clinical conversation summarization corpus annotated with intent, symptom, and summary. The extensive set of experiments, both quantitatively and qualitatively, led to the following findings: (a) critical significance of visuals, (b) more precise and medical entity preserving summary with additional knowledge infusion, and (c) a correlation between medical department identification and clinical synopsis generation. Furthermore, the dataset and source code are available at https://github.com/NLP-RL/MM-CliConSummation.
Most existing cross-lingual summarization (CLS) work constructs CLS corpora by simply and directly translating pre-annotated summaries from one language to another, which can contain errors from both summarization and translation processes. To address this issue, we propose ConvSumX, a cross-lingual conversation summarization benchmark, through a new annotation schema that explicitly considers source input context. ConvSumX consists of 2 sub-tasks under different real-world scenarios, with each covering 3 language directions. We conduct thorough analysis on ConvSumX and 3 widely-used manually annotated CLS corpora and empirically find that ConvSumX is more faithful towards input text. Additionally, based on the same intuition, we propose a 2-Step method, which takes both conversation and summary as input to simulate human annotation process. Experimental results show that 2-Step method surpasses strong baselines on ConvSumX under both automatic and human evaluation. Analysis shows that both source input text and summary are crucial for modeling cross-lingual summaries.
Clinical conversation summarization has become an important application of Natural language Processing. In this work, we intend to analyze summarization model ensembling approaches, that can be utilized to improve the overall accuracy of the generated medical report called chart note. The work starts with a single summarization model creating the baseline. Then leads to an ensemble of summarization models trained on a separate section of the chart note. This leads to the final approach of passing the generated results to another summarization model in a multi-layer/stage fashion for better coherency of the generated text. Our results indicate that although an ensemble of models specialized in each section produces better results, the multi-layer/stage approach does not improve accuracy. The code for the above paper is available at https://github.com/dhananjay-srivastava/MEDIQA-Chat-2023-iuteam1.git
Large language models (LLMs) have emerged as valuable tools for many natural language understanding tasks. In safety-critical applications such as healthcare, the utility of these models is governed by their ability to generate outputs that are factually accurate and complete. In this work, we present dialog-enabled resolving agents (DERA). DERA is a paradigm made possible by the increased conversational abilities of LLMs, namely GPT-4. It provides a simple, interpretable forum for models to communicate feedback and iteratively improve output. We frame our dialog as a discussion between two agent types - a Researcher, who processes information and identifies crucial problem components, and a Decider, who has the autonomy to integrate the Researcher's information and makes judgments on the final output. We test DERA against three clinically-focused tasks. For medical conversation summarization and care plan generation, DERA shows significant improvement over the base GPT-4 performance in both human expert preference evaluations and quantitative metrics. In a new finding, we also show that GPT-4's performance (70%) on an open-ended version of the MedQA question-answering (QA) dataset (Jin et al. 2021, USMLE) is well above the passing level (60%), with DERA showing similar performance. We release the open-ended MEDQA dataset at https://github.com/curai/curai-research/tree/main/DERA.
Medical conversation summarization is integral in capturing information gathered during interactions between patients and physicians. Summarized conversations are used to facilitate patient hand-offs between physicians, and as part of providing care in the future. Summaries, however, can be time-consuming to produce and require domain expertise. Modern pre-trained NLP models such as PEGASUS have emerged as capable alternatives to human summarization, reaching state-of-the-art performance on many summarization benchmarks. However, many downstream tasks still require at least moderately sized datasets to achieve satisfactory performance. In this work we (1) explore the effect of dataset size on transfer learning medical conversation summarization using PEGASUS and (2) evaluate various iterative labeling strategies in the low-data regime, following their success in the classification setting. We find that model performance saturates with increase in dataset size and that the various active-learning strategies evaluated all show equivalent performance consistent with simple dataset size increase. We also find that naive iterative pseudo-labeling is on-par or slightly worse than no pseudo-labeling. Our work sheds light on the successes and challenges of translating low-data regime techniques in classification to medical conversation summarization and helps guides future work in this space. Relevant code available at \url{https://github.com/curai/curai-research/tree/main/medical-summarization-ML4H-2021}.
While online conversations can cover a vast amount of information in many different formats, abstractive text summarization has primarily focused on modeling solely news articles. This research gap is due, in part, to the lack of standardized datasets for summarizing online discussions. To address this gap, we design annotation protocols motivated by an issues--viewpoints--assertions framework to crowdsource four new datasets on diverse online conversation forms of news comments, discussion forums, community question answering forums, and email threads. We benchmark state-of-the-art models on our datasets and analyze characteristics associated with the data. To create a comprehensive benchmark, we also evaluate these models on widely-used conversation summarization datasets to establish strong baselines in this domain. Furthermore, we incorporate argument mining through graph construction to directly model the issues, viewpoints, and assertions present in a conversation and filter noisy input, showing comparable or improved results according to automatic and human evaluations.
Abstractive conversation summarization has received much attention recently. However, these generated summaries often suffer from insufficient, redundant, or incorrect content, largely due to the unstructured and complex characteristics of human-human interactions. To this end, we propose to explicitly model the rich structures in conversations for more precise and accurate conversation summarization, by first incorporating discourse relations between utterances and action triples ("who-doing-what") in utterances through structured graphs to better encode conversations, and then designing a multi-granularity decoder to generate summaries by combining all levels of information. Experiments show that our proposed models outperform state-of-the-art methods and generalize well in other domains in terms of both automatic evaluations and human judgments. We have publicly released our code at https://github.com/GT-SALT/Structure-Aware-BART.