Clinical Concept-Based Radiology Reports Classification Pipeline for Lung Carcinoma.

Rising incidence and mortality of cancer have led to an incremental amount of research in the field. To learn from preexisting data, it has become important to capture maximum information related to disease type, stage, treatment, and outcomes. Medical imaging reports are rich in this kind of inform...

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Publicado en:Journal of Digital Imaging Vol. 36; no. 3; pp. 812 - 827
Autores principales: Mithun, Sneha, Jha, Ashish Kumar, Sherkhane, Umesh B., Jaiswar, Vinay, Purandare, Nilendu C., Dekker, Andre, Puts, Sander, Bermejo, Inigo, Rangarajan, V., Zegers, Catharina M. L., Wee, Leonard
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-023-00787-z
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        atl: Clinical Concept-Based Radiology Reports Classification Pipeline for Lung Carcinoma.
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        au:
          Mithun, Sneha
          Jha, Ashish Kumar
          Sherkhane, Umesh B.
          Jaiswar, Vinay
          Purandare, Nilendu C.
          Dekker, Andre
          Puts, Sander
          Bermejo, Inigo
          Rangarajan, V.
          Zegers, Catharina M. L.
          Wee, Leonard
        affil: Department of Radiation Oncology (Maastro), GROW School for Oncology and Reproduction, Maastricht University Medical Centre+, 6229 ET, Maastricht, The Netherlands
      sug:
        subj:
          Lung Neoplasms
          Carcinoma
          Radiology Service
          Reports Classification
          Natural Language Processing
          Information Retrieval
          Human
          Retrospective Design
          Comparative Studies
          Machine Learning
          Deep Learning
          Neural Networks (Computer)
          Tomography, X-Ray Computed
          Positron Emission Tomography Computed Tomography
          Data Analysis Software
          Descriptive Statistics
          Algorithms
          Automation
      ab: Rising incidence and mortality of cancer have led to an incremental amount of research in the field. To learn from preexisting data, it has become important to capture maximum information related to disease type, stage, treatment, and outcomes. Medical imaging reports are rich in this kind of information but are only present as free text. The extraction of information from such unstructured text reports is labor-intensive. The use of Natural Language Processing (NLP) tools to extract information from radiology reports can make it less time-consuming as well as more effective. In this study, we have developed and compared different models for the classification of lung carcinoma reports using clinical concepts. This study was approved by the institutional ethics committee as a retrospective study with a waiver of informed consent. A clinical concept-based classification pipeline for lung carcinoma radiology reports was developed using rule-based as well as machine learning models and compared. The machine learning models used were XGBoost and two more deep learning model architectures with bidirectional long short-term neural networks. A corpus consisting of 1700 radiology reports including computed tomography (CT) and positron emission tomography/computed tomography (PET/CT) reports were used for development and testing. Five hundred one radiology reports from MIMIC-III Clinical Database version 1.4 was used for external validation. The pipeline achieved an overall F1 score of 0.94 on the internal set and 0.74 on external validation with the rule-based algorithm using expert input giving the best performance. Among the machine learning models, the Bi-LSTM_dropout model performed better than the ML model using XGBoost and the Bi-LSTM_simple model on internal set, whereas on external validation, the Bi-LSTM_simple model performed relatively better than other 2. This pipeline can be used for clinical concept-based classification of radiology reports related to lung carcinoma from a huge corpus and also for automated annotation of these reports.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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