Patient-oriented clinical trials search through semantic integration of Linked Open Data

Patients facing a serious disease often want to be able to search for relevant clinical trials for new or more effective alternative treatments. The NIH makes all of its trials available on a website, in fact, for this purpose. Its search facility, however, is difficult to use and requires the patient to sift through lengthy text descriptions for relevant information. Our overall aim is to build a system that allows for a more patient-focused clinical trial search facility. In this paper, we present a semantic integration approach using RDF triples to develop an integrated clinical trial knowledge representation, by linking different Linked Open Data such as clinical trials provided by NIH as well as the drug side effects dataset SIDER. The integration model uses UMLS to link concepts from different sources with consistent semantics and ontological knowledge. Patient-oriented functions that our prototype system provides include semantic search and query with reasoning ability, and semantic-link browsing where an exploration of one concept leads to other concepts easily via links which can provide visual search for the end users.

[1]  Yugyung Lee,et al.  MindTrial: An Intelligent System for Clinical Trials. , 2010, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[2]  Alan R. Aronson,et al.  An overview of MetaMap: historical perspective and recent advances , 2010, J. Am. Medical Informatics Assoc..

[3]  Magnus Knuth,et al.  A semantic model for representing items in clinical trials , 2009, 2009 22nd IEEE International Symposium on Computer-Based Medical Systems.

[4]  Anita Burgun-Parenthoine,et al.  Using Semantic Web Technologies for Clinical Trial Recruitment , 2010, International Semantic Web Conference.

[5]  Riccardo Miotto,et al.  A human-computer collaborative approach to identifying common data elements in clinical trial eligibility criteria , 2013, J. Biomed. Informatics.

[6]  Renée J. Miller,et al.  LinkedCT: A Linked Data Space for Clinical Trials , 2009, ArXiv.

[7]  David W. Embley,et al.  Assessing clinical trial eligibility with logic expression queries , 2008, Data Knowl. Eng..

[8]  Tom Heath,et al.  Linked Data: Evolving the Web into a Global Data Space , 2011, Linked Data.

[9]  Michael Hogarth,et al.  Adoption, Acceptability, and Accuracy of an Online Clinical Trial Matching Website for Breast Cancer , 2012, Journal of medical Internet research.

[10]  Mor Peleg,et al.  A practical method for transforming free-text eligibility criteria into computable criteria , 2011, J. Biomed. Informatics.

[11]  Ida Sim,et al.  RuleEd, a Web-based Semantic Network Interface for Constructing and Revising Computable Eligibility Rules , 2006, AMIA.

[12]  Chunhua Weng,et al.  Extracting temporal constraints from clinical research eligibility criteria using conditional random fields. , 2011, AMIA ... Annual Symposium proceedings. AMIA Symposium.

[13]  Michel Dumontier,et al.  Building an effective Semantic Web for health care and the life sciences , 2010, Semantic Web.

[14]  Karthik Gomadam,et al.  TrialX: Using semantic technologies to match patients to relevant clinical trials based on their Personal Health Records , 2010, J. Web Semant..

[15]  Robert M Califf,et al.  Characteristics of clinical trials registered in ClinicalTrials.gov, 2007-2010. , 2012, JAMA.

[16]  P. Bork,et al.  A side effect resource to capture phenotypic effects of drugs , 2010, Molecular systems biology.

[17]  Nancy L. Atkinson,et al.  Using the Internet to search for cancer clinical trials: a comparative audit of clinical trial search tools. , 2008, Contemporary clinical trials.

[18]  Eugene Fink,et al.  Selection of patients for clinical trials: an interactive web-based system , 2004, Artif. Intell. Medicine.

[19]  Jacques Bouaud,et al.  Using ONCODOC as a Computer-Based Eligibility Screening System to Improve Accrual onto Breast Cancer Clinical Trials , 2001, AIME.

[20]  Tim Berners-Lee,et al.  Linked Data - The Story So Far , 2009, Int. J. Semantic Web Inf. Syst..

[21]  Konstantinos Tserpes,et al.  Semantically-enabled Intelligent Patient Recruitment in Clinical Trials , 2010, 2010 International Conference on P2P, Parallel, Grid, Cloud and Internet Computing.

[22]  Christopher G. Chute,et al.  Using Semantic Web Technologies for Cohort Identification from Electronic Health Records for Clinical Research , 2012, AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science.

[23]  Edith Schonberg,et al.  Matching Patient Records to Clinical Trials Using Ontologies , 2007, ISWC/ASWC.

[24]  David Glasspool,et al.  Comparing semi-automatic systems for recruitment of patients to clinical trials , 2011, Int. J. Medical Informatics.