BMC Medical Informatics and Decision Making

Background: While keyword based queries of databases such as Pubmed are frequently of great utility, the ability to use regular expressions in place of a keyword can often improve the results output by such databases. Regular expressions can allow for the identification of element types that cannot be readily specified by a single keyword and can allow for different words with similar character sequences to be distinguished. Results: A Perl based utility was developed to allow the use of regular expressions in Pubmed searches, thereby improving the accuracy of the searches. Conclusion: This utility was then utilized to create a comprehensive listing of all DFN deafness mutations discussed in Pubmed records containing the keywords "human ear".


can be view
d in an aggregated fashion, and thus recent studies have employed computational methods of information extraction from the biomedical literature.These studies have dealt with a wide range of information extractions, including the names of genes and proteins [1], intermolecular relationships [2], and molecular biological descriptors [3].

Pubmed currently catalogs citation and abstract information for over 4,400 biomedical research journals and houses a citation dat base of over 12.8 million citations [4].With any database of this size the return of relevant query results is often a difficult task, given the large number of potential matches there likely are for any single query term.These difficulties are compounded even further, given that Pubmed records are all natural language records and searches cannot readily be conducted using a predefined set of terms, as is the case for many relational databases.Thus Pubmed employs a word-matching algorithm, which seeks to match query words to the contents of citation records, and will return all records containing that word in their order of publication starting with the most recent.

For certain types of queries, such as mutations, basic word matching is an ineffective search strategy, since an effective query can ot be specified as a single word, but rather is better expressed as a textual pattern, such as [Residue] [Position] [MutantResidue] [5].The use of textual pattern matching, however, has a wide array of uses that extend beyond the location of mutations within Pubmed records, and include the ability to distinguish between articles which discuss pKa values as opposed to articles that discuss Protein Kinase A (PKA), which would both be yielded by a Pubmed search for the "pKa" word.These above examples, illustrate the two major applications that text patterns offer to Pubmed searching; 1) the identification of elements that cannot be specified by a single word and 2) distinguishing between two different words that are comprised of a similar sequence of characters [6].Textual patterns are commonly matched via the use of regular expressions and studies that involve the extraction of biochemical mutation data from biomedical literature have demonstrated a high degree of success [5,7].This study seeks to develop a Perl based utility Perl Regular Expressions for Pubmed (PREP.pl,See Additional File 1, which allows the searching of Pubmed citation records for the presence of textual patterns and for the placement of match containing records into an HTML formatted output file.This Perl based utility will then be utilized to construct a comprehensive listing of DFN mutations discussed in Pubmed records containing the "human ear" keywords.


Implementation

The PREP utility The script interacts with Pubmed via NCBI's E-Utilities interface [4] and the LWP module handles all HTT

based communica
ion.The script begins by using the ESearch method to query Pubmed for all records containing a user defined search term, such as "lysozyme" or "HIV".Pubmed ID numbers of all matching records are temporarily stored on the Pubmed server and can be accessed using the EFetch method and an assigned Web environment variable and query key, which is returned by the ESearch method.Records returned by the EFetch method are requested in XML format, since the well-defined hierarchical structures of XML documents greatly simplifies parsing tasks [6].This script makes use of the XML::LibXML Perl module for XML parsing, and from each Pubmed record the title of the article, the journal information, the abstract, and the Pubmed ID of the record, are extracted, based on their corresponding XML tag names.

A user specified regular expression is then used to search the abstract and title fields of each record and look for a textual pattern match.O ly the title and abstract fields are searched, since these are the fields in which pattern matches are most likely to be found, and the elimination of other fields reduces the potential for false positives.If a match occurs the journal information, the abstract, and title are output to an HTML file (Figure 1).

The title is output in the format of a hyperlink to the Pubmed record that corresponds to that article, to allow for easy retrieval of any additi nal information pertaining to the article that the output file does not provide or in certain cases easy retrieval of the entire article.The generation of an HTML output allows for the results to be easily shared among users working on disparate computing platforms.Records that contain no matches to the text pattern of interest are not written to an output file.On an AMD Athlon 2000+ the PREP script can process an average of 500 abstracts per minute.

PREP can be run from the command line of any Linux or Unix machine that has the XML::Lib::XML Perl module installed.The regular expression used with n the script is modified by changing the value of the $regex variable within the script, as indicated by the code documentation.Command line script execution can be initiated using the standard Perl command line syntax of "perl Prep.plKeywords".The utility was chosen to be implemented in a command line fashion since this makes the utility suitable for easy inclusion in more comprehensive data mining scripts where the search functionality of PREP may provide useful.


Validation of utility

As a test of the specificity obtainable by the PREP script, all Pubmed records that resulted from a search for the word "lysozym

were checked for patt
rn matches to the Protein Kinase A abbreviation "PKA" by using the regular expression PKA within the PREP script.At the time the test was conducted there were 19,964 records returned, and the PREP script indicated that only 3 records contained the textual pattern "PKA".These findings were manually confirmed by going through all records returned by the lysozyme search.The textual pattern "pKa", however, is actually fairly common throughout the lysozyme record set, and the PREP script successfully eliminated these "pKa" containing records from the search results, whereas the standard Pubmed keyword search is unable to accomplish this.Thus, this test is indicative that with a wellformed regular expression a high degree of specificity and search refinement can be achieved between different words with like character compositions.While no false positives were noted during the manual confirmation of these search results, the potential source of false negatives for this search would be abstracts that discussed Protein Kinase A without mentioning the abbreviation PKA.

The ability of the PREP script to identify elements that cannot be specified as a single word was tested by searching for mutations in the records returned b a search for "hen egg white lysozyme" using the regular expression:
[ARNDCEQGHILKMFPSTWYV]\d+[ARNDCEQGHILKM- FPSTWYV]| [A-Z][a-z][a-z]\d+[A-Z][a-z][a-z]
This expression allows for the identification of mutations written out in "hen egg white lysozyme" search of Pubmed yielded 1146 records of which PREP identified 62 as matching the above regular expression pattern, and were manually confirmed.Of these 62 matches, 36 (58%) records contained actual mutations while the remaining 42% contained false positives, such as the abbreviation for T4 Lysozyme (T4L).In order to lessen the percentage of false positives, the false positives were examined and it became apparent that many of the same false positives occurred in repeated records.Thus a simple filter was created by defining a second regular expression, which explicitly matched the false positives, and prevented them from being recorded in the program output, thereby eliminating these repeating false positives.In this manner, the total number of PREP matches was reduced to 47, raising the percentage of valid positives up to 77% and reducing the number of false negatives to 23%.This is indicative that the PREP script can be an effective tool in reducing the search space necessary for manual processing by taking the 1146 initial records and narrowing down the list of possible records to 47, or 4% of the original search space.It should be further noted that the PREP script did not miss any records that contained matching patterns within the data set, and that the DFN prefix associated with deafness mutations is less likely to turn up false positives than the more generalized pattern associated with biochemical mutation data.This validation exercise, though, does demonstrate the utility of an application specific filter as a means of reducing false positives where warranted.


Results

The textual pattern DFN [A-Z]\d+ was defined, where [A-Z] could be any letter between A and Z and \d+ could be a combination of one or more numeric digits

d this p
ttern used to search through records returned by a PubMed search for the keywords "human ear".The search yielded 61,371 Pubmed records and out of those 117 contained a pattern match.All of the pattern matches corresponded to valid DFN deafness mutations and no false positives were returned.The DFN mutation found in the 117 matching records are summarized in Table 1.In cases where multiple records discussed a mutation, a representative record is listed in the source field, rather than every record, to limit table length.


A screen shot of the PREP program output for a search for DFN deafness


Discussion & conclusion

The PREP script was able to process 61,371 Pubmed records displaying t e keywords "human ear" and narrow the relevant search space down to 117 articles that contain different DFN deafness mutations.This is slightly less tha

0.2% of the original sea
ch space, demonstrating the utility of pattern matching in aiding researchers in obtaining relevant information from the biomedical literature.Furthermore, the lack of false positives among the returned results demonstrates that the accuracy and utility of this approach can be further enhanced when the defined pattern possesses a high degree of specificity.The PREP approach to literature searching would therefore allow researchers to uncover a diversity of information pertaining to deafness mutations in a single search, whereas uncovering the same 45 DFN deafness mutations (Table 1) by standard keyword searches would take considerably more time and effort.However, when utilizing such an approach to literature searching, in addition to false positives, it is important to carefully consider the keywords presented to Pubmed.For example, this "human ear" keyword search failed to uncover the DFNB35 mutation [8] since it does not appear in an abstract that contains the words "human" and "ear".Potential sources of false negatives among search results include papers that do not utilize the DFN based nomenclature to discuss the mutation or articles that mention the abbreviation in the text, but not the abstract.Based on the validation tests, however, the false negative rate is expected to be low.Even with these limitations, however, the textual pattern based search methodology presented here can be of great value to researchers in the otolaryngological sciences as well as in other biomedical disciplines, since regular expressions can also be created to match other biological patterns, such as DNA or protein sequences, ions, enzyme names, and numerous other possibilities.

Figure 1 A
1
screen shot of the PREP program output for a search for DFN deafness.


Table 1 : Mutations located in the PREP program results
1Mutation NameMutation EffectRepresentative SourceDFNA1Diaphonous gene mutation associated with autosomal dominant no

utation in EYA4 caus
s late onset deafness10DFNA11MYO7A mutation that results in p

gressive loss of mechan
transduction11DFNA12TECTA mutation resulting in hearing impairment1