Evidence map›Paper›PMID 24431333›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Automatic lymphoma classification with sentence subgraph mining from pathology reports.

Yuan Luo, Aliyah R Sohani, Ephraim P Hochberg, Peter Szolovits

Abstract readComparative Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  7. Review
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  9. Article
  10. Article
  11. Rich Text Formatted EHR Narratives: A Hidden and Ignored Trove.Studies in health technology and informatics · 2019
    Article
  12. Review
  13. Article
  14. Article
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  16. Implementing a Portable Clinical NLP System with a Common Data Model - a Lisp Perspective.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2018
    Article
  17. Segment convolutional neural networks (Seg-CNNs) for classifying relations in clinical notes.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  18. Review
  19. OC-2-KB: A software pipeline to build an evidence-based obesity and cancer knowledge base.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2017
    Article
  20. Predicting Social Anxiety Treatment Outcome Based on Therapeutic Email Conversations.IEEE journal of biomedical and health informatics · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yuan LuoComputer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Aliyah R SohaniDepartment of Pathology, Massachusetts General Hospital and Harvard Medical School, Cambridge, Massachusetts, USA.
Ephraim P HochbergCenter for Lymphoma, Massachusetts General Hospital, Cambridge, Massachusetts, USA Department of Medicine, Harvard Medical School, Cambridge, Massachusetts, USA.
Peter SzolovitsComputer Science and Artificial Intelligence Lab, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.

Funding

Informatics for Integrating Biology/ the Bedside (RMI)U54LM008748 · NLM · BRIGHAM AND WOMEN'S HOSPITAL · PI KOHANE, ISAAC S. · 2004 to 2013
$39.0M
NLM NIH HHS U54 LM008748NLM NIH HHS U54LM008748
6 · The paper itself

Abstract

objectivePathology reports are rich in narrative statements that encode a complex web of relations among medical concepts. These relations are routinely used by doctors to reason on diagnoses, but often require hand-crafted rules or supervised learning to extract into prespecified forms for computational disease modeling. We aim to automatically capture relations from narrative text without supervision.

methodsWe design a novel framework that translates sentences into graph representations, automatically mines sentence subgraphs, reduces redundancy in mined subgraphs, and automatically generates subgraph features for subsequent classification tasks. To ensure meaningful interpretations over the sentence graphs, we use the Unified Medical Language System Metathesaurus to map token subsequences to concepts, and in turn sentence graph nodes. We test our system with multiple lymphoma classification tasks that together mimic the differential diagnosis by a pathologist. To this end, we prevent our classifiers from looking at explicit mentions or synonyms of lymphomas in the text. RESULTS AND

conclusionsWe compare our system with three baseline classifiers using standard n-grams, full MetaMap concepts, and filtered MetaMap concepts. Our system achieves high F-measures on multiple binary classifications of lymphoma (Burkitt lymphoma, 0.8; diffuse large B-cell lymphoma, 0.909; follicular lymphoma, 0.84; Hodgkin lymphoma, 0.912). Significance tests show that our system outperforms all three baselines. Moreover, feature analysis identifies subgraph features that contribute to improved performance; these features agree with the state-of-the-art knowledge about lymphoma classification. We also highlight how these unsupervised relation features may provide meaningful insights into lymphoma classification.

Indexed as

Data MiningNatural Language ProcessingPathology, ClinicalDatabases, FactualDiagnosis, DifferentialElectronic Data ProcessingHumansLymphomaRegistriesUnified Medical Language SystemAutomatic lymphoma classificationNatural language processingPathology reportsSentence subgraph mining

Identifiers

PMID24431333
PMCPMC4147603

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.