Ashenafi Zebene Woldaregay

Helge Fredriksen, Per Joel Burman, Ashenafi Woldaregay et al.

Patients being admitted to a hospital will most often be associated with a certain clinical development during their stay. However, there is always a risk of patients being subject to the wrong diagnosis or to a certain treatment not pertaining to the desired effect, potentially leading to adverse events. Our research aims to develop an anomaly detection system for identifying deviations from expected clinical trajectories. To address this goal we analyzed 16 months of vital sign recordings obtained from the Nordland Hospital Trust (NHT). We employed an self-supervised framework based on the STraTS transformer architecture to represent the time series data in a latent space. These representations were then subjected to various clustering techniques to explore potential patient phenotypes based on their clinical progress. While our preliminary results from this ongoing research are promising, they underscore the importance of enhancing the dataset with additional demographic information from patients. This additional data will be crucial for a more comprehensive evaluation of the method's performance.

Ashenafi Zebene Woldaregay, Jørgen Aarmo Lund, Phuong Dinh Ngo et al.

Background: Clinical natural language processing (NLP) refers to the use of computational methods for extracting, processing, and analyzing unstructured clinical text data, and holds a huge potential to transform healthcare in various clinical tasks. Objective: The study aims to perform a systematic review to comprehensively assess and analyze the state-of-the-art NLP methods for the mainland Scandinavian clinical text. Method: A literature search was conducted in various online databases including PubMed, ScienceDirect, Google Scholar, ACM digital library, and IEEE Xplore between December 2022 and February 2024. Further, relevant references to the included articles were also used to solidify our search. The final pool includes articles that conducted clinical NLP in the mainland Scandinavian languages and were published in English between 2010 and 2024. Results: Out of the 113 articles, 18% (n=21) focus on Norwegian clinical text, 64% (n=72) on Swedish, 10% (n=11) on Danish, and 8% (n=9) focus on more than one language. Generally, the review identified positive developments across the region despite some observable gaps and disparities between the languages. There are substantial disparities in the level of adoption of transformer-based models. In essential tasks such as de-identification, there is significantly less research activity focusing on Norwegian and Danish compared to Swedish text. Further, the review identified a low level of sharing resources such as data, experimentation code, pre-trained models, and rate of adaptation and transfer learning in the region. Conclusion: The review presented a comprehensive assessment of the state-of-the-art Clinical NLP for electronic health records (EHR) text in mainland Scandinavian languages and, highlighted the potential barriers and challenges that hinder the rapid advancement of the field in the region.