Information from Searching Content with an Ontology-Utilizing Toolkit (iSCOUT).

Radiology reports are permanent legal documents that serve as official interpretation of imaging tests. Manual analysis of textual information contained in these reports requires significant time and effort. This study describes the development and initial evaluation of a toolkit that enables automa...

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Published in:Journal of Digital Imaging Vol. 25; no. 4; pp. 512 - 520
Main Authors: Lacson, Ronilda, Andriole, Katherine, Prevedello, Luciano, Khorasani, Ramin
Format: research tables/charts Journal Article
Published: Springer Nature Aug2012
Online Access:View this record in EBSCOhost
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      dt: Aug2012
      vid: 25
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      pub: Springer Nature
      place: New York, New York
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        atl: Information from Searching Content with an Ontology-Utilizing Toolkit (iSCOUT).
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        au:
          Lacson, Ronilda
          Andriole, Katherine
          Prevedello, Luciano
          Khorasani, Ramin
        affil: Center for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street Boston 02115 USA
      sug:
        subj:
          Vocabulary, Controlled
          Information Retrieval Methods
          Natural Language Processing
          Radiography
          Reports
          Automation
          Systems Design
          Sensitivity and Specificity
          Comparative Studies
          Human
          Funding Source
      ab: Radiology reports are permanent legal documents that serve as official interpretation of imaging tests. Manual analysis of textual information contained in these reports requires significant time and effort. This study describes the development and initial evaluation of a toolkit that enables automated identification of relevant information from within these largely unstructured text reports. We developed and made publicly available a natural language processing toolkit, Information from Searching Content with an Ontology-Utilizing Toolkit (iSCOUT). Core functions are included in the following modules: the Data Loader, Header Extractor, Terminology Interface, Reviewer, and Analyzer. The toolkit enables search for specific terms and retrieval of (radiology) reports containing exact term matches as well as similar or synonymous term matches within the text of the report. The Terminology Interface is the main component of the toolkit. It allows query expansion based on synonyms from a controlled terminology (e.g., RadLex or National Cancer Institute Thesaurus [NCIT]). We evaluated iSCOUT document retrieval of radiology reports that contained liver cysts, and compared precision and recall with and without using NCIT synonyms for query expansion. iSCOUT retrieved radiology reports with documented liver cysts with a precision of 0.92 and recall of 0.96, utilizing NCIT. This recall (i.e., utilizing the Terminology Interface) is significantly better than using each of two search terms alone (0.72, p = 0.03 for liver cyst and 0.52, p = 0.0002 for hepatic cyst). iSCOUT reliably assembled relevant radiology reports for a cohort of patients with liver cysts with significant improvement in document retrieval when utilizing controlled lexicons.
      pubtype: Academic Journal
      doctype:
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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