Refinement of an Epilepsy Dictionary through Human Annotation of Health-related posts on Instagram

We used a dictionary built from biomedical terminology extracted from various sources such as DrugBank, MedDRA, MedlinePlus, TCMGeneDIT, to tag more than 8 million Instagram posts by users who have mentioned an epilepsy-relevant drug at least once, between 2010 and early 2016. A random sample of 1,771 posts with 2,947 term matches was evaluated by human annotators to identify false-positives. OpenAI's GPT series models were compared against human annotation. Frequent terms with a high false-positive rate were removed from the dictionary. Analysis of the estimated false-positive rates of the annotated terms revealed 8 ambiguous terms (plus synonyms) used in Instagram posts, which were removed from the original dictionary. To study the effect of removing those terms, we constructed knowledge networks using the refined and the original dictionaries and performed an eigenvector-centrality analysis on both networks. We show that the refined dictionary thus produced leads to a significantly different rank of important terms, as measured by their eigenvector-centrality of the knowledge networks. Furthermore, the most important terms obtained after refinement are of greater medical relevance. In addition, we show that OpenAI's GPT series models fare worse than human annotators in this task.