FAMESUMM: Investigating and Improving Faithfulness of Medical Summarization

Research output: Chapter in book/report/conference proceedingConference contributionResearchpeer review

Authors

  • Nan Zhang
  • Yusen Zhang
  • Wu Guo
  • Prasenjit Mitra
  • Rui Zhang

Research Organisations

External Research Organisations

  • Pennsylvania State University
  • Zhengzhou University
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Details

Original languageEnglish
Title of host publicationProceedings of the 2023 Conference on Empirical Methods in Natural Language Processing
EditorsHouda Bouamor, Juan Pino, Kalika Bali
Pages10915-10931
Number of pages17
ISBN (electronic)9798891760608
Publication statusPublished - 2023
EventConference on Empirical Methods in Natural Language Processing, EMNLP 2023 - Hybrid, Singapore
Duration: 6 Dec 202310 Dec 2023

Abstract

Summaries of medical text shall be faithful by being consistent and factual with source inputs, which is an important but understudied topic for safety and efficiency in healthcare. In this paper, we investigate and improve faithfulness in summarization on a broad range of medical summarization tasks. Our investigation reveals that current summarization models often produce unfaithful outputs for medical input text. We then introduce FAMESUMM, a framework to improve faithfulness by fine-tuning pre-trained language models based on medical knowledge. FAMESUMM performs contrastive learning on designed sets of faithful and unfaithful summaries, and it incorporates medical terms and their contexts to encourage faithful generation of medical terms. We conduct comprehensive experiments on three datasets in two languages: health question and radiology report summarization datasets in English, and a patient-doctor dialogue dataset in Chinese. Results demonstrate that FAMESUMM is flexible and effective by delivering consistent improvements over mainstream language models such as BART, T5, mT5, and PEGASUS, yielding state-of-the-art performances on metrics for faithfulness and general quality. Human evaluation by doctors also shows that FAMESUMM generates more faithful outputs. Our code is available at https://github.com/psunlpgroup/FaMeSumm.

ASJC Scopus subject areas

Sustainable Development Goals

Cite this

FAMESUMM: Investigating and Improving Faithfulness of Medical Summarization. / Zhang, Nan; Zhang, Yusen; Guo, Wu et al.
Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing. ed. / Houda Bouamor; Juan Pino; Kalika Bali. 2023. p. 10915-10931.

Research output: Chapter in book/report/conference proceedingConference contributionResearchpeer review

Zhang, N, Zhang, Y, Guo, W, Mitra, P & Zhang, R 2023, FAMESUMM: Investigating and Improving Faithfulness of Medical Summarization. in H Bouamor, J Pino & K Bali (eds), Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing. pp. 10915-10931, Conference on Empirical Methods in Natural Language Processing, EMNLP 2023, Singapore, 6 Dec 2023. https://doi.org/10.18653/v1/2023.emnlp-main.673
Zhang, N., Zhang, Y., Guo, W., Mitra, P., & Zhang, R. (2023). FAMESUMM: Investigating and Improving Faithfulness of Medical Summarization. In H. Bouamor, J. Pino, & K. Bali (Eds.), Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing (pp. 10915-10931) https://doi.org/10.18653/v1/2023.emnlp-main.673
Zhang N, Zhang Y, Guo W, Mitra P, Zhang R. FAMESUMM: Investigating and Improving Faithfulness of Medical Summarization. In Bouamor H, Pino J, Bali K, editors, Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing. 2023. p. 10915-10931 Epub 2023 Dec. doi: 10.18653/v1/2023.emnlp-main.673
Zhang, Nan ; Zhang, Yusen ; Guo, Wu et al. / FAMESUMM : Investigating and Improving Faithfulness of Medical Summarization. Proceedings of the 2023 Conference on Empirical Methods in Natural Language Processing. editor / Houda Bouamor ; Juan Pino ; Kalika Bali. 2023. pp. 10915-10931
Download
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abstract = "Summaries of medical text shall be faithful by being consistent and factual with source inputs, which is an important but understudied topic for safety and efficiency in healthcare. In this paper, we investigate and improve faithfulness in summarization on a broad range of medical summarization tasks. Our investigation reveals that current summarization models often produce unfaithful outputs for medical input text. We then introduce FAMESUMM, a framework to improve faithfulness by fine-tuning pre-trained language models based on medical knowledge. FAMESUMM performs contrastive learning on designed sets of faithful and unfaithful summaries, and it incorporates medical terms and their contexts to encourage faithful generation of medical terms. We conduct comprehensive experiments on three datasets in two languages: health question and radiology report summarization datasets in English, and a patient-doctor dialogue dataset in Chinese. Results demonstrate that FAMESUMM is flexible and effective by delivering consistent improvements over mainstream language models such as BART, T5, mT5, and PEGASUS, yielding state-of-the-art performances on metrics for faithfulness and general quality. Human evaluation by doctors also shows that FAMESUMM generates more faithful outputs. Our code is available at https://github.com/psunlpgroup/FaMeSumm.",
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AU - Zhang, Nan

AU - Zhang, Yusen

AU - Guo, Wu

AU - Mitra, Prasenjit

AU - Zhang, Rui

N1 - Funding Information: We thank Tianyang Zhao, Xiangyu Dong, Yilun Zhao, Yiyang Feng, Fangxu Yu, Yunxiang Li, Xue-qing Zhang, and Wei Chen for their significant assistance on data annotation. This research was partially funded by the Federal Ministry of Education and Research (BMBF), Germany under the project LeibnizKILabor with grant No. 01DD20003.

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