Beyond current conversational chatbots or task-oriented dialogue systems that have attracted increasing attention, we move forward to develop a dialogue system for automatic medical diagnosis that converses with patients to collect additional symptoms beyond their self-reports and automatically makes a diagnosis. Besides the challenges for conversational dialogue systems (e.g. topic transition coherency and question understanding), automatic medical diagnosis further poses more critical requirements for the dialogue rationality in the context of medical knowledge and symptom-disease relations. Existing dialogue systems (Madotto, Wu, and Fung 2018;Wei et al. 2018;Li et al. 2017) mostly rely on datadriven learning and cannot be able to encode extra expert knowledge graph. In this work, we propose an End-to-End Knowledge-routed Relational Dialogue System (KR-DS) that seamlessly incorporates rich medical knowledge graph into the topic transition in dialogue management, and makes it cooperative with natural language understanding and natural language generation. A novel Knowledge-routed Deep Q-network (KR-DQN) is introduced to manage topic transitions, which integrates a relational refinement branch for encoding relations among different symptoms and symptomdisease pairs, and a knowledge-routed graph branch for topic decision-making. Extensive experiments on a public medical dialogue dataset show our KR-DS significantly beats stateof-the-art methods (by more than 8% in diagnosis accuracy). We further show the superiority of our KR-DS on a newly collected medical dialogue system dataset, which is more challenging retaining original self-reports and conversational data between patients and doctors.
Many real-world open-domain conversation applications have specific goals to achieve during open-ended chats, such as recommendation, psychotherapy, education, etc. We study the problem of imposing conversational goals on open-domain chat agents. In particular, we want a conversational system to chat naturally with human and proactively guide the conversation to a designated target subject. The problem is challenging as no public data is available for learning such a target-guided strategy. We propose a structured approach that introduces coarse-grained keywords to control the intended content of system responses. We then attain smooth conversation transition through turn-level supervised learning, and drive the conversation towards the target with discourse-level constraints. We further derive a keyword-augmented conversation dataset for the study. Quantitative and human evaluations show our system can produce meaningful and effective conversations, significantly improving over other approaches 1 .
Developing conversational agents to interact with patients and provide primary clinical advice has attracted increasing attention due to its huge application potential, especially in the time of COVID-19 Pandemic. However, the training of end-to-end neural-based medical dialogue system is restricted by an insufficient quantity of medical dialogue corpus. In this work, we make the first attempt to build and release a large-scale high-quality Medical Dialogue dataset related to 12 types of common Gastrointestinal diseases named MedDG, with more than 17K conversations collected from the online health consultation community. Five different categories of entities, including diseases, symptoms, attributes, tests, and medicines, are annotated in each conversation of MedDG as additional labels. To push forward the future research on building expert-sensitive medical dialogue system, we proposes two kinds of medical dialogue tasks based on MedDG dataset. One is the next entity prediction and the other is the doctor response generation. To acquire a clear comprehension on these two medical dialogue tasks, we implement several state-of-the-art benchmarks, as well as design two dialogue models with a further consideration on the predicted entities. Experimental results show that the pre-train language models and other baselines struggle on both tasks with poor performance in our dataset, and the response quality can be enhanced with the help of auxiliary entity information. From human evaluation, the simple retrieval model outperforms several state-of-the-art generative models, indicating that there still remains a large room for improvement on generating medically meaningful responses 1 .
Target-guided open-domain conversation aims to proactively and naturally guide a dialogue agent or human to achieve specific goals, topics or keywords during open-ended conversations. Existing methods mainly rely on single-turn data-driven learning and simple target-guided strategy without considering semantic or factual knowledge relations among candidate topics/keywords. This results in poor transition smoothness and low success rate. In this work, we adopt a structured approach that controls the intended content of system responses by introducing coarse-grained keywords, attains smooth conversation transition through turn-level supervised learning and knowledge relations between candidate keywords, and drives an conversation towards an specified target with discourse-level guiding strategy. Specially, we propose a novel dynamic knowledge routing network (DRKN) which considers semantic knowledge relations among candidate keywords for accurate next topic prediction of next discourse. With the help of more accurate keyword prediction, our keyword-augmented response retrieval module can achieve better retrieval performance and more meaningful conversations. Besides, we also propose a novel dual discourse-level target-guided strategy to guide conversations to reach their goals smoothly with higher success rate. Furthermore, to push the research boundary of target-guided open-domain conversation to match real-world scenarios better, we introduce a new large-scale Chinese target-guided open-domain conversation dataset (more than 900K conversations) crawled from Sina Weibo. Quantitative and human evaluations show our method can produce meaningful and effective target-guided conversations, significantly improving over other state-of-the-art methods by more than 20% in success rate and more than 0.6 in average smoothness score.
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