Evidence map›Paper›PMID 30959206›Full record

ArticleJournal of biomedical informatics2019

Assisting radiologists with reporting urgent findings to referring physicians: A machine learning approach to identify cases for prompt communication.

Xing Meng, Craig H Ganoe, Ryan T Sieberg, Yvonne Y Cheung, Saeed Hassanpour

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Self-Supervised Contextual Language Representation of Radiology Reports to Improve the Identification of Communication Urgency.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2020
    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

5 authors.

Xing MengComputer Science Department, Dartmouth College, Hanover, NH 03755, USA.
Craig H GanoeBiomedical Data Science Department, Dartmouth College, Hanover, NH 03755, USA.
Ryan T SiebergRadiology Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Yvonne Y CheungRadiology Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Saeed HassanpourComputer Science Department, Dartmouth College, Hanover, NH 03755, USA; Biomedical Data Science Department, Dartmouth College, Hanover, NH 03755, USA; Epidemiology Department, Dartmouth College, Hanover, NH 03755, USA. Electronic address: Saeed.Hassanpour@dartmouth.edu.

Funding

Improving Colorectal Cancer Screening and Risk Assessment through Deep Learning on Medical Images and RecordsR01LM012837 · NLM · DARTMOUTH COLLEGE · PI HASSANPOUR, SAEED · 2019 to 2022
$1.4M
NLM NIH HHS R01 LM012837
6 · The paper itself

Abstract

Radiologists are expected to expediently communicate critical and unexpected findings to referring clinicians to prevent delayed diagnosis and treatment of patients. However, competing demands such as heavy workload along with lack of administrative support resulted in communication failures that accounted for 7% of the malpractice payments made from 2004 to 2008 in the United States. To address this problem, we have developed a novel machine learning method that can automatically and accurately identify cases that require prompt communication to referring physicians based on analyzing the associated radiology reports. This semi-supervised learning approach requires a minimal amount of manual annotations and was trained on a large multi-institutional radiology report repository from three major external healthcare organizations. To test our approach, we created a corpus of 480 radiology reports from our own institution and double-annotated cases that required prompt communication by two radiologists. Our evaluation on the test corpus achieved an F-score of 74.5% and recall of 90.0% in identifying cases for prompt communication. The implementation of the proposed approach as part of an online decision support system can assist radiologists in identifying radiological cases for prompt communication to referring physicians to avoid or minimize potential harm to patients.

Indexed as

CommunicationMachine LearningRadiologistsReferral and ConsultationCluster AnalysisHumansCluster analysisDistributional semanticsRadiologist prompt communicationRadiology reportSemi-supervised learning

Identifiers

PMID30959206
PMCPMC6506378

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.