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Title: A lexical-based approach for exhaustive detection of missing hierarchical IS-A relations in SNOMED CT
Incompleteness of ontologies affects the quality of downstream ontology-based applications. In this paper, we introduce a novel lexical-based approach to automatically detect potentially missing hierarchical IS-A relations in SNOMED CT. We model each concept with an enriched set of lexical features, by leveraging words and noun phrases in the name of the concept itself and the concept's ancestors. Then we perform subset inclusion checking to suggest potentially missing IS-A relations between concepts. We applied our approach to the September 2017 release of SNOMED CT (US edition) which suggested a total of 38,615 potentially missing IS-A relations. For evaluation, a domain expert reviewed a random sample of 100 missing IS-A relations selected from the "Clinical finding" sub-hierarchy, and confirmed 90 are valid (a precision of 90%). Additional review of invalid suggestions further revealed incorrect existing IS-A relations. Our results demonstrate that systematic analysis of the enriched lexical features of concepts is an effective approach to identify potentially missing hierarchical IS-A relations in SNOMED CT.  more » « less
Award ID(s):
1931134
PAR ID:
10286742
Author(s) / Creator(s):
; ;
Date Published:
Journal Name:
AMIA Annual Symposium proceedings
Page Range / eLocation ID:
1392-1401
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
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    SNOMED CT is the largest clinical terminology worldwide. Quality assurance of SNOMED CT is of utmost importance to ensure that it provides accurate domain knowledge to various SNOMED CT-based applications. In this work, we introduce a deep learning-based approach to uncover missing is-a relations in SNOMED CT.

    Materials and Methods

    Our focus is to identify missing is-a relations between concept-pairs exhibiting a containment pattern (ie, the set of words of one concept being a proper subset of that of the other concept). We use hierarchically related containment concept-pairs as positive instances and hierarchically unrelated containment concept-pairs as negative instances to train a model predicting whether an is-a relation exists between 2 concepts with containment pattern. The model is a binary classifier leveraging concept name features, hierarchical features, enriched lexical attribute features, and logical definition features. We introduce a cross-validation inspired approach to identify missing is-a relations among all hierarchically unrelated containment concept-pairs.

    Results

    We trained and applied our model on the Clinical finding subhierarchy of SNOMED CT (September 2019 US edition). Our model (based on the validation sets) achieved a precision of 0.8164, recall of 0.8397, and F1 score of 0.8279. Applying the model to predict actual missing is-a relations, we obtained a total of 1661 potential candidates. Domain experts performed evaluation on randomly selected 230 samples and verified that 192 (83.48%) are valid.

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    The results showed that our deep learning approach is effective in uncovering missing is-a relations between containment concept-pairs in SNOMED CT.

     
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    Methods

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