Automated Extraction of BI-RADS Final Assessment Categories from Radiology Reports with Natural Language Processing.

The objective of this study is to evaluate a natural language processing (NLP) algorithm that determines American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) final assessment categories from radiology reports. This HIPAA-compliant study was granted institutional review bo...

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Publicado en:Journal of Digital Imaging Vol. 26; no. 5; pp. 989 - 995
Autores principales: Sippo, Dorothy, Warden, Graham, Andriole, Katherine, Lacson, Ronilda, Ikuta, Ichiro, Birdwell, Robyn, Khorasani, Ramin
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2013
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      pub: Springer Nature
      place: New York, New York
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        atl: Automated Extraction of BI-RADS Final Assessment Categories from Radiology Reports with Natural Language Processing.
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          Sippo, Dorothy
          Warden, Graham
          Andriole, Katherine
          Lacson, Ronilda
          Ikuta, Ichiro
          Birdwell, Robyn
          Khorasani, Ramin
        affil: Medical Corp, United States Air Force, CMR 402 BOX 142, APO AE 09180-0002 Washington USA
      sug:
        subj:
          Algorithms
          Mammography
          Natural Language Processing
          Reports
          Human
          Confidence Intervals
          Cross Sectional Studies
          Precision
          Breast Neoplasms Diagnosis
          Patient Record Systems
          Breast Radiography
          Software
          Data Analysis Software
          Data Collection
      ab: The objective of this study is to evaluate a natural language processing (NLP) algorithm that determines American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) final assessment categories from radiology reports. This HIPAA-compliant study was granted institutional review board approval with waiver of informed consent. This cross-sectional study involved 1,165 breast imaging reports in the electronic medical record (EMR) from a tertiary care academic breast imaging center from 2009. Reports included screening mammography, diagnostic mammography, breast ultrasound, combined diagnostic mammography and breast ultrasound, and breast magnetic resonance imaging studies. Over 220 reports were included from each study type. The recall (sensitivity) and precision (positive predictive value) of a NLP algorithm to collect BI-RADS final assessment categories stated in the report final text was evaluated against a manual human review standard reference. For all breast imaging reports, the NLP algorithm demonstrated a recall of 100.0 % (95 % confidence interval (CI), 99.7, 100.0 %) and a precision of 96.6 % (95 % CI, 95.4, 97.5 %) for correct identification of BI-RADS final assessment categories. The NLP algorithm demonstrated high recall and precision for extraction of BI-RADS final assessment categories from the free text of breast imaging reports. NLP may provide an accurate, scalable data extraction mechanism from reports within EMRs to create databases to track breast imaging performance measures and facilitate optimal breast cancer population management strategies.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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