Evidence map›Paper›PMID 31482317›Full record

ArticleJournal of digital imaging2020

Automated Detection of Radiology Reports that Require Follow-up Imaging Using Natural Language Processing Feature Engineering and Machine Learning Classification.

Robert Lou, Darco Lalevic, Charles Chambers, Hanna M Zafar, Tessa S Cook

Abstract read
In one paragraph

Article in Journal of digital imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

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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.

Robert LouPerelman School of Medicine at the University of Pennsylvania, 801 S 24th St #3, Philadelphia, PA, 19146, USA. robert.lou@pennmedicine.upenn.edu.ORCID 0000-0003-4723-5416
Darco LalevicHospital of the University of Pennsylvania, Philadelphia, PA, USA.
Charles ChambersHospital of the University of Pennsylvania, Philadelphia, PA, USA.
Hanna M ZafarHospital of the University of Pennsylvania, Philadelphia, PA, USA.
Tessa S CookHospital of the University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While radiologists regularly issue follow-up recommendations, our preliminary research has shown that anywhere from 35 to 50% of patients who receive follow-up recommendations for findings of possible cancer on abdominopelvic imaging do not return for follow-up. As such, they remain at risk for adverse outcomes related to missed or delayed cancer diagnosis. In this study, we develop an algorithm to automatically detect free text radiology reports that have a follow-up recommendation using natural language processing (NLP) techniques and machine learning models. The data set used in this study consists of 6000 free text reports from the author's institution. NLP techniques are used to engineer 1500 features, which include the most informative unigrams, bigrams, and trigrams in the training corpus after performing tokenization and Porter stemming. On this data set, we train naive Bayes, decision tree, and maximum entropy models. The decision tree model, with an F1 score of 0.458 and accuracy of 0.862, outperforms both the naive Bayes (F1 score of 0.381) and maximum entropy (F1 score of 0.387) models. The models were analyzed to determine predictive features, with term frequency of n-grams such as "renal neoplasm" and "evalu with enhanc" being most predictive of a follow-up recommendation. Key to maximizing performance was feature engineering that extracts predictive information and appropriate selection of machine learning algorithms based on the feature set.

Indexed as

Natural Language ProcessingRadiologyBayes TheoremFollow-Up StudiesHumansMachine LearningArtificial intelligenceBinary classificationFollow-upMachine learningNatural language processingStructured reporting

Identifiers

PMID31482317
PMCPMC7064732

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.