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A Concept Based Approach for Translation of Medical Dialogues into Pictographs

Pictographs have been found to improve patient comprehension of medical information or instructions. However, tools to produce pictograph representations from natural language are still scarce. In this contribution we describe a system that automatically translates French speech into pictographs to enable diagnostic interviews in emergency settings, thereby providing a tool to overcome the language barrier or provide support in Augmentative and Alternative Communication (AAC) contexts. Our approach is based on a semantic gloss that serves as pivot between spontaneous language and pictographs, with medical concepts represented using the UMLS ontology. In this study we evaluate different available pre-trained models fine-tuned on artificial data to translate French into this semantic gloss. On unseen data collected in real settings, consisting of questions and instructions by physicians, the best model achieves an F0.5 score of 86.7. A complementary human evaluation of the semantic glosses differing from the reference shows that 71% of these would be usable to transmit the intended meaning. Finally, a human evaluation of the pictograph sequences derived from the gloss reveals very few additions, omissions or order issues (<3%), suggesting that the gloss as designed is well suited as a pivot for translation into pictographs.