Abstract:
OBJECTIVES:The radiology report is the most important source of clinical imaging information. It documents critical information about the patient's health and the radiologist's interpretation of medical findings. It also communicates information to the referring physicians and records that information for future clinical and research use. Although efforts to structure some radiology report information through predefined templates are beginning to bear fruit, a large portion of radiology report information is entered in free text. The free text format is a major obstacle for rapid extraction and subsequent use of information by clinicians, researchers, and healthcare information systems. This difficulty is due to the ambiguity and subtlety of natural language, complexity of described images, and variations among different radiologists and healthcare organizations. As a result, radiology reports are used only once by the clinician who ordered the study and rarely are used again for research and data mining. In this work, machine learning techniques and a large multi-institutional radiology report repository are used to extract the semantics of the radiology report and overcome the barriers to the re-use of radiology report information in clinical research and other healthcare applications. MATERIAL AND METHODS:We describe a machine learning system to annotate radiology reports and extract report contents according to an information model. This information model covers the majority of clinically significant contents in radiology reports and is applicable to a wide variety of radiology study types. Our automated approach uses discriminative sequence classifiers for named-entity recognition to extract and organize clinically significant terms and phrases consistent with the information model. We evaluated our information extraction system on 150 radiology reports from three major healthcare organizations and compared its results to a commonly used non-machine learning information extraction method. We also evaluated the generalizability of our approach across different organizations by training and testing our system on data from different organizations. RESULTS:Our results show the efficacy of our machine learning approach in extracting the information model's elements (10-fold cross-validation average performance: precision: 87%, recall: 84%, F1 score: 85%) and its superiority and generalizability compared to the common non-machine learning approach (p-value<0.05). CONCLUSIONS:Our machine learning information extraction approach provides an effective automatic method to annotate and extract clinically significant information from a large collection of free text radiology reports. This information extraction system can help clinicians better understand the radiology reports and prioritize their review process. In addition, the extracted information can be used by researchers to link radiology reports to information from other data sources such as electronic health records and the patient's genome. Extracted information also can facilitate disease surveillance, real-time clinical decision support for the radiologist, and content-based image retrieval.
journal_name
Artif Intell Medjournal_title
Artificial intelligence in medicineauthors
Hassanpour S,Langlotz CPdoi
10.1016/j.artmed.2015.09.007subject
Has Abstractpub_date
2016-01-01 00:00:00pages
29-39eissn
0933-3657issn
1873-2860pii
S0933-3657(15)00124-4journal_volume
66pub_type
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journal_title:Artificial intelligence in medicine
pub_type: 临床试验,杂志文章
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abstract:OBJECTIVE:Recently, fuzzy soft sets-based decision making has attracted more and more interest. Although plenty of works have been done, they cannot provide the uncertainty or certainty of their results. To manage uncertainty is one of the most important and toughest tasks of decision making especially in medicine. In ...
journal_title:Artificial intelligence in medicine
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journal_title:Artificial intelligence in medicine
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journal_title:Artificial intelligence in medicine
pub_type: 杂志文章
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journal_title:Artificial intelligence in medicine
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journal_title:Artificial intelligence in medicine
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journal_title:Artificial intelligence in medicine
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journal_title:Artificial intelligence in medicine
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journal_title:Artificial intelligence in medicine
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