This application claims the benefit of EP 13198449.4, filed on Dec. 19, 2013, which is hereby incorporated by reference in its entirety.
The present embodiments relate to a system and a method for extracting relations between measurements and entities within an unstructured text and ontology concepts of at least one domain ontology stored in a domain ontology database.
Unstructured texts such as reports or descriptions of machines may include measurements with numerical values. A typical example for such an unstructured text is a clinical report describing the current health status of a patient. Clinically relevant information may be presented in unstructured format such as a free text report made by a doctor. In most cases, the format of reports allows a free reporting style (e.g., that clinicians are free to document information they regard as relevant or important and may express their findings in any textual format). Unstructured clinical reports may include large amounts of information about the same or different patients. The information that is most relevant for clinical decisions are assertions about findings from examinations concerning the status of anatomical entities and corresponding size descriptions expressed as measurements. Measurements are one of the most important information objects contained in clinical reports. This is due to several reasons. Clinicians may only measure things of importance, and these measurements are comparable and thus provide valuable insights into the change of the patient's health status. However, the semantic information associated with measurement data contained in clinical reports is difficult to extract.
Information extraction as a task of Natural Language Processing is a technique that aims to find important information pieces in unstructured texts by transforming the data into a structured format. This enables an improved access to information enclosed in the unstructured texts. A commonly used technique facilitates knowledge bases such as controlled vocabularies or ontologies to recognize the entities listed in the text. In information extraction based applications, ontologies may be used to recognize and extract ontology concepts. This task is also referred to as entity recognition or semantic annotation. The subsequent analysis of the annotated entities and incorporation of corresponding ontology relations allows a deeper understanding of corresponding semantics.
Even though there are established information extraction techniques to detect and extract measurements in ontology concepts provided in unstructured texts, it is still difficult to identify the corresponding relations between the measurement and the entity the measurement is about.
In a conventional system, users such as clinicians may access information about measurements only within an extra manual effort (e.g., the users are to manually collect measurements from different reports in order to compare respective measurement values). Sometimes, users such as clinicians are to go back to the original data source such as an image and measure the entities again.
The scope of the present invention is defined solely by the appended claims and is not affected to any degree by the statements within this summary.
There is a need to provide a method and a system for extracting relations between measurements within an unstructured text and ontology concepts such as anatomical entities.
The present embodiments may obviate one or more of the drawbacks or limitations in the related art. In a first aspect, a system for extracting relations between measurements within an unstructured text and ontology concepts of at least one domain ontology stored in a domain ontology database is provided. The extraction system includes an annotation unit adapted to process sentences of the unstructured text to derive tokens and measurements within the sentences. The derived tokens are annotated with ontology concepts mapped to the tokens. A concept analyzing unit is adapted to analyze, for each annotated sentence including at least one derived measurement, the annotated ontology concepts mapped to the derived tokens of the sentence to identify the ontology concepts related to the at least one derived measurement and to rank the identified related ontology concepts according to the calculated relation strengths of the relations between the identified related ontology concepts and the respective measurement of the annotated sentence. In one embodiment, the annotation unit and/or the concept analyzing unit is or includes one or more computer processors.
In one embodiment of the system according to the first aspect of, the system further includes a knowledge model database storing at least one knowledge data model linked to the domain ontology. The knowledge data model indicates for some or all ontology concepts of the domain ontology at least one corresponding expected measurement range for measurement values of a typical measurement made in a specific state of the respective ontology concept.
In another embodiment of the system according to the first aspect, the concept analyzing unit is connected to the annotation unit to receive preprocessed sentences including at least one derived measurement and annotated ontology concepts from the preprocessing annotation unit and is further connected to the knowledge model database to apply the stored knowledge data model to identify the ontology concepts within each received sentence related to the at least one measurement within the same received sentence and to calculate the relation strengths of the relations between the identified ontology concepts and the respective measurement.
In one embodiment of the system according to the first aspect, the annotation unit includes an input interface adapted to receive text data of the unstructured text from a data memory permanently connected or temporarily connectable to the input interface of the system.
In another embodiment of the system according to the first aspect, the data memory is adapted to store a plurality of text documents each including unstructured text relating to investigated objects of interest including persons and/or machine components of a machine.
In a still further embodiment of the system according to the first aspect, several knowledge data models are stored in the knowledge model database for different types of investigated objects of interest including persons or patients of different age and/or gender or including technical objects of different types and/or versions.
In a further embodiment of the system according to the first aspect, the system further includes an output interface adapted to output ranked sets of identified related ontology concepts and the corresponding calculated relation strengths of the respective relations.
In one embodiment of the system according to the first aspect, the system further includes a grammar analyzing unit adapted to analyze each annotated sentence received from the preprocessing annotation unit using a set of grammar rules to derive a grammatical structure of the annotated sentence.
In another embodiment of the system according to the first aspect, the system further includes a selection unit adapted to evaluate for each annotated sentence the identified related ontology concepts ranked according to calculated relation strengths provided by the concept analyzing unit and/or the derived grammatical structure of the sentence provided by the grammar analyzing unit to select an ontology concept to which the at least one derived measurement within this annotated sentence refers.
In one embodiment of the system according to the first aspect, the selected ontology concepts are timestamped and stored along with their corresponding measurements for the respective investigated object in a memory.
In one embodiment of the system according to the first aspect, the system further includes an evaluation unit adapted to process selected timestamped ontology concepts of an investigated object of interest stored in the memory based on the corresponding measurements to evaluate changes of the selected ontology concepts of the object of interest over time in the past and/or to predict future changes of the selected ontology concepts of the object of interest.
In a still further embodiment of the system according to the first aspect, the at least one domain ontology stored in the domain ontology database includes a medical ontology of a medical domain comprising as ontology concepts anatomical and/or morphological entities.
In one embodiment of the system according to the first aspect, the unstructured text received by the annotation unit includes a clinical report concerning an investigated patient of interest read from a data memory.
In a further embodiment of the system according to the first aspect, a medical drug is applied by a drug application unit to the investigated patient of interest depending on the observed changes of the selected ontology concepts formed by an anatomical and/or morphological entity representing a functional organic part of the patient's body influenced by the applied medical drug.
In a second aspect, a machine including a memory that stores unstructured text describing the machine is provided. The machine is connected or connectable via an interface to a system according to the first aspect. The system is adapted to extract relations between measurements within an unstructured text and ontology concepts of at least one domain ontology stored in a domain ontology database. The extraction system includes an annotation unit adapted to process sentences of the unstructured text to derive tokens and measurements within the sentences. The derived tokens are annotated with ontology concepts mapped to the tokens. The extraction system also includes a concept analyzing unit adapted to analyze for each annotated sentence including at least one derived measurement the annotated ontology concepts mapped to the derived tokens of the sentence to identify the ontology concepts related to the at least one derived measurement and to rank the identified related ontology concepts according to the calculated relation strengths of the relations between the identified related ontology concepts and the respective measurement of the annotated sentence.
In a third aspect, a method for extracting relations between measurements within an unstructured text and ontology concepts of at least one domain ontology is provided. The method includes processing sentences of the unstructured text to derive tokens and measurements within the sentences, annotating the derived tokens of the processed sentences with ontology concepts mapped to the tokens, and analyzing the annotated ontology concepts of each sentence including at least one derived measurement to identify ontology concepts related to the derived measurements. The method also includes calculating relation strengths of relations between the identified related ontology concepts and the derived measurements, and ranking the identified related ontology concepts according to the calculated relation strengths.
In one embodiment of the method according to the third aspect, a knowledge data model is applied to each processed sentence including at least one derived measurement and annotated ontology concepts to identify ontology concepts related to the derived measurement and to calculate the relation strengths of the relations between the identified related ontology concepts and the derived measurement.
In another embodiment of the method according to the third aspect, the applied knowledge data model is stored in a knowledge model database and linked to the domain ontology. The knowledge data model indicates for some or all ontology concepts of the domain ontology at least one corresponding expected measurement range for measurement values of a typical measurement made in a specific state of the respective ontology concept.
In another embodiment of the method according to the third aspect, the annotated sentences are analyzed by using grammar rules to derive a grammatical structure of the annotated sentences.
In a still further embodiment of the method according to the third aspect, for each annotated sentence, identified related ontology concepts are ranked according to calculated relation strengths and/or the derived grammatical structure of the sentence to select an ontology concept to which the at least one derived measurement within the annotated sentence refers to.
In a further embodiment of the method according to the third aspect, the selected ontology concepts are timestamped and stored along with corresponding measurements for the respective investigated object in a memory and processed based on the corresponding measurements to evaluate changes of the selected ontology concepts of the object over time in the past and/or to predict changes of the selected ontology concepts of the investigated object in the future.
In a further embodiment of the method according to the third aspect, the at least one domain ontology includes a medical ontology of a medical domain having as ontology concepts anatomical and/or morphological entities. The unstructured text includes a clinical report concerning an investigated patient of interest.
In a still further embodiment of the method according to the third aspect, a medical drug is applied by a drug application unit to the investigated patient of interest depending on the observed changes of the selected ontology concepts formed by an anatomical and/or morphological entity representing a functional organic part of the patient's body influenced by the applied medical drug.
The extraction system 1, as illustrated in
The annotation unit 3 and the concept analyzing unit 7 may be directly connected to an internal database of the system 1 or may be connected via a data network to a remote database 4. The database 4 includes a knowledge model database 6 that stores at least one knowledge data model KDM linked to the domain ontology DO. The knowledge data model KDM indicates for some or all ontology concepts c of the domain ontology DO at least one corresponding expected measurement range for measurement values of a typical measurement m made in a specific state of the respective ontology concept.
The annotation unit 3 includes an input interface adapted to receive text data of the unstructured text from a data memory permanently connected or temporarily connectable to the input interface of the system 1. The data memory may be adapted to store a plurality of text documents each including unstructured text relating to investigated objects of interest. The investigated objects of interest may include persons such as patients and/or machine components of an investigated machine of interest.
The concept analyzing unit 7 is connected to the annotation unit 3 to receive preprocessed sentences S including at least one derived measurement m and annotated ontology concepts c from the preprocessing annotation unit 3. The concept analyzing unit 7 is further connected to the knowledge model database 6 to apply the stored knowledge data model KDM to identify the ontology concepts c within each received sentence S related to the at least one measurement m within the same sentence S and to calculate the relation strengths of the relations R between the identified ontology concepts of the respective measurement m.
In one embodiment, a plurality of (e.g., several) knowledge data models KDM may be stored in the knowledge model database 6 for different types of investigated objects of interest including persons or patients of different age and/or gender or including technical objects of different types and/or versions. The system 1 includes an output interface adapted to output ranked sets of identified related ontology concepts and the corresponding calculated relation strength of the respective relations R.
With the system 1 according to the first aspect, as illustrated in
The concept analyzing unit 7 is adapted to identify and/or recognize relations between ontology concepts c (e.g., entities e such as anatomical entities) and measurements m within the annotated sentence S. In a possible embodiment, the concept analyzing unit 7 applies a grammar-based approach that is also referred to as dependency passing. In this embodiment, the concept analyzing unit 7 analyzes a grammatical structure of a received sentence S and concludes the linguistic relations between these elements. For example, in a sentence “mediastinal and axillary lymph nodes smaller than 1 cm,” analyzing the grammatical structure allows the recognition of the entities “mediastinal lymph node” and “axillary lymph node”. Further, the enumeration used shows that both recognized entities e or concepts c refer to the same measurement m. However, this technique may not be applied to very long sentences S or the resolution of relations between one entity e and multiple measurements m within one sentence. The concept analyzing unit 7 is adapted to identify ontology concepts c related to derived measurements m in longer sentences S with multiple measurements m.
The annotation unit 3 may use entity recognition enabling the information extraction system 1 to identify important information pieces in the received unstructured text. Semantic entity recognition describes the task of detecting concepts c or entities e in a text of a defined semantic class such as data values, names etc. The annotation unit 3 is adapted to identify anatomical entities and/or morphological structures and measurements m. In medical applications in order to detect the medical information pieces, one may use ontology based information instruction techniques. In a possible embodiment, a medical domain ontology is applied such as the RadLex ontology listing anatomical entities and morphological entities as a semantic class. The annotation unit 3 maps the entities e listed in the domain ontology DO to tokens or words in the unstructured text of the clinical report. Each mapping word or token is annotated with the respective ontology concept c. In order to detect measurements m, one may use pattern based techniques to detect adherences that express the defined combination of numbers and measurement units. The output of the annotation unit 3 in a possible use case may be a clinical report CR annotated with anatomical entities e, morphological structures and measurements m. Additionally, the annotation unit 3 may provide information on the sentence structure of sentences S within the clinical report CR. Each information may be associated with the enclosing sentence annotation.
The database 4 includes at least one domain ontology database 5. Databases may be, for example, XML, RDF or OWL databases. Ontologies offer a powerful way to represent a shared understanding of a conceptualization of a domain such as a medical domain. The domain ontology database 5 may define ontology concepts c and relations between them. For example, the subclass relation provides a hierarchical structure of the ontology concepts. Further, linguistic informations, such as labels, synonyms, abbreviations or definitions may be attached. In this way, the domain ontologies 5 provide a control vocabulary for the respective domain. In the biomedical domain, domain ontologies DO have a long tradition and a large and semantically rich domain ontologies DO exist. For example, the Bioportal includes an ontology repository or database for the biomedical domain containing more than 300 different domain ontologies DO, where 45 domain ontologies include more than 10,000 ontology concepts. Medical ontologies provide standardized labels for semantic annotation of patient data including reports such as clinical reports CR. Domain ontologies DO may cover, for example, a specific medical domain like specific diseases, symptoms, anatomy, radiology, phenotypes or medications. The domain ontologies DO stored in the domain ontology database 5 provide a comprehensive vocabulary for the respective domain and are suited for semantic annotation by the annotation unit 3. Additionally to a vocabulary, the domain ontology DO may provide knowledge of type and relations between the contained ontology concepts c or entities e. The concept analyzing unit 7 may use the hierarchical structure knowledge of the domain ontology DO to group and rank ontology concepts c. In order to better use the knowledge of the domain ontology DO, high level concepts may be explicitly labeled as being about anatomical entities or whether subclasses may or may not contain measurable entities e. The knowledge model stored in the knowledge model database 6 may include information data about typical measurements m of different anatomical concepts c or anatomical entities e or structures in a normal and abnormal status. For example, the knowledge data model KDM may include a typical size of certain organs or other anatomical entities e of clinical interest. Besides the anatomical entity or structure, the type of the measurement m may be further specified to better compare the information with actual measurements contained in the clinical report CR. For example, the type of measurement m may be specified as a volume, length or area. Additionally, a length measurement may be further specified by declaring the direction of the measurement as width, depth or height.
In one embodiment, a knowledge data model KDM is stored as a logical model and linked to the domain ontologies DO stored in the domain ontology database 5 and used for the annotation by the annotation unit 3. Thus, the information stored in the knowledge data model KDM may be applied to the annotations generated by the annotation unit 3. The information contained in the knowledge data model KDM may be patient specific and may depend, for example, on the age and gender of the respective patient of interest.
For each annotated sentence S containing a measurement m, the concept analysing unit 7 does output the measurement m and a set of entities for ontology concepts recognized in the sentence S. The concept-analysing unit 7 integrates the technical knowledge contained in the domain ontology DO and the knowledge model as well as the information about measurements m from correlating reports in order to decide which of the concepts or entities is described by the measurement m. The concept-analysing unit 7 may output a ranking of sets of entities or ontology concepts c the measurement m may be about with a corresponding confidence value. If all confidence values are low, the entity e measured may not be contained. The concept-analysing unit 7 depends on the annotations generated by the annotation unit 3.
If the set of entities or ontology concepts c recognized by the annotation unit 3 does not contain the entity e or ontology concept c described by the respective measurement m, the concept-analysing unit 7 is not able to find the entity e or ontology concept c, because the concept-analysing unit 7 only chooses between the recognized entities e or ontology concepts c. The correct entity for the ontology concept c may not be recognized in the following situations. For example, the measurement m and the respective ontology concept c may be separated by sentence boundaries. Even if the measurement m and ontology concept c or entity e occur in the same sentence S, the concept-analysing unit 7 may fail to recognize the ontology concept or entity if the domain ontology DO does not contain a corresponding concept c.
As shown in the exemplary embodiment, the grammar-analysing unit 8 is adapted to analyze each annotated sentence S received from the pre-processing annotation unit 3 using a set of grammar rules to evaluate grammatical structure of the annotated sentence S. The grammar-analysing unit 3 analyzes the grammatical structure of the annotated sentence S using the set of grammar rules. These grammar rules may be provided for the process and are tailored to the specific requirements of the text characteristics. This may be necessary, because the medical language used by users or clinicians includes, in many cases, telegraphic-style sentences that lack verbs and other fill-in words.
The applied grammar rules are used to parse the sentence structure and conclude on the word properties in the annotated sentence S. For example, it is determined which of the words represent the grammatical units' subject, predicate, object and which cases, persona, etc. the words describe. Using this grammatical information, a dependency graph of the words or tokens may be inferred in the respective sentence S. The dependency graph may also contain information on which anatomical entity or ontology concept c a contained measurement m refers.
In the embodiment shown in
In one embodiment, the selected ontology concepts c may be time-stamped and stored along with the corresponding measurements m with a respective investigated object in a memory 10 of the extraction system 1.
In the exemplary embodiment of
In this embodiment, a diagram or graph indicating a measurement m of a selected ontology concept c, such as anatomical entity or organ over time, may be displayed to the clinician. In this way, the clinician may detect, for example, any significant changes of the ontology concept c, such as the organ, in response to a medical treatment of the patient of interest.
In a further embodiment, medical drugs may be applied to the patient using of a drug application unit depending on the observed changes of the selected ontology concepts c formed by an anatomical and/or morphological entity e representing a functional organic part of the patient's body influenced by the applied medical drug.
In a specific embodiment, the drug application unit may be controlled by the evaluation unit 11 and/or a user control interface provided for the clinician. This embodiment allows the impact of a medical drug treatment on an anatomical entity e or ontology concept c to be monitored using the measurements m related to the ontology concepts. In this way, the impact of medical drugs on a set of patients may be evaluated more rapidly, and the results become more reliable.
In act S1, sentences of the unstructured text are processed to derive tokens t and measurements m within the sentences S.
In act S2, the derived tokens t of the processed sentences are annotated with ontology concepts c mapped to the tokens t.
In act S3, the annotated ontology concepts c of each sentence S including at least one derived measurements m are analyzed to identify ontology concepts c related to the derived measurements m.
In act S4, the relation strength of the relations R between the identified related ontology concepts c and the derived measurements m are calculated.
In act S5, the identified related ontology concepts c are ranked according to the calculated relation strengths.
The method for extracting relations R between measurements m within an unstructured text and ontology concepts c of at least one domain ontology DO are described in the following in more detail.
Initially, the unstructured text is divided into sentences S containing tokens t such as words. The pre-processing of the received unstructured text may be performed by the annotation unit 3. The measurements m found in each sentence S may be annotated using predefined regular expressions. Anatomical entities, morphological structures, or any other ontology concept c may be annotated based on the domain ontology Do read from the domain ontology database 5. The annotation may be grouped by sentence boundaries. A measurement represented through a measurement value, measurement unit and measurement type as well as ontology concepts may be output (e.g., (RID13296, “lymph node”), (RID86, “spleen”) or (“RID38780, “lesion”), where “RID13296”, “RID86” or “RID38780” are RadLex ID numbers of the medical main ontology RadLex). The set of anatomical entities e or ontology concepts c may be denoted by E={e1, e2, . . . , en}. For example, the sentence S “lymph node in abdomen area slightly enlarged with a size of 1.2 cm” provides the annotations: entities E={(RID13296, “lymph node”), (RID56, “abdomen”), (RID445, “abdominal lymph node”), (RID5791, “enlarged”)} with measurement value=“1.2”, measurement unit=“cm” and measurement type=length.
The following acts are performed by the concept analyzing unit 7. A task of the concept analysing unit 7 is to identify a subset E′ of E, where E′ contains exactly those entities e or anatomical concept c of E that are described by the measurement m. First groups g of entities e are created as illustrated, for example, in
The subgraph H group entities of E according to position in the subclass hierarchy are used. For each entity f of the graph H, subclasses are in the respective graph. This set may be denoted by subClassH(f). A group g is the intersection of subClassH(f) with E, where the entity f is called the root concept of the respective group g. The set 6 of groups G is a subset of all groups g where a group g is in the set 6 of groups if the root concept of the group g is the least common ancestor of the group elements. For each entity e of E that forms a leaf node of the spanning graph H, there is a group g in the set of groups G that contains only the respective entity e (e.g., g={e}).
In a further act, a group tree Tg is created. Since a group g in the set of groups G is represented through a subset of E, a subsumption hierarchy of groups g may be created. In one embodiment, a distance measure d is calculated between groups g based on the position of the entities e or ontology concepts c contained in the respective group g. This may be performed by assigning distance values d to the edges of the subsumption hierarchy of groups. In one embodiment, a clustering index for the group g is calculated expressing how close the groups entities e are within the domain ontology DO. For example, it may be denoted whether the group g contains only anatomical entities e using the knowledge of the domain ontology DO. The group hierarchy with the associated information is referred to as a group tree Tg.
In a further act, structural information from the domain ontology DO is included. In one embodiment, the groups g including entities e that have relations to concept-like size descriptors or size-findings are classified. Respective information is assigned to the group g.
In a further act, information from the knowledge data model KDM is integrated. For all entities f contained in the spanning subgraph H, information about typical measurements is retrieved from the knowledge data model KDM if available. The typical measurement is compared with the measurement annotation. The result of the comparison is assigned to groups g for which the root element is subsumed by the entity f.
In a further act, the groups g are scored. This is performed if available information of measurements m from former reports is integrated. Further, this is performed if an entity e of the spanning subgraph H is measured before the groups containing the entity e are assigned with this information. In a further embodiment, based on the evidence values from the grammatical analysis and the information generated in the above steps, a final confidence value is calculated for each group g. A top-ranked group g is associated to the respective measurement m. If the confidence value for all groups g is below a certain threshold, this may indicate that a correct entity e or ontology concept c may have not been found (e.g., the correct entity e is not recognized by the annotation unit 3).
For example, if instructed text 2 includes a sentence S “lymph node in abdomen area slightly enlarged with a size of 1.2 cm,” this results in the following annotations: “lymph node”, “abdomen”, “abdominal lymph node”, “enlarged”, “1.2”, “cm”.
Set of entities E={e1, e2, e3, e4}
Set of entities of H={e1, e2, e3, e4, f1, . . . , f11}
Set of groups G={g1, g2, g3, g4, g6} with the following groups:
g1={e1}, g2={e1, e2}, g3={e3}, g4={e1, e2, e3}, g5={e4}, g6={e1, e2, e3, e4}, and with the following root elements:
root(g1)=e1, root(g2)=e2, root(g3)=e3, root(g4)=f1, root(g5)=e4 and root(g6)=f11,
The ontology concepts f are not mapped ontology concepts.
For example, the anatomical entity e3 does form an ontology concept c of the medical domain ontology RadLex: The Abdomen concept e3 may be mapped to the derived token t or word “abdomen” within the sentence S of the medical report CR, as cited above. In the same manner, the anatomical entity e2 forming an ontology concept of the medical domain ontology RadLex “lymph node” may be mapped to the word or taken “lymph node” with the report sentence S. Ontology concepts c have a hierarchical relation to each other, as illustrated in
In the given example of
The method according to one or more of the present embodiments using linguistic and/or ontology knowledge may be integrated into the resolution process. In further embodiments, a grammatical analysis is integrated with a formalized knowledge of domain ontologies and with factual knowledge of typical measurements in correlated unstructured texts. The concept analyzing unit integrates the results of different analyzing steps into a final confidence value for candidate entities (e.g., candidate ontology concepts c). The processed sentences S include measurements m describing one or more entities e or ontology concepts c.
The method is knowledge-driven. The knowledge of domain ontologies DO used for the annotation of the text is used in several acts of the detection process, as described above. Further, factual knowledge including a special knowledge data model KDM containing information about typical measurements m provided by examinations of patients is used. The factual knowledge is used in a final weighting process, since the final weighting process allows certain entities to be excluded.
It is to be understood that the elements and features recited in the appended claims may be combined in different ways to produce new claims that likewise fall within the scope of the present invention. Thus, whereas the dependent claims appended below depend from only a single independent or dependent claim, it is to be understood that these dependent claims can, alternatively, be made to depend in the alternative from any preceding or following claim, whether independent or dependent, and that such new combinations are to be understood as forming a part of the present specification.
While the present invention has been described above by reference to various embodiments, it should be understood that many changes and modifications can be made to the described embodiments. It is therefore intended that the foregoing description be regarded as illustrative rather than limiting, and that it be understood that all equivalents and/or combinations of embodiments are intended to be included in this description.
Number | Date | Country | Kind |
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13198449.4 | Dec 2013 | EP | regional |