hpi-dhc · phlobo · Mar 8, 2024 · Mar 7, 2024 · Mar 7, 2024 · Mar 7, 2024
diff --git a/examples/04_Drug_Names_ATC.ipynb b/examples/04_Drug_Names_ATC.ipynb
@@ -0,0 +1,263 @@
+{
+ "cells": [
+  {
+   "cell_type": "markdown",
+   "id": "62ff831a-ce8b-4fc0-89e6-d910b31c5f85",
+   "metadata": {},
+   "source": [
+    "# Linking Drug Mentions in German (without Context) to ATC\n",
+    "\n",
+    "## Preparation\n",
+    "\n",
+    "- Get German ATC 2023 version from: https://www.wido.de/publikationen-produkte/arzneimittel-klassifikation/ \n",
+    "- Optional: get access to DrugBank (https://go.drugbank.com/releases/latest) for much more aliases (e.g., trade names)\n",
+    "- `pip install openpyxl`\n",
+    "- Prepare xMEN KB and indices:\n",
+    "    - `xmen dict examples/conf/atc.yaml --code examples/dicts/atc2023_de.py`\n",
+    "    - `xmen index examples/conf/atc.yaml --all`"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": 1,
+   "id": "2cbdaaa9-1b2d-4f6b-a193-554da8226217",
+   "metadata": {
+    "tags": []
+   },
+   "outputs": [],
+   "source": [
+    "from xmen import load_kb\n",
+    "from xmen.linkers import default_ensemble\n",
+    "import os\n",
+    "from pathlib import Path"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": 2,
+   "id": "0756e7cf-9478-4bb2-bdf0-2cc147c44e55",
+   "metadata": {
+    "tags": []
+   },
+   "outputs": [],
+   "source": [
+    "base_path = Path(os.path.expanduser('~/.cache/xmen/atc/'))\n",
+    "kb = load_kb(base_path / 'atc.jsonl')"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": 3,
+   "id": "449f6fe0-bcbd-4572-b48a-8f47a98c52f2",
+   "metadata": {
+    "tags": []
+   },
+   "outputs": [
+    {
+     "data": {
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+       "</pre>\n"
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+      ]
+     },
+     "metadata": {},
+     "output_type": "display_data"
+    }
+   ],
+   "source": [
+    "linker = default_ensemble(base_path / 'index')"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": 4,
+   "id": "89561707-0f5e-480e-b96c-c29229e1fd70",
+   "metadata": {
+    "tags": []
+   },
+   "outputs": [],
+   "source": [
+    "drug_mentions = [\n",
+    " 'Ursodeoxycholsäure, 250 mg - Kapsel',\n",
+    " 'Propofol 2%, 20 mg/ml 1000 mg/50 ml Injektionslösung',\n",
+    " 'Norepinephrin 20 µg/ml',\n",
+    " 'Amphotericin B, 10 mg - Lutschtablette',\n",
+    " 'Fentanyl (50 µg/ml) i.v.',\n",
+    " 'Vollelektrolyt-Lösung',\n",
+    " 'Sufentanil 5µg/ml 250 µg/50 ml Injektionslösung'\n",
+    "]"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": 5,
+   "id": "2c09eda3-462c-4f6b-b055-52ff77a6ba65",
+   "metadata": {
+    "tags": []
+   },
+   "outputs": [
+    {
+     "data": {
+      "application/vnd.jupyter.widget-view+json": {
+       "model_id": "5a4c8dd8146148aaa5694a517d6aa965",
+       "version_major": 2,
+       "version_minor": 0
+      },
+      "text/plain": [
+       "Map:   0%|          | 0/7 [00:00<?, ? examples/s]"
+      ]
+     },
+     "metadata": {},
+     "output_type": "display_data"
+    }
+   ],
+   "source": [
+    "predictions = linker.predict_no_context(drug_mentions)"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": 6,
+   "id": "8158be67-5c2e-4358-b986-c72b9a74e43c",
+   "metadata": {
+    "tags": []
+   },
+   "outputs": [
+    {
+     "name": "stdout",
+     "output_type": "stream",
+     "text": [
+      "Input: Ursodeoxycholsäure, 250 mg - Kapsel\n",
+      "Confidence: 0.7435341477394104\n",
+      "CUI: A05AA02, Name: Ursodeoxycholsäure\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases (abbreviated, total: 47): \n",
+      "\t Litursol, Solutrat, Ursochol, Ag-ursodiol, 3alpha,7beta-Dihydroxy-5beta-cholan-24-oic acid, Urso DS, PMS-ursodiol, Ursodeoxycholic acid, (3alpha,5beta,7beta)-3,7-dihydroxycholan-24-oic acid, Urusa\n",
+      "------\n",
+      "Input: Propofol 2%, 20 mg/ml 1000 mg/50 ml Injektionslösung\n",
+      "Confidence: 0.6950462460517883\n",
+      "CUI: N01AX10, Name: Propofol\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases (abbreviated, total: 45): \n",
+      "\t Diprivan, Gobbifol, Hypro, Disoprivan, Propofil, Anesthesia S/I-50, Anesthesia S/I-60, Propofol-II Injection, Propoven, Anepol\n",
+      "------\n",
+      "Input: Norepinephrin 20 µg/ml\n",
+      "Confidence: 0.848741888999939\n",
+      "CUI: C01CA03, Name: Norepinephrin\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases (abbreviated, total: 27): \n",
+      "\t (R)-norepinephrine, Norepinephrine Bitartrate In 5% Dextrose Injection, (R)-4-(2-amino-1-hydroxyethyl)-1,2-benzenediol, Norepinephrine Bitartrate Injection USP, Levophed(r) Norepinephrine Bitartrate, Norépinéphrine, Norepinephrine, Levophed, (R)-(−)-norepinephrine, L-noradrenaline\n",
+      "------\n",
+      "Input: Amphotericin B, 10 mg - Lutschtablette\n",
+      "Confidence: 0.6953610181808472\n",
+      "CUI: J02AA01, Name: Amphotericin B\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases (abbreviated, total: 22): \n",
+      "\t Amphocin, Amphotericinum B, Liposomal amphotericin B, Amphotericin, Fungizone, Amphotec 50 mg, Amphotec 100 mg, Abelect, Amphotericin B, Amphocil\n",
+      "------\n",
+      "Input: Fentanyl (50 µg/ml) i.v.\n",
+      "Confidence: 0.8534790277481079\n",
+      "CUI: N02AB03, Name: Fentanyl\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases (abbreviated, total: 70): \n",
+      "\t Instanyl, Duragesic 12, Fentanyl Buccal, Fentanyl Transdermal, Pecfent, N-(1-phenethylpiperidin-4-yl)-N-phenylpropionamide, Fentora, Lazanda, Mylan-fentanyl Matrix Patch, Abstral\n",
+      "------\n",
+      "Input: Vollelektrolyt-Lösung\n",
+      "Confidence: 0.8366699814796448\n",
+      "CUI: B05XA, Name: Elektrolytlösungen\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases: (total: 0): \n",
+      "\t \n",
+      "------\n",
+      "Input: Sufentanil 5µg/ml 250 µg/50 ml Injektionslösung\n",
+      "Confidence: 0.7572200894355774\n",
+      "CUI: N01AH03, Name: Sufentanil\n",
+      "Definition: None\n",
+      "TUI(s): \n",
+      "Aliases (abbreviated, total: 21): \n",
+      "\t Sufentanyl, N-(4-(Methoxymethyl)-1-(2-(2-thienyl)ethyl)-4-piperidyl)propionanilide, Sufentanilum, Sufentil, Dsuvia, N-(4-(Methoxymethyl)-1-(2-(2-thienyl)ethyl)-4-piperidinyl)-N-phenylpropanamide, Zalviso, Sufentanil Citrate, Sufenta, Chronogesic\n",
+      "------\n"
+     ]
+    }
+   ],
+   "source": [
+    "for d, p in zip(drug_mentions, predictions):\n",
+    "    print('Input:', d)\n",
+    "    top_candidate = p['normalized'][0]\n",
+    "    print('Confidence:', top_candidate['score'])\n",
+    "    print(kb.cui_to_entity[top_candidate['db_id']])\n",
+    "    print('------')"
+   ]
+  },
+  {
+   "cell_type": "code",
+   "execution_count": null,
+   "id": "eb7e79b7-06b9-4fed-a603-8a63cb77b97d",
+   "metadata": {},
+   "outputs": [],
+   "source": []
+  }
+ ],
+ "metadata": {
+  "kernelspec": {
+   "display_name": "Python [conda env:xmen_notebooks]",
+   "language": "python",
+   "name": "conda-env-xmen_notebooks-py"
+  },
+  "language_info": {
+   "codemirror_mode": {
+    "name": "ipython",
+    "version": 3
+   },
+   "file_extension": ".py",
+   "mimetype": "text/x-python",
+   "name": "python",
+   "nbconvert_exporter": "python",
+   "pygments_lexer": "ipython3",
+   "version": "3.10.11"
+  }
+ },
+ "nbformat": 4,
+ "nbformat_minor": 5
+}
diff --git a/examples/README.md b/examples/README.md
@@ -5,6 +5,7 @@
 |[01_BRONCO_German.ipynb](01_BRONCO_German.ipynb)|🇩🇪|Candidate generation and supervised re-ranking using the BRONCO corpus.<br>Shows how you can configure multiple dictionaries in the same config file.|
 |[02_spaCy_German.ipynb](02_spaCy_German.ipynb)|🇩🇪|Using a spaCy NER model with xMEN<br>Shows how to build a pipeline without labelled data using candidate generation, type filtering and pre-trained re-rankers|
 |[03_SNOMED_Linking_German.ipynb](03_SNOMED_Linking_German.ipynb)|🇩🇪|Linking against codes in UMLS source vocabularies (here SNOMED CT)|
+|[04_Drug_Names_ATC.ipynb](04_Drug_Names_ATC.ipynb)|🇩🇪|Normalization of medication mentions (without surrounding text) to ATC codes|
 
 ## External Links
 

diff --git a/examples/conf/atc.yaml b/examples/conf/atc.yaml
@@ -0,0 +1,10 @@
+# Config for German ATC 2023 version
+name : atc
+
+dict:    
+  custom:
+    # Get 2023 version from: https://www.wido.de/publikationen-produkte/arzneimittel-klassifikation/
+    atc_path: local_files/atc2023
+    drug_bank_xml: local_files/drugbank/5.1.8/full-database.xml
+    lang:
+      - de
diff --git a/examples/dicts/atc2023_de.py b/examples/dicts/atc2023_de.py
@@ -0,0 +1,63 @@
+import pandas as pd
+from pathlib import Path
+from collections import defaultdict
+import openpyxl
+import xml.etree.ElementTree as ET
+from xmen.log import logger
+
+
+def get_concept_details(cfg) -> dict:
+    path = cfg.dict.custom.atc_path
+    wb = openpyxl.load_workbook(f"{path}/ATC GKV-AI_2023.xlsm")
+    sheet = wb["WIdO-Index 2023 ATC-sortiert"]
+    sort = pd.DataFrame(sheet.values)
+    sort = sort.rename(columns={0: "code", 2: "text", 4: "DDD_Info"})
+    sort.drop(0, axis=0, inplace=True)
+    sort.dropna(axis=0, how="all", inplace=True)
+    sort.drop(sort[sort.text.isnull()].index, inplace=True)
+    sort.drop(sort[sort.code.isnull()].index, inplace=True)
+
+    sort["code"] = sort["code"].str.rstrip()
+    sort = sort[sort["code"].str.len() > 3]
+
+    if drug_bank_xml := cfg.dict.custom.get("drug_bank_xml", None):
+        logger.info("Extending ATC by DrugBank synonyms")
+
+        ns = {"": "http://www.drugbank.ca"}
+        tree = ET.parse(drug_bank_xml)
+
+        atc2name = defaultdict(set)
+
+        for drug in tree.getroot():
+            aliases = set()
+
+            syns = [s.text for s in drug.findall("synonyms/synonym", ns)]
+            aliases.update(syns)
+
+            products = [p.text for p in drug.findall("products/product/name", ns)]
+            aliases.update(products)
+
+            mixtures = [p.text for p in drug.findall("mixtures/mixture/name", ns)]
+            aliases.update(mixtures)
+
+            international = [i.text for i in drug.findall("international-brands/international-brand/name", ns)]
+            aliases.update(international)
+
+            atc_codes = drug.find("atc-codes", ns)
+            for atc_code in atc_codes:
+                atc2name[atc_code.get("code")].update(aliases)
+
+    logger.info("Building concept dictionary")
+    concept_details = {}
+    for _, entry in sort.iterrows():
+        sid = entry.code
+        if not sid in concept_details:
+            concept_details[sid] = {"concept_id": sid, "canonical_name": entry.text, "types": [], "aliases": []}
+        elif sid in concept_details:
+            concept_details[sid]["aliases"].append(entry.text)
+        if drug_bank_xml:
+            for alias in atc2name[sid]:
+                if not alias in concept_details[sid]["aliases"]:
+                    concept_details[sid]["aliases"].append(alias)
+
+    return concept_details
diff --git a/pyproject.toml b/pyproject.toml
@@ -1,6 +1,6 @@
 [tool.poetry]
 name = "xmen"
-version = "1.0.5"
+version = "1.0.6"
 description = "An extensible toolkit for Cross-lingual (x) Medical Entity Normalization."
 license = "Apache-2.0"
 authors = ["Florian Borchert <[email protected]>"]

diff --git a/xmen/linkers/__init__.py b/xmen/linkers/__init__.py
@@ -63,10 +63,14 @@ def predict_no_context(
         ds = from_spans(entities=spans, sentences=sentences)
         result = self.predict_batch(ds, batch_size)
         if is_str:
-            assert len(result["entities"]) == 1
-            return result["entities"][0]
+            assert len(result["entities"]) == 1 and len(result["entities"][0]) == 1
+            return result["entities"][0][0]
         else:
-            return result["entities"]
+            _result = []
+            for r in result["entities"]:
+                assert len(r) == 1
+                _result.append(r[0])
+            return _result
 
 
 class RerankedLinker(EntityLinker):