Xiaodi Li, Trisha Das, Kritib Bhattarai, Sivaraman Rajaganapathy, Vincent C Buchner, Yanshan Wang, Chang Su, Lichao Sun, Liewei Wang, James R Cerhan, Nansu Zong
{"title":"Leveraging multi-source data to resolve inconsistency across pharmacogenomic datasets in drug sensitivity prediction.","authors":"Xiaodi Li, Trisha Das, Kritib Bhattarai, Sivaraman Rajaganapathy, Vincent C Buchner, Yanshan Wang, Chang Su, Lichao Sun, Liewei Wang, James R Cerhan, Nansu Zong","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Researchers have developed pharmacogenomics datasets for various purposes, such as biomarker identification, yet drug response prediction models often underperform due to dataset inconsistencies. These variations arise from inter-tumoral heterogeneity, experimental conditions, and cell subtype complexity, limiting model generalizability. To address this, we propose a computational model based on Aggregated Learning (AL) to enhance drug response prediction by learning from inconsistencies across multiple datasets. Our model minimizes discrepancies by training on overlapping inconsistent data points from three pharmacogenomic datasets-CCLE, GDSC2, and gCSI. Compared to four baseline methods-Selecting Better (SB), Result Average (RA), Combining Data (CD), and Model Average (MA)-our approach achieved superior performance with lower Mean Absolute Error (MAE) scores: 0.090 (CCLE-GDSC), 0.096 (CCLE-gCSI), and 0.081 (GDSC-gCSI). These results demonstrate that addressing inconsistencies enhances prediction accuracy and generalizability, making our model a promising solution for robust drug response predictions.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"744-753"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relation Extraction with Instance-Adapted Predicate Descriptions.","authors":"Yuhang Jiang, Ramakanth Kavuluru","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Relation extraction (RE) is a standard information extraction task playing a major role in downstream applications such as knowledge discovery and question answering. Although decoder-only large language models are excelling in generative tasks, smaller encoder models are still the go to architecture for RE. In this paper, we revisit fine-tuning such smaller models using a novel dual-encoder architecture with a joint contrastive and cross-entropy loss. Unlike previous methods that employ a fixed linear layer for predicate representations, our approach uses a second encoder to compute instance-specific predicate representations by infusing them with real entity spans from corresponding input instances. We conducted experiments on two biomedical RE datasets and two general domain datasets. Our approach achieved F<sub>1</sub> score improvements ranging from 1% to 2% over state-of-the-art methods with a simple but elegant formulation. Ablation studies justify the importance of various components built into the proposed architecture.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"546-555"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jimmy K Yu, Marcos Martínez-Romero, Matthew Horridge, Mete U Akdogan, Mark A Musen
{"title":"A General-Purpose Data Harmonization Framework: Supporting Reproducible and Scalable Data Integration in the RADx Data Hub.","authors":"Jimmy K Yu, Marcos Martínez-Romero, Matthew Horridge, Mete U Akdogan, Mark A Musen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the age of big data, it is important for primary research data to follow the FAIR principles of findability, accessibility, interoperability, and reusability. Data harmonization enhances interoperability and reusability by aligning heterogeneous data under standardized representations, benefiting both repository curators responsible for upholding data quality standards and consumers who require unified datasets. However, data harmonization is difficult in practice, requiring significant domain and technical expertise. We present a software framework to facilitate principled and reproducible harmonization protocols. Our framework implements a novel strategy of building harmonization transformations from parameterizable primitive operations, such as the assignment of numerical values to user-specified categories, with automated bookkeeping for executed transformations. We establish our data representation model and harmonization strategy and then report a proof-of-concept application in the context of the RADx Data Hub. Our framework enables data practitioners to execute transparent and reproducible harmonization protocols that align closely with their research goals.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"1482-1491"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Di Hu, Yawen Guo, Ha Na Cho, Emilie Chow, Dana B Mukamel, Dara Sorkin, Andrew Reikes, Danielle Perret, Deepti Pandita, Kai Zheng
{"title":"When AI Writes Back: Ethical Considerations by Physicians on AI-Drafted Patient Message Replies.","authors":"Di Hu, Yawen Guo, Ha Na Cho, Emilie Chow, Dana B Mukamel, Dara Sorkin, Andrew Reikes, Danielle Perret, Deepti Pandita, Kai Zheng","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The increasing burden of responding to large volumes of patient messages has become a key factor contributing to physician burnout. Generative AI (GenAI) shows great promise to alleviate this burden by automatically drafting patient message replies. The ethical implications of this use have however not been fully explored. To address this knowledge gap, we conducted a qualitative interview study with 21 physicians who participated in a GenAI pilot program. We found that notable ethical considerations expressed by the physician participants included oversight as ethical safeguard, transparency and patient consent of AI use, patient misunderstanding of AI's role, and patient privacy and data security as prerequisites. Additionally, our findings suggest that the physicians believe the ethical responsibility of using GenAI in this context primarily lies with users, not with the technology. These findings may provide useful insights into guiding the future implementation of GenAI in clinical practice.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"481-489"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayana Sarrieddine, Claire Lai, Oliver Bear Don't Walk, Nick F H Reid, Gregory Sawicki, Ariel Berlinski, Margaret Rosenfeld, Andrea L Hartzler
{"title":"Technology and Human Support Systems in Decentralized Studies: A Participant-Centered Case Study in Cystic Fibrosis.","authors":"Ayana Sarrieddine, Claire Lai, Oliver Bear Don't Walk, Nick F H Reid, Gregory Sawicki, Ariel Berlinski, Margaret Rosenfeld, Andrea L Hartzler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the integration of informatics into clinical research reshapes the landscape of decentralized studies, optimizing participant experience remains a key challenge. Although prior research has established foundations for decentralized study design, a more comprehensive understanding of participant perspectives is essential to ensure remote methods for data collection meet participant needs. This study contributes to a growing literature in participant-centered decentralized studies through an analysis of OUTREACH, a 3-month home spirometry study among individuals with cystic fibrosis. Through a qualitative analysis of 46 participant exit interviews, we identified three overarching categories that influenced participant experience: motivators, technological infrastructure, and human coordination. Our findings emphasize the value of reliable technology and comprehensive interpersonal support systems. These findings shed light upon the importance of sociotechnical elements for optimizing participant experience, which may enhance the quality of clinical study data through meaningful participant engagement.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"1130-1139"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xubing Hao, Rashmie Abeysinghe, Jay Shi, Guo-Qiang Zhang, Licong Cui
{"title":"Identifying Missing IS-A Relations in SNOMED CT with Fine-Tuned Pre-trained Language Models and Non-lattice Subgraphs.","authors":"Xubing Hao, Rashmie Abeysinghe, Jay Shi, Guo-Qiang Zhang, Licong Cui","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ensuring the completeness of IS-A relations in SNOMED CT is crucial for maintaining its accuracy in clinical applications. In this study, we propose a hybrid approach leveraging non-lattice subgraphs and pre-trained language models (PLMs) to identify missing IS-A relations in SNOMED CT. We fine-tuned four BERT-based models: BERT, DistillBERT, DeBERTa, and BioClinicalBERT, and four generative large language models (LLMs): BioMistral, Llama3, Gemma2, and Phi-4. Missing IS-A relations were identified through consensus predictions by all eight models. De-BERTa achieved the best performance (precision: 0.96, recall: 0.97, F1-score: 0.965) for IS-A relation prediction. Our approach identified 678 potential missing IS-A relations in SNOMED CT (March 2023 US Edition), of which 100 randomly selected cases were manually reviewed by a domain expert, confirming 93 as valid (93% precision). These results demonstrate the effectiveness of fine-tuned PLMs in detecting missing IS-A relations within non-lattice subgraphs, offering a promising avenue for improving SNOMED CT's quality.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"433-442"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katherine A Zellner, Sifan Yuan, Emily R Ernst, Dylan W Arkowitz, Aaron H Mun, Mary S Kim, Ivan Marsic, Randall S Burd, Aleksandra Sarcevic
{"title":"STop Clock for Automated Tracking (STAT) during Time-Critical Medical Work: Evaluating the Accuracy and Usability of an AI-Driven Automated Stop Clock.","authors":"Katherine A Zellner, Sifan Yuan, Emily R Ernst, Dylan W Arkowitz, Aaron H Mun, Mary S Kim, Ivan Marsic, Randall S Burd, Aleksandra Sarcevic","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Delays and process inefficiencies during trauma resuscitation can contribute to adverse patient outcomes. While tracking elapsed time may improve the trauma team's temporal awareness and reduce delays, reliance on manual activation of stop clocks can introduce variability. To address this limitation, we implemented a computer vision-powered automatic stop clock designed to activate upon patient arrival without requiring manual input. We conducted a retrospective video review of 50 trauma resuscitations to assess how the clock was used in practice, followed by semi-structured interviews with nine trauma team members to elicit their feedback and perceptions. This study contributes to the broader discussion on AI-assisted clinical tools, highlighting the role of automation in supporting trauma teams, reducing variability in time tracking, and improving process efficiency.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"1502-1510"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hasin Rehana, Jie Zheng, Feng-Yu Yeh, Benu Bansal, Nur Bengisu Çam, Christianah Jemiyo, Brett McGregor, Arzucan Özgür, Yongqun He, Junguk Hur
{"title":"Leveraging Large Language Models for Cancer Vaccine Adjuvant Name Extraction from Biomedical Literature.","authors":"Hasin Rehana, Jie Zheng, Feng-Yu Yeh, Benu Bansal, Nur Bengisu Çam, Christianah Jemiyo, Brett McGregor, Arzucan Özgür, Yongqun He, Junguk Hur","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study explores cancer vaccine adjuvant name recognition using Large Language Models (LLMs), specifically Generative Pretrained Transformers (GPT), Large Language Model Meta AI (Llama), and Gemma. The models were tested in zero- and few-shot learning paradigms using AdjuvareDB and Vaccine Adjuvant Compendium (VAC) datasets. Prompts were designed to extract adjuvant names and assess the impact of contextual details. Notably, Llama-3.2 3B achieved a Recall of up to 68.7% (72.5% with manual validation) on the VAC dataset with four-shots, although its Precision and F1-score were lower. In contrast, GPT-4o, with additional contextual interventions, achieved a Precision of 65.9%, Recall of 79.7%, and F1-score of 69.8% on the AdjuvareDB dataset. Gemma-2 9B also demonstrated moderate few-shot gains, peaking at 63.6% F1-score. These LLMs outperformed BioBERT, a model widely used for biomedical text mining, highlighting the potential of general-purpose LLMs for automatic vaccine adjuvant name extraction and contributing to advancements in vaccine research.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"1071-1080"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia C Dunbar, Wanda Pratt, Lily Jeffs, Chelsea Ng, Sanaa Sayed, Jodi Smith, Ari H Pollack
{"title":"My Kidney T.R.E.K. - Thinking, Reflecting, and Empowering Kidney Transplant Patients, through technology.","authors":"Julia C Dunbar, Wanda Pratt, Lily Jeffs, Chelsea Ng, Sanaa Sayed, Jodi Smith, Ari H Pollack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adolescents and young adults with kidney transplants face unique challenges as they transition toward independent self-management. These youth need tools that not only support skill-building but also foster reflection, a key component of self-management. To address this need, we created a digital prototype designed to help users reflect on their transplant journey through storytelling and evaluated it in a study with 23 participants (13 youth and 10 caregivers) using. Participants found value in engaging with the prototype, which helped them reflect on their past experiences, gain insight into their current journey, and envision their future. Youth, in particular, reported increased self-awareness and confidence in managing their health. Based on these findings, we present design recommendations for future digital health tools aimed at supporting self-management in youth with chronic conditions.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"342-351"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Data-Driven Evidence-Based Patient-Centered Optimal Initiation Time for Dialysis Treatment.","authors":"Eva K Lee, Di Liu, Jeffrey Hoffman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this study, we propose a novel decision-making framework based on natural-language processing, machine learning and stochastic modeling for the purpose of providing a data-driven perspective to optimize the initiation time for dialysis treatment. When to start dialysis treatment is an important decision for end-stage chronic kidney disease (CKD) care. In the absence of a national guideline, determining the best time to start dialysis remains a challenge. Our decision support framework for optimizing the initiation time includes (a) a comprehensive, efficient \"pipeline\" for extracting, de-identifying, and standardizing EHR data; (b) an informatics toolkit that couples natural language processing and event mapping, clustering and machine learning to uncover the disease prognosis and treatment effects, and deduce the symptoms and utility rewards for each disease-action stage; (c) a first-of-its-kind, personalized, dialysis-timing stochastic model to determine the optimal initiation time; and (d) a clinical practice guideline (CPG) for systematic testing and implementation in the clinical setting. We evaluate the results using utility rewards for each decision process and published financial costs for each CKD disease and treatment stage. Compared to current clinical policy, the optimal initiation-time policies offer a potential 20.0% to 54.7% mortality reduction, an increase of 6.4% to 14.7% in overall utility reward and a reduction of 9.6% to 16.7% in overall cost. Working with nephrologists and a CKD/ESRD care team, a CPG was developed and tested in the clinic. Initial usage shows promising results. Follow-on clinical trials will gauge the overall effectiveness and impact on patient care of our approach. The new CPG has the potential to become a national standard.</p>","PeriodicalId":72180,"journal":{"name":"AMIA ... Annual Symposium proceedings. AMIA Symposium","volume":"2024 ","pages":"683-692"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12919589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}