Evidence map›Paper›PMID 32730362›Full record

Observational studyPloS one2020

Extraction of radiographic findings from unstructured thoracoabdominal computed tomography reports using convolutional neural network based natural language processing.

Mohit Pandey, Zhuoran Xu, Evan Sholle, Gabriel Maliakal, Gurpreet Singh, Zahra Fatima, Daria Larine, Benjamin C Lee, Jing Wang, Alexander R van Rosendael and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 10% of its field
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

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. DIRI: Adversarial Patient Reidentification with Large Language Models for Evaluating Clinical Text Anonymization.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  6. Enhancing Disease Detection in Radiology Reports Through Fine-tuning Lightweight LLM on Weak Labels.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Leveraging Deep Representations of Radiology Reports in Survival Analysis for Predicting Heart Failure Patient Mortality.Proceedings of the conference. Association for Computational Linguistics. North American Chapter. Meeting · 2021
    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

14 authors at 3 institutions in 1 country.

Mohit PandeyDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Zhuoran XuDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Evan SholleInformation Technologies and Services, Weill Cornell Medicine, New York, New York, United States of America.ORCID 0000-0001-9518-4399
Gabriel MaliakalDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Gurpreet SinghDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Zahra FatimaDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.ORCID 0000-0003-0565-7151
Daria LarineJaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, New York, United States of America.
Benjamin C LeeDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Jing WangDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Alexander R van RosendaelDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Lohendran BaskaranDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Leslee J ShawDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
James K MinDepartment of Radiology, Weill Cornell Medicine, New York, New York, United States of America.
Subhi J Al'ArefDivision of Cardiology, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
Cornell University · USIcahn School of Medicine at Mount Sinai · USUniversity of Arkansas for Medical Sciences · US

Funding

Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR002384
6 · The paper itself

Abstract

backgroundHeart failure (HF) is a major cause of morbidity and mortality. However, much of the clinical data is unstructured in the form of radiology reports, while the process of data collection and curation is arduous and time-consuming. PURPOSE: We utilized a machine learning (ML)-based natural language processing (NLP) approach to extract clinical terms from unstructured radiology reports. Additionally, we investigate the prognostic value of the extracted data in predicting all-cause mortality (ACM) in HF patients. MATERIALS AND

methodsThis observational cohort study utilized 122,025 thoracoabdominal computed tomography (CT) reports from 11,808 HF patients obtained between 2008 and 2018. 1,560 CT reports were manually annotated for the presence or absence of 14 radiographic findings, in addition to age and gender. Thereafter, a Convolutional Neural Network (CNN) was trained, validated and tested to determine the presence or absence of these features. Further, the ability of CNN to predict ACM was evaluated using Cox regression analysis on the extracted features.

results11,808 CT reports were analyzed from 11,808 patients (mean age 72.8 ± 14.8 years; 52.7% (6,217/11,808) male) from whom 3,107 died during the 10.6-year follow-up. The CNN demonstrated excellent accuracy for retrieval of the 14 radiographic findings with area-under-the-curve (AUC) ranging between 0.83-1.00 (F1 score 0.84-0.97). Cox model showed the time-dependent AUC for predicting ACM was 0.747 (95% confidence interval [CI] of 0.704-0.790) at 30 days.

conclusionAn ML-based NLP approach to unstructured CT reports demonstrates excellent accuracy for the extraction of predetermined radiographic findings, and provides prognostic value in HF patients.

Indexed as

Natural Language ProcessingNeural Networks, ComputerAgedCohort StudiesElectronic Health RecordsFemaleHeart FailureHumansImage Processing, Computer-AssistedMachine LearningMalePrognosisRadiography, AbdominalRadiography, ThoracicSurvival RateTomography, X-Ray Computed

Identifiers

PMID32730362
PMCPMC7392233
OpenAlexW3046893242

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.