Automated Detection of Measurements and Their Descriptors in Radiology Reports Using a Hybrid Natural Language Processing Algorithm.

Radiological measurements are reported in free text reports, and it is challenging to extract such measures for treatment planning such as lesion summarization and cancer response assessment. The purpose of this work is to develop and evaluate a natural language processing (NLP) pipeline that can ex...

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Publicado en:Journal of Digital Imaging Vol. 32; no. 4; pp. 544 - 554
Autores principales: Bozkurt, Selen, Alkim, Emel, Banerjee, Imon, Rubin, Daniel L.
Formato: computer program research tables/charts Journal Article
Publicado: Springer Nature Aug2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Automated Detection of Measurements and Their Descriptors in Radiology Reports Using a Hybrid Natural Language Processing Algorithm.
      aug:
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          Bozkurt, Selen
          Alkim, Emel
          Banerjee, Imon
          Rubin, Daniel L.
        affil: Department of Biomedical Data Science, Stanford University School of Medicine, Medical School Office Building (MSOB), Room X-335, MC 5464, 1265 Welch Road, 94305-5479, Stanford, CA, USA
      sug:
        subj:
          Natural Language Processing
          Algorithms
          Radiography
          Reports
          Automation
          Software Design Evaluation
          Human
          Magnetic Resonance Imaging
          Tomography, X-Ray Computed
          Mammography
          Computer-Aided Design
          Descriptive Statistics
          Neoplasms Physiopathology
          Neoplasms Radiography
          Professional Practice
      ab: Radiological measurements are reported in free text reports, and it is challenging to extract such measures for treatment planning such as lesion summarization and cancer response assessment. The purpose of this work is to develop and evaluate a natural language processing (NLP) pipeline that can extract measurements and their core descriptors, such as temporality, anatomical entity, imaging observation, RadLex descriptors, series number, image number, and segment from a wide variety of radiology reports (MR, CT, and mammogram). We created a hybrid NLP pipeline that integrates rule-based feature extraction modules and conditional random field (CRF) model for extraction of the measurements from the radiology reports and links them with clinically relevant features such as anatomical entities or imaging observations. The pipeline was trained on 1117 CT/MR reports, and performance of the system was evaluated on an independent set of 100 expert-annotated CT/MR reports and also tested on 25 mammography reports. The system detected 813 out of 806 measurements in the CT/MR reports; 784 were true positives, 29 were false positives, and 0 were false negatives. Similarly, from the mammography reports, 96% of the measurements with their modifiers were extracted correctly. Our approach could enable the development of computerized applications that can utilize summarized lesion measurements from radiology report of varying modalities and improve practice by tracking the same lesions along multiple radiologic encounters.
      pubtype: Academic Journal
      doctype:
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        research
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        Journal Article
      ougenre: Article
    language: English
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