Evidence map›Paper›PMID 21705457›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Towards spoken clinical-question answering: evaluating and adapting automatic speech-recognition systems for spoken clinical questions.

Feifan Liu, Gokhan Tur, Dilek Hakkani-Tür, Hong Yu

Abstract readComparative Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Qcorp: an annotated classification corpus of Chinese health questions.BMC medical informatics and decision making · 2018
    Article
  4. Article
  5. Article
  6. An investigation into the feasibility of spoken clinical question answering.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Feifan LiuDepartment of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
Gokhan Tur
Dilek Hakkani-Tür
Hong Yu

Funding

HERMES - Help physicians to Extract and aRticulate Multimedia information from liR01LM009836 · NLM · UNIVERSITY OF WISCONSIN MILWAUKEE · PI YU, HONG · 2007 to 2009
$1.3M
NLM NIH HHS 5R01LM009836NLM NIH HHS R01 LM009836
6 · The paper itself

Abstract

objectiveTo evaluate existing automatic speech-recognition (ASR) systems to measure their performance in interpreting spoken clinical questions and to adapt one ASR system to improve its performance on this task. DESIGN AND MEASUREMENTS: The authors evaluated two well-known ASR systems on spoken clinical questions: Nuance Dragon (both generic and medical versions: Nuance Gen and Nuance Med) and the SRI Decipher (the generic version SRI Gen). The authors also explored language model adaptation using more than 4000 clinical questions to improve the SRI system's performance, and profile training to improve the performance of the Nuance Med system. The authors reported the results with the NIST standard word error rate (WER) and further analyzed error patterns at the semantic level.

resultsNuance Gen and Med systems resulted in a WER of 68.1% and 67.4% respectively. The SRI Gen system performed better, attaining a WER of 41.5%. After domain adaptation with a language model, the performance of the SRI system improved 36% to a final WER of 26.7%.

conclusionWithout modification, two well-known ASR systems do not perform well in interpreting spoken clinical questions. With a simple domain adaptation, one of the ASR systems improved significantly on the clinical question task, indicating the importance of developing domain/genre-specific ASR systems.

Indexed as

Data MiningDecision Support Systems, ClinicalNatural Language ProcessingSpeech Recognition SoftwareHumansSemanticsSoftware DesignTechnology Assessment, BiomedicalUnified Medical Language System

Identifiers

PMID21705457
PMCPMC3168303

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.