Natural Language Processing Algorithm Used for Staging Pulmonary Oncology from Free-Text Radiological Reports: "Including PET-CT and Validation Towards Clinical Use".

Natural language processing (NLP) can be used to process and structure free text, such as (free text) radiological reports. In radiology, it is important that reports are complete and accurate for clinical staging of, for instance, pulmonary oncology. A computed tomography (CT) or positron emission...

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Publicado en:Journal of Digital Imaging Vol. 37; no. 1; pp. 3 - 13
Autores principales: Nobel, J. Martijn, Puts, Sander, Krdzalic, Jasenko, Zegers, Karen M. L., Lobbes, Marc B. I., F. Robben, Simon G., Dekker, André L. A. J.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Natural Language Processing Algorithm Used for Staging Pulmonary Oncology from Free-Text Radiological Reports: "Including PET-CT and Validation Towards Clinical Use".
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          Nobel, J. Martijn
          Puts, Sander
          Krdzalic, Jasenko
          Zegers, Karen M. L.
          Lobbes, Marc B. I.
          F. Robben, Simon G.
          Dekker, André L. A. J.
        affil: https://ror.org/02jz4aj89 Department of Radiology and Nuclear Medicine, Maastricht University Medical Center+, Postbox 5800, 6202 AZ, Maastricht, Netherlands
      sug:
        subj:
          Natural Language Processing
          Algorithms
          Neoplasm Staging
          Lung Neoplasms Radiography
          Reports
          Positron Emission Tomography Computed Tomography
          Human
          Tomography, X-Ray Computed
          Descriptive Statistics
          Predictive Validity
          Machine Learning
      ab: Natural language processing (NLP) can be used to process and structure free text, such as (free text) radiological reports. In radiology, it is important that reports are complete and accurate for clinical staging of, for instance, pulmonary oncology. A computed tomography (CT) or positron emission tomography (PET)-CT scan is of great importance in tumor staging, and NLP may be of additional value to the radiological report when used in the staging process as it may be able to extract the T and N stage of the 8th tumor–node–metastasis (TNM) classification system. The purpose of this study is to evaluate a new TN algorithm (TN-PET-CT) by adding a layer of metabolic activity to an already existing rule-based NLP algorithm (TN-CT). This new TN-PET-CT algorithm is capable of staging chest CT examinations as well as PET-CT scans. The study design made it possible to perform a subgroup analysis to test the external validation of the prior TN-CT algorithm. For information extraction and matching, pyContextNLP, SpaCy, and regular expressions were used. Overall TN accuracy score of the TN-PET-CT algorithm was 0.73 and 0.62 in the training and validation set (N = 63, N = 100). The external validation of the TN-CT classifier (N = 65) was 0.72. Overall, it is possible to adjust the TN-CT algorithm into a TN-PET-CT algorithm. However, outcomes highly depend on the accuracy of the report, the used vocabulary, and its context to express, for example, uncertainty. This is true for both the adjusted PET-CT algorithm and for the CT algorithm when applied in another hospital.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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