# Multilingual BERT language model for medical tasks: Evaluation on domain-specific adaptation and cross-linguality

arXiv: https://arxiv.org/abs/2510.27552 · HTML: https://mlsanity.com/paper/2510.27552/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 18 of its 49 references that are in the map.
- First posted on arXiv 31 Oct 2025.

## Builds on (most cited first, 18 of 18)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [Don't Stop Pretraining: Adapt Language Models to Domains and Tasks](https://mlsanity.com/paper/2004.10964/) (2020)
- [Google's Neural Machine Translation System: Bridging the Gap between Human and Machine Translation](https://mlsanity.com/paper/1609.08144/) (2016)
- [Aligning Books and Movies: Towards Story-like Visual Explanations by Watching Movies and Reading Books](https://mlsanity.com/paper/1506.06724/) (2015)
- [ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmission](https://mlsanity.com/paper/1904.05342/) (2019)
- [FinBERT: Financial Sentiment Analysis with Pre-trained Language Models](https://mlsanity.com/paper/1908.10063/) (2019)
- [Beto, Bentz, Becas: The Surprising Cross-Lingual Effectiveness of BERT](https://mlsanity.com/paper/1904.09077/) (2019)
- [Large language models in healthcare and medical domain: A review](https://mlsanity.com/paper/2401.06775/) (2023)
- [BERTje: A Dutch BERT Model](https://mlsanity.com/paper/1912.09582/) (2019)
- [When is BERT Multilingual? Isolating Crucial Ingredients for Cross-lingual Transfer](https://mlsanity.com/paper/2110.14782/) (2021)
- [Cross-Linguistic Syntactic Difference in Multilingual BERT: How Good is It and How Does It Affect Transfer?](https://mlsanity.com/paper/2212.10879/) (2022)
- [Analyzing the Effect of Linguistic Similarity on Cross-Lingual Transfer: Tasks and Experimental Setups Matter](https://mlsanity.com/paper/2501.14491/) (2025)
- [SemClinBr -- a multi institutional and multi specialty semantically annotated corpus for Portuguese clinical NLP tasks](https://mlsanity.com/paper/2001.10071/) (2020)
- [Few-Shot Cross-lingual Transfer for Coarse-grained De-identification of Code-Mixed Clinical Texts](https://mlsanity.com/paper/2204.04775/) (2022)
- [A Retrieval-Based Approach to Medical Procedure Matching in Romanian](https://mlsanity.com/paper/2503.20556/) (2025)

## Abstract (arXiv)

In multilingual healthcare applications, the availability of domain-specific natural language processing(NLP) tools is limited, especially for low-resource languages. Although multilingual bidirectional encoder representations from transformers (BERT) offers a promising motivation to mitigate the language gap, the medical NLP tasks in low-resource languages are still underexplored. Therefore, this study investigates how further pre-training on domain-specific corpora affects model performance on medical tasks, focusing on three languages: Dutch, Romanian and Spanish. In terms of further pre-training, we conducted four experiments to create medical domain models. Then, these models were fine-tuned on three downstream tasks: Automated patient screening in Dutch clinical notes, named entity recognition in Romanian and Spanish clinical notes. Results show that domain adaptation significantly enhanced task performance. Furthermore, further differentiation of domains, e.g. clinical and general biomedical domains, resulted in diverse performances. The clinical domain-adapted model outperformed the more general biomedical domain-adapted model. Moreover, we observed evidence of cross-lingual transferability. Moreover, we also conducted further investigations to explore potential reasons contributing to these performance differences. These findings highlight the feasibility of domain adaptation and cross-lingual ability in medical NLP. Within the low-resource language settings, these findings can provide meaningful guidance for developing multilingual medical NLP systems to mitigate the lack of training data and thereby improve the model performance.