Although pre-training has become a prevalent approach for addressing various biomedical tasks, the current efficacy of pre-trained models is hindered by their reliance on a limited scope of medical sources. This limitation results in data scarcity during pre-training and restricts the range of applicable downstream tasks. In response to these challenges, we develop MedCSP, a new pre-training strategy designed to bridge the gap between multimodal medical sources. MedCSP employs modality-level aggregation to unify patient data within individual sources. Additionally, leveraging temporal information and diagnosis history, MedCSP effectively captures explicit and implicit correlations between patients across different sources. To evaluate the proposed strategy, we conduct comprehensive experiments, where the experiments are based on 6 modalities from 2 real-world medical data sources, and MedCSP is evaluated on 4 tasks against 19 baselines, marking an initial yet essential step towards cross-source modeling in the medical domain.

Reconstructing natural language from non-invasive electroencephalography (EEG) holds great promise as a language decoding technology for brain-computer interfaces (BCIs). However, EEG-based language decoding is still in its nascent stages, facing several technical issues such as: 1) Absence of a hybrid strategy that can effectively integrate cross-modality (between EEG and text) self-learning with intra-modality self-reconstruction of EEG features or textual sequences; 2) Under-utilization of large language models (LLMs) to enhance EEG-based language decoding. To address above issues, we propose the Contrastive EEG-Text Masked Autoencoder (CET-MAE), a novel model that orchestrates compound self-supervised learning across and within EEG and text through a dedicated multi-stream encoder. Furthermore, we develop a framework called E2T-PTR (EEG-to-Text decoding using Pretrained Transferable Representations), which leverages pre-trained modules alongside the EEG stream from CET-MAE and further enables an LLM (specifically BART) to decode text from EEG sequences. Comprehensive experiments conducted on the popular text-evoked EEG database, ZuCo, demonstrate the superiority of E2T-PTR, which outperforms the baseline framework in ROUGE-1 F1 and BLEU-4 scores by 8.34% and 32.21%, respectively. Our proposed pre-trained EEG-Text model shows the potential to improve downstream tasks involving EEG and text. This opens up promising avenues for its application in inner speech BCI paradigms, meriting further investigation.

Automatic International Classification of Diseases (ICD) coding plays a crucial role in the extraction of relevant information from clinical notes for proper recording and billing. One of the most important directions for boosting the performance of automatic ICD coding is modeling ICD code relations. However, current methods insufficiently model the intricate relationships among ICD codes and often overlook the importance of context in clinical notes. In this paper, we propose a novel approach, a contextualized and flexible framework, to enhance the learning of ICD code representations. Our approach, unlike existing methods, employs a dependent learning paradigm that considers the context of clinical notes in modeling all possible code relations. We evaluate our approach on six public ICD coding datasets and the experimental results demonstrate the effectiveness of our approach compared to state-of-the-art baselines.

Pretraining has proven to be a powerful technique in natural language processing (NLP), exhibiting remarkable success in various NLP downstream tasks. However, in the medical domain, existing pretrained models on electronic health records (EHR) fail to capture the hierarchical nature of EHR data, limiting their generalization capability across diverse downstream tasks using a single pretrained model. To tackle this challenge, this paper introduces a novel, general, and unified pretraining framework called MedHMP, specifically designed for hierarchically multimodal EHR data. The effectiveness of the proposed MedHMP is demonstrated through experimental results on eight downstream tasks spanning three levels. Comparisons against eighteen baselines further highlight the efficacy of our approach.

The competition of extracting COVID-19 events from Twitter is to develop systems that can automatically extract related events from tweets. The built system should identify different pre-defined slots for each event, in order to answer important questions (e.g., Who is tested positive? What is the age of the person? Where is he/she?). To tackle these challenges, we propose the Joint Event Multi-task Learning (JOELIN) model. Through a unified global learning framework, we make use of all the training data across different events to learn and fine-tune the language model. Moreover, we implement a type-aware post-processing procedure using named entity recognition (NER) to further filter the predictions. JOELIN outperforms the BERT baseline by 17.2% in micro F1.