Automated Detection of Critical Results in Radiology Reports.

The goal of this study was to develop and validate text-mining algorithms to automatically identify radiology reports containing critical results including tension or increasing/new large pneumothorax, acute pulmonary embolism, acute cholecystitis, acute appendicitis, ectopic pregnancy, scrotal tors...

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Publicado en:Journal of Digital Imaging Vol. 25; no. 1; pp. 30 - 37
Autores principales: Lakhani, Paras, Kim, Woojin, Langlotz, Curtis
Formato: algorithm research tables/charts Journal Article
Publicado: Springer Nature Feb2012
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Automated Detection of Critical Results in Radiology Reports.
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          Lakhani, Paras
          Kim, Woojin
          Langlotz, Curtis
        affil: Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street Philadelphia 19106 USA
      sug:
        subj:
          Radiography
          Reports
          Data Mining
          Human
          Validation Studies
          Automation
          Confidence Intervals
          Natural Language Processing
          Information Retrieval
          Funding Source
      ab: The goal of this study was to develop and validate text-mining algorithms to automatically identify radiology reports containing critical results including tension or increasing/new large pneumothorax, acute pulmonary embolism, acute cholecystitis, acute appendicitis, ectopic pregnancy, scrotal torsion, unexplained free intraperitoneal air, new or increasing intracranial hemorrhage, and malpositioned tubes and lines. The algorithms were developed using rule-based approaches and designed to search for common words and phrases in radiology reports that indicate critical results. Certain text-mining features were utilized such as wildcards, stemming, negation detection, proximity matching, and expanded searches with applicable synonyms. To further improve accuracy, the algorithms utilized modality and exam-specific queries, searched under the 'Impression' field of the radiology report, and excluded reports with a low level of diagnostic certainty. Algorithm accuracy was determined using precision, recall, and F-measure using human review as the reference standard. The overall accuracy ( F-measure) of the algorithms ranged from 81% to 100%, with a mean precision and recall of 96% and 91%, respectively. These algorithms can be applied to radiology report databases for quality assurance and accreditation, integrated with existing dashboards for display and monitoring, and ported to other institutions for their own use.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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