Evidence map›Paper›PMID 30807833›Full record

ArticleJournal of biomedical informatics2019

Automatic inference of BI-RADS final assessment categories from narrative mammography report findings.

Imon Banerjee, Selen Bozkurt, Emel Alkim, Hersh Sagreiya, Allison W Kurian, Daniel L Rubin

Abstract read
In one paragraph

Article in Journal of biomedical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. A decision support system for mammography reports interpretation.Health information science and systems · 2020
    Article
  9. The Growing Impact of Natural Language Processing in Healthcare and Public Health.Inquiry : a journal of medical care organization, provision and financing
    Review
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

6 authors.

Imon BanerjeeDepartment of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: imonb@stanford.edu.
Selen BozkurtDepartment of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA, USA; Department of Biostatistics and Medical Informatics, Faculty of Medicine, Akdeniz University, Antalya 07059, Turkey.
Emel AlkimDepartment of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA, USA.
Hersh SagreiyaDepartment of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Allison W KurianMedicine (Oncology) and Health Research and Policy, Stanford University School of Medicine, Stanford, CA, USA.
Daniel L RubinDepartment of Biomedical Data Science, Stanford University School of Medicine, Stanford, CA, USA; Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.

Funding

STANFORD CANCER IMAGING TRAINING (SCIT) PROGRAMT32CA009695 · NCI · STANFORD UNIVERSITY · PI BRUCE L DANIEL, Jeremy Dahl · 1993 to 2026
$7.7M
Qualification and Deployment of Imaging Biomarkers of Cancer Treatment ResponseU01CA190214 · NCI · STANFORD UNIVERSITY · PI RUBIN, DANIEL L · 2015 to 2020
$3.1M
Computing, Optimizing, and Evaluating Quantitative Cancer Imaging BiomarkersU01CA187947 · NCI · STANFORD UNIVERSITY · PI NAPEL, SANDY A., RUBIN, DANIEL L · 2015 to 2019
$2.9M
NCI NIH HHS T32 CA009695NCI NIH HHS U01 CA187947NCI NIH HHS U01 CA190214
6 · The paper itself

Abstract

We propose an efficient natural language processing approach for inferring the BI-RADS final assessment categories by analyzing only the mammogram findings reported by the mammographer in narrative form. The proposed hybrid method integrates semantic term embedding with distributional semantics, producing a context-aware vector representation of unstructured mammography reports. A large corpus of unannotated mammography reports (300,000) was used to learn the context of the key-terms using a distributional semantics approach, and the trained model was applied to generate context-aware vector representations of the reports annotated with BI-RADS category (22,091). The vectorized reports were utilized to train a supervised classifier to derive the BI-RADS assessment class. Even though the majority of the proposed embedding pipeline is unsupervised, the classifier was able to recognize substantial semantic information for deriving the BI-RADS categorization not only on a holdout internal testset and also on an external validation set (1900 reports). Our proposed method outperforms a recently published domain-specific rule-based system and could be relevant for evaluating concordance between radiologists. With minimal requirement for task specific customization, the proposed method can be easily transferable to a different domain to support large scale text mining or derivation of patient phenotype.

Indexed as

Deep LearningMammographyNatural Language ProcessingBreastData MiningFemaleHumansRadiographic Image Interpretation, Computer-AssistedSemanticsBI-RADS classificationDeep learningDistributional semanticsMammography reportNLPText mining

Identifiers

PMID30807833
PMCPMC6462247

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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.