Semantic Echo Pathways (SEP): Tracing How Medical Language Propagates and Transforms

Charu Karakkaparambil James, Marcio Monteiro, Sophie Fellenz


Abstract
We introduce Semantic Echo Pathways (SEP), a new approach for modeling the cross-domain evolution of medical language. Using continual neural topic models (CoNTM) trained separately on scientific literature, clinical notes, and public health-related data, we track linguistic drift and identify points where concepts change meaning. We propose three novel metrics: Cross-Domain Drift Score, Temporal Echo Lag, and Semantic Mutation Patterns to quantify how medical language travels between the scientific, clinical, and public domain. Applications to evolving concepts such as "long COVID", diagnostic category changes reveal previously undocumented patterns of medical-semantic evolution. Our results bridge computational modeling with the human-centered perspectives of medical humanities, offering clear, domain-aware maps of how medical language shifts across time and domains, and combining quantitative analysis with linguistic and clinical insight.
Anthology ID:
2026.healing-1.5
Volume:
Proceedings of the 1st Workshop on Linguistic Analysis for Health (HeaLing 2026)
Month:
March
Year:
2026
Address:
Rabat, Morocco
Editors:
Vera Danilova, Murathan Kurfalı, Ylva Söderfeldt, Julia Reed, Andrew Burchell
Venues:
HeaLing | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
55–66
Language:
URL:
https://preview.aclanthology.org/ingest-eacl/2026.healing-1.5/
DOI:
Bibkey:
Cite (ACL):
Charu Karakkaparambil James, Marcio Monteiro, and Sophie Fellenz. 2026. Semantic Echo Pathways (SEP): Tracing How Medical Language Propagates and Transforms. In Proceedings of the 1st Workshop on Linguistic Analysis for Health (HeaLing 2026), pages 55–66, Rabat, Morocco. Association for Computational Linguistics.
Cite (Informal):
Semantic Echo Pathways (SEP): Tracing How Medical Language Propagates and Transforms (Karakkaparambil James et al., HeaLing 2026)
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PDF:
https://preview.aclanthology.org/ingest-eacl/2026.healing-1.5.pdf