1. The UMLS Semantic Network Alexa T. McCray Center for Clinical Computing Beth Israel Deaconess Medical Center Harvard Medical School mccray@bidmc.harvard.edu The Future of the UMLS Semantic Network National Library of Medicine, April 7, 2005

2. UMLS Project Begun in 1986 - Well before the advent of the World Wide Web Goal - To provide intelligent access to biomedical resources in multiple, disparate databases Language of those resources of primary interest Methodology - Consultation with broad medical informatics constituency - Development of Knowledge Sources

3. Initial Efforts First versions of knowledge sources available to researchers in early 1990’s - Metathesaurus (1990) Interrelate existing vocabularies, thesauri - Semantic Network (1990) Assignment of semantic types to Metathesaurus concepts - Information Sources Map (1991) Characterization of existing databases, including query syntax and MeSH indexing - SPECIALIST Lexicon (1994) Syntactic, morphologic, orthographic information about biomedical and general English terminology

4. Early Development of the UMLS Semantic Network (1988-1989) UMLS collaborators asked to submit lists of useful semantic types and potential relationships between them - Active participation by BWH, Yale, Pittsburgh Purpose - Consistent categorization of all Metathesaurus concepts Early attempts at organizing the suggested types into a network of interrelated types

8. First Released Version of UMLS Semantic Network (1990) 131 semantic types - Each Metathesaurus concept assigned one or more semantic types, according to definitions of the types and a set of guidelines 35 relationships - Relationships developed by top-down and bottom- up approaches and included definitions Those deemed to be important for information retrieval Review of (implicit) relationships in MeSH and in MEDLINE citation records

11. Current Semantic Network 135 semantic types - 2 major hierarchies Entity - Physical Object - Conceptual Entity Event - Activity - Phenomenon or Process 54 relationships

12. Sample Semantic Type Definition UI: T190 STY: Anatomical Abnormality ABR: anab STN: A1.2.2 DEF: An abnormal structure, or one that is abnormal in size or location. UN: Use this type if the abnormality in question can be either an acquired or congenital abnormality. Neoplasms are not included here. These are given the type 'Neoplastic Process'. If an anatomical abnormality has a pathologic manifestation, then it will additionally be given the type 'Disease or Syndrome', e.g., "Diabetic Cataract" will be double-typed for this reason. HL: {isa} Anatomical Structure; {inverse_isa} Congenital Abnormality; {inverse_isa} Acquired Abnormality

13. Sample Relationship Definition UI: T151 RL: affects ABR: AF RIN: affected_by RTN: R3.1 DEF: Produces a direct effect on. Implied here is the altering or influencing of an existing condition, state, situation, or entity. This includes has a role in, alters, influences, predisposes, catalyzes, stimulates, regulates, depresses, impedes, enhances, contributes to, leads to, and modifies. HL: {isa} functionally_related_to; {inverse_isa} interacts_with; {inverse_isa} disrupts; {inverse_isa} prevents … STL: [Anatomical Abnormality|Organism]; [Anatomical Abnormality|Physiologic Function] …

14. Body System Body Space or Junction Body Location or Region Entity Physical ObjectConceptual Entity Substance Idea or Concept Functional Concept Spatial Concept Body Substance Embryonic Structure Fully Formed Anatomical Structure Body Part, Organ or Organ Component TissueCell Component Gene or Genome Anatomical Structure Congenital Abnormality Acquired Abnormality Anatomical Abnormality Portion of the Entity Hierarchy

15. Relationships Hierarchical (isa) - Among types Animal isa Organism Enzyme isa Biologically Active Substance - Among relationships treats isa affects Non-hierarchical (associative) - Sign or Symptom diagnoses Pathologic Function - Pharmacologic Substance treats Pathologic Function

16. Relationships (isa and associative)

17. A Portion of the Current Semantic Network

18. Relationships Relationship between a pair of semantic types is a possible link between the concepts assigned to those semantic types - Relationship may or may not hold at the concept level A child semantic type inherits properties from its parents

19. Inheritance at Concept Level Semantic Network Metathesaurus Adrenal Cortex Adrenal Cortical hypofunction Disease or Syndrome Body Part, Organ, or Organ Component Pathologic Function isa Biologic Function isa Fully Formed Anatomical Structure isa location of

20. Grouping SemanticTypes Complexity of domain makes it difficult to - Navigate and display the knowledge - Reason with the objects in the domain - Comprehend the conceptual space Semantic Network reduces the conceptual complexity of the UMLS, but - For some purposes, smaller and coarser- grained groupings are needed

21. Semantic Type Groupings (2001) Clustered the larger set of semantic types into a small number of general groups Total of 15 groupings Effected an almost complete partitioning of the UMLS Metathesaurus

22. Grouping Principles Completeness - Groups must cover the full domain Parsimony - Number of groups should be as small as possible Naturalness - Groups must be acceptable to a domain expert

23. Grouping Principles (cont.) Utility - Groups must be useful for some purpose Semantic validity - Groups must be semantically coherent - Relationships shared by members of group Exclusivity - Groups fully partition the domain

24. Groupings (2001 Data)

25. Some Relationships between Semantic Groups

26. Distribution of Concepts in the UMLS (2001 Data)

27. Distribution of Concepts in PDQ (2001 Data)

28. Research Applications of the Semantic Network Natural language processing Information extraction and retrieval Ontological research Subsetting the domain - E.g. extract all Metathesaurus concepts with a particular set of semantic types Conceptualizing the domain - E.g., one resource oriented heavily to chemicals, another oriented to diseases

29. Summary UMLS Semantic Network - Provides overall conceptual structure to the UMLS by Linking semantic types to Metathesaurus concepts Providing a set of relationships to interrelate the types and (by inference) the concepts Allowing users to extract all concepts with a particular type - Used in a number of research applications - Variety of enhancements possible

30. Some References McCray AT, Hole WT. The scope and structure of the first version of the UMLS Semantic Network. Proc Annu Symp Comput Appl Med Care, 1990; 126 ‑ 130. McCray AT. The UMLS Semantic Network. Proc Annu Symp Comput Appl Med Care. 1989; 503-7. McCray AT. Representing biomedical knowledge in the UMLS Semantic Network. High ‑ Performance Medical Libraries: Advances in Information Management for the Virtual Era. Westport: Meckler Publishing, 1993; 45 ‑ 55.

31. Some References (cont.) McCray AT, Nelson SJ. The representation of meaning in the UMLS. Methods Inf Med. 1995; 34(1 ‑ 2):193 ‑ 201. McCray AT, Burgun A, Bodenreider O. Aggregating UMLS semantic types for reducing conceptual complexity. MEDINFO. 2001; 216-220. McCray AT. An upper level ontology for the biomedical domain. Comp Funct Genom 2003; 4:80-4. Bodenreider O, McCray AT. Exploring semantic groups through visual approaches. Journal of Biomedical Informatics 2003;36(6):414-432.