Entity linking (EL) for biomedical text is typically benchmarked on English-only corpora with flat mentions, leaving the more realistic scenario of nested and multilingual mentions largely unexplored. We present our system for the BioNNE 2025 Multilingual Biomedical Nested Named Entity Linking shared task (English & Russian), closing this gap with a lightweight pipeline that keeps the original EL model intact and modifies only three task-aligned components: Two-stage retrieval-ranking. We leverage the same base encoder model in both stages: the retrieval stage uses the original pre-trained model, while the ranking stage applies domain-specific fine-tuning. Boundary cues. In the ranking stage, we wrap each mention with learnable [Ms] / [Me] tags, providing the encoder with an explicit, language-agnostic span before robustness to overlap and nesting. Dataset augmentation. We also automatically expand the ranking training corpus with three complementary data sources, enhancing coverage without extra manual annotation. On the BioNNE 2025 leaderboard, our two stage system, bilingual bert (BIBERT-Pipe), ranks third in the multilingual track, demonstrating the effectiveness and competitiveness of these minimal yet principled modifications. Code are publicly available at https://github.com/Kaggle-Competitions-Code/BioNNE-L.

Phenotype concept recognition (CR) is a fundamental task in biomedical text mining, enabling applications such as clinical diagnostics and knowledge graph construction. However, existing methods often require ontology-specific training and struggle to generalize across diverse text types and evolving biomedical terminology. We present AutoPCR, a prompt-based phenotype CR method that does not require ontology-specific training. AutoPCR performs CR in three stages: entity extraction using a hybrid of rule-based and neural tagging strategies, candidate retrieval via SapBERT, and entity linking through prompting a large language model. Experiments on four benchmark datasets show that AutoPCR achieves the best average and most robust performance across both mention-level and document-level evaluations, surpassing prior state-of-the-art methods. Further ablation and transfer studies demonstrate its inductive capability and generalizability to new ontologies.

Biomedical entity linking aims to map nonstandard entities to standard entities in a knowledge base. Traditional supervised methods perform well but require extensive annotated data to transfer, limiting their usage in low-resource scenarios. Large language models (LLMs), especially closed-source LLMs, can address these but risk stability issues and high economic costs: using these models is restricted by commercial companies and brings significant economic costs when dealing with large amounts of data. To address this, we propose ``RPDR'', a framework combining closed-source LLMs and open-source LLMs for re-ranking candidates retrieved by a retriever fine-tuned with a small amount of data. By prompting a closed-source LLM to generate training data from unannotated data and fine-tuning an open-source LLM for re-ranking, we effectively distill the knowledge to the open-source LLM that can be deployed locally, thus avoiding the stability issues and the problem of high economic costs. We evaluate RPDR on two datasets, including one real-world dataset and one publicly available dataset involving two languages: Chinese and English. RPDR achieves 0.019 Acc@1 improvement and 0.036 Acc@1 improvement on the Aier dataset and the Ask A Patient dataset when the amount of training data is not enough. The results demonstrate the superiority and generalizability of the proposed framework.

Growing evidence suggests that social determinants of health (SDoH), a set of nonmedical factors, affect individuals' risks of developing Alzheimer's disease (AD) and related dementias. Nevertheless, the etiological mechanisms underlying such relationships remain largely unclear, mainly due to difficulties in collecting relevant information. This study presents a novel, automated framework that leverages recent advancements of large language model (LLM) and natural language processing techniques to mine SDoH knowledge from extensive literature and integrate it with AD-related biological entities extracted from the general-purpose knowledge graph PrimeKG. Utilizing graph neural networks, we performed link prediction tasks to evaluate the resultant SDoH-augmented knowledge graph. Our framework shows promise for enhancing knowledge discovery in AD and can be generalized to other SDoH-related research areas, offering a new tool for exploring the impact of social determinants on health outcomes. Our code is available at: https://github.com/hwq0726/SDoHenPKG

Generative models have become widely used in biomedical entity linking (BioEL) due to their excellent performance and efficient memory usage. However, these models are usually trained only with positive samples--entities that match the input mention's identifier--and do not explicitly learn from hard negative samples, which are entities that look similar but have different meanings. To address this limitation, we introduce ANGEL (Learning from Negative Samples in Generative Biomedical Entity Linking), the first framework that trains generative BioEL models using negative samples. Specifically, a generative model is initially trained to generate positive samples from the knowledge base for given input entities. Subsequently, both correct and incorrect outputs are gathered from the model's top-k predictions. The model is then updated to prioritize the correct predictions through direct preference optimization. Our models fine-tuned with ANGEL outperform the previous best baseline models by up to an average top-1 accuracy of 1.4% on five benchmarks. When incorporating our framework into pre-training, the performance improvement further increases to 1.7%, demonstrating its effectiveness in both the pre-training and fine-tuning stages. Our code is available at https://github.com/dmis-lab/ANGEL.

Clinical text is rich in information, with mentions of treatment, medication and anatomy among many other clinical terms. Multiple terms can refer to the same core concepts which can be referred as a clinical entity. Ontologies like the Unified Medical Language System (UMLS) are developed and maintained to store millions of clinical entities including the definitions, relations and other corresponding information. These ontologies are used for standardization of clinical text by normalizing varying surface forms of a clinical term through Biomedical entity linking. With the introduction of transformer-based language models, there has been significant progress in Biomedical entity linking. In this work, we focus on learning through synonym pairs associated with the entities. As compared to the existing approaches, our approach significantly reduces the training data and resource consumption. Moreover, we propose a suite of context-based and context-less reranking techniques for performing the entity disambiguation. Overall, we achieve similar performance to the state-of-the-art zero-shot and distant supervised entity linking techniques on the Medmentions dataset, the largest annotated dataset on UMLS, without any domain-based training. Finally, we show that retrieval performance alone might not be sufficient as an evaluation metric and introduce an article level quantitative and qualitative analysis to reveal further insights on the performance of entity linking methods.

Biomedical entity linking, a main component in automatic information extraction from health-related texts, plays a pivotal role in connecting textual entities (such as diseases, drugs and body parts mentioned by patients) to their corresponding concepts in a structured biomedical knowledge base. The task remains challenging despite recent developments in natural language processing. This paper presents the first evaluated biomedical entity linking model for the Dutch language. We use MedRoBERTa.nl as base model and perform second-phase pretraining through self-alignment on a Dutch biomedical ontology extracted from the UMLS and Dutch SNOMED. We derive a corpus from Wikipedia of ontology-linked Dutch biomedical entities in context and fine-tune our model on this dataset. We evaluate our model on the Dutch portion of the Mantra GSC-corpus and achieve 54.7% classification accuracy and 69.8% 1-distance accuracy. We then perform a case study on a collection of unlabeled, patient-support forum data and show that our model is hampered by the limited quality of the preceding entity recognition step. Manual evaluation of small sample indicates that of the correctly extracted entities, around 65% is linked to the correct concept in the ontology. Our results indicate that biomedical entity linking in a language other than English remains challenging, but our Dutch model can be used to for high-level analysis of patient-generated text.

Although biomedical entity linking (BioEL) has made significant progress with pre-trained language models, challenges still exist for fine-grained and long-tailed entities. To address these challenges, we present BioELQA, a novel model that treats Biomedical Entity Linking as Multiple Choice Question Answering. BioELQA first obtains candidate entities with a fast retriever, jointly presents the mention and candidate entities to a generator, and then outputs the predicted symbol associated with its chosen entity. This formulation enables explicit comparison of different candidate entities, thus capturing fine-grained interactions between mentions and entities, as well as among entities themselves. To improve generalization for long-tailed entities, we retrieve similar labeled training instances as clues and concatenate the input with retrieved instances for the generator. Extensive experimental results show that BioELQA outperforms state-of-the-art baselines on several datasets.

Biomedical entity linking (BEL) is the task of grounding entity mentions to a knowledge base (KB). A popular approach to the task are name-based methods, i.e. those identifying the most appropriate name in the KB for a given mention, either via dense retrieval or autoregressive modeling. However, as these methods directly return KB names, they cannot cope with homonyms, i.e. different KB entities sharing the exact same name. This significantly affects their performance, especially for KBs where homonyms account for a large amount of entity mentions (e.g. UMLS and NCBI Gene). We therefore present BELHD (Biomedical Entity Linking with Homonym Disambiguation), a new name-based method that copes with this challenge. Specifically, BELHD builds upon the BioSyn (Sung et al.,2020) model introducing two crucial extensions. First, it performs a preprocessing of the KB in which it expands homonyms with an automatically chosen disambiguating string, thus enforcing unique linking decisions. Second, we introduce candidate sharing, a novel strategy to select candidates for contrastive learning that enhances the overall training signal. Experiments with 10 corpora and five entity types show that BELHD improves upon state-of-the-art approaches, achieving the best results in 6 out 10 corpora with an average improvement of 4.55pp recall@1. Furthermore, the KB preprocessing is orthogonal to the core prediction model and thus can also improve other methods, which we exemplify for GenBioEL (Yuan et al, 2022), a generative name-based BEL approach. Code is available at: link added upon publication.

Biomedical entity linking (BioEL) has achieved remarkable progress with the help of pre-trained language models. However, existing BioEL methods usually struggle to handle rare and difficult entities due to long-tailed distribution. To address this limitation, we introduce a new scheme $k$NN-BioEL, which provides a BioEL model with the ability to reference similar instances from the entire training corpus as clues for prediction, thus improving the generalization capabilities. Moreover, we design a contrastive learning objective with dynamic hard negative sampling (DHNS) that improves the quality of the retrieved neighbors during inference. Extensive experimental results show that $k$NN-BioEL outperforms state-of-the-art baselines on several datasets.