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Long Medical Document LMs

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Train and explain language models that extract information from long medical documents with the Masked Sampling Procedure (MSP)

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Quick Start

To run the Masked Sampling Procedure (MSP) to generate sentence-level explanations of a document-level classifier, cd to explain, then run python explain_with_msp.py. Adjust explain/params.yml to provide your data and model as input, or test MSP using the default options (requires access to HuggingFace). To learn more about this repository, the recommended environment to run MSP, the option to train your own models with this repository, and how MSP was evaluated, check out the following sections of this README.

About

This codebase contains scripts to:

  1. Pretrain language models (LMs) in a self-supervised fashion using masked language modeling (MLM) and fine-tune these LMs for document classification.
  2. Compute the importance of multi-token text blocks to fine-tuned LM predictions for a given document or set of documents using a variety of methods.

In our paper, "Extend and Explain: Interpreting Very Long Language Models", we propose a novel method called the Masked Sampling Procedure (MSP) and compare it to 1) random sampling and 2) the Sampling and Occlusion (SOC) algorithm from Jin et al.. MSP is well-suited to very long, sparse-attention LMs, and has been validated for medical documents using two physician annotators. Learn more from our paper and presentation.

The code to run MSP currently supports HuggingFace LMs and Datasets and would require slight modifications to use other types of models and input data. If you need to fine-tune or continue pretraining an existing LM, check out models/README.md. To create a Hugging Face Dataset, check out the documentation here.

The code used for the experiments in "Extend and Explain" can be found in the first release of this repository (v0.0.1). Since then, changes have been made to MSP (for example in PR#10) to improve runtime performance and potentially the clinical informativeness of explanations through new features such as GPU-efficient batching and sentence-level masked sampling.

Environment

All scripts are intended to be run in a Python 3.8 Anaconda environment. To create such an environment run conda create --name text-blocks python=3.8 then source activate text-blocks to activate the environment. Dependencies can be installed from requirements.txt by running pip install -r requirements.txt from the base directory of this repository.

The explainability experiment scripts are equipped to run LM inference on a single GPU VM and have been tested on Azure Standard_NC6s_v3 machines which have 16 GB GPU RAM, while the training scripts in models/ (except for lr.py) use PyTorch Data Parallelism to distribute training over a single node with multiple GPUs. LM training scripts were tested on Azure Standard_ND40rs_v2 machines which have 32 GB GPU RAM per GPU and 8 GPUs in total. As of v0.0.2, the MSP script for generating explanations can run in Data Parallel mode, speeding up inference. As such, something like the Standard_ND40rs_v2 with multiple GPUs is a desirable machine for running MSP.

LM Training

All of the explainability algorithms work by interpreting a trained text classifier. Additionally, SOC, the baseline to which we compare in our paper from Jin et al., uses an LM that has undergone further pretraining on the dataset used for sequence classification. To fine-tune or continue pretraining an LM, check out the code in general/models and the associated README.md file for assistance with training.

Generating Explanations

Explainability scripts can be run from the explain directory as follows:

  • To compute text block importance with MSP, adjust the MSP parameters in explain/params.yml, then run python explain_with_msp.py.
  • To compute text block importance with SOC, adjust the SOC parameters in explain/params.yml, then run python explain_with_soc.py.

Be sure to check out and adjust the input data path, trained classifier path, and LM path (in the case of SOC), as well as the parameters for the explainability algorithms before running each script. MSP can generate sentence-level explanations as well as explanations on fixed-length blocks of text.

Evaluation

We used expert human annotaters to validate MSP, and you can take a look at the notebooks we used to generate blind experiment data for these annotators and analyze the results at blind_experiment. For different datasets, you might wish to generate your own annotations using a similar approach. Alternatively, Murdoch et al. and Jin et al. used a method to automatically assess explanations by comparing importance scores of words or phrases from an explainability algorithm with Logistic Regression. This approach is limited in that multicollinearity and other factors can impact coefficient estimates, and the method also assumes a linear relationship between bag-of-words or bag-of-phrase representations of text within a document and the document labels. Still, this method provides a rough estimate of explanation fidelity. Code for this automated evaluation procedure can be found in evaluate with parameters in evaluate/ae_params.yml.

Contributing

If you have a suggestion to improve this repository, please read CONTRIBUTING.md. PRs are greatly appreciated! After following instructions in CONTRIBUTING.md, add a feature by:

  1. Forking the project
  2. Creating your feature branch (git checkout -b feature/AmazingFeature)
  3. Committing your changes (git commit -m 'Add some AmazingFeature')
  4. Pushing to the branch (git push origin feature/AmazingFeature)
  5. Opening a pull request with a description of your changes

License

Distributed under the Apache 2.0 license. See LICENSE.txt for more information.

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Citation

If you use this code in your research, please cite our paper: "Extend and Explain: Interpreting Very Long Language Models".

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Explain and train language models that extract information from long medical documents with the Masked Sampling Procedure (MSP)

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