Evidence map›Paper›PMID 35146435›Full record

ArticleRadiology. Artificial intelligence2022

Automatic Diagnosis Labeling of Cardiovascular MRI by Using Semisupervised Natural Language Processing of Text Reports.

Sameer Zaman, Camille Petri, Kavitha Vimalesvaran, James Howard, Anil Bharath, Darrel Francis, Nicholas Peters, Graham D Cole, Nick Linton

Abstract read
In one paragraph

Article in Radiology. Artificial intelligence, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Uncertainty-aware automatic TNM staging classification for [BMC medical informatics and decision making · 2024
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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

9 authors.

Sameer Zaman *National Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).ORCID https://orcid.org/0000-0002-1467-8176
Camille Petri *National Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).
Kavitha VimalesvaranNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).ORCID https://orcid.org/0000-0003-2236-7279
James HowardNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).
Anil BharathNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).
Darrel FrancisNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).
Nicholas PetersNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).ORCID https://orcid.org/0000-0002-3581-8078
Graham D ColeNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).ORCID https://orcid.org/0000-0002-3157-0335
Nick LintonNational Heart and Lung Institute, Imperial College London, Hammersmith Hospital, Du Cane Road, Second Floor B Block, London W12 0HS, England (S.Z., C.P., K.V., J.H., D.F., N.P., G.D.C.); Imperial College Healthcare National Health Service Trust, London, England (J.H., D.F., N.P., G.D.C., N.L.); and Department of Bioengineering, Imperial College London, London, England (A.B., N.L.).ORCID https://orcid.org/0000-0002-5712-849X

Funding

British Heart Foundation FS/ICRF/22/26039Wellcome Trust
6 · The paper itself

Abstract

purposeTo assess whether the semisupervised natural language processing (NLP) of text from clinical radiology reports could provide useful automated diagnosis categorization for ground truth labeling to overcome manual labeling bottlenecks in the machine learning pipeline. MATERIALS AND

methodsIn this retrospective study, 1503 text cardiac MRI reports from 2016 to 2019 were manually annotated for five diagnoses by clinicians: normal, dilated cardiomyopathy (DCM), hypertrophic cardiomyopathy, myocardial infarction (MI), and myocarditis. A semisupervised method that uses bidirectional encoder representations from transformers (BERT) pretrained on 1.14 million scientific publications was fine-tuned by using the manually extracted labels, with a report dataset split into groups of 801 for training, 302 for validation, and 400 for testing. The model's performance was compared with two traditional NLP models: a rule-based model and a support vector machine (SVM) model. The models' F1 scores and receiver operating characteristic curves were used to analyze performance.

resultsAfter 15 epochs, the F1 scores on the test set of 400 reports were as follows: normal, 84%; DCM, 79%; hypertrophic cardiomyopathy, 86%; MI, 91%; and myocarditis, 86%. The pooled F1 score and area under the receiver operating curve were 86% and 0.96, respectively. On the same test set, the BERT model had a higher performance than the rule-based model (F1 score, 42%) and SVM model (F1 score, 82%). Diagnosis categories classified by using the BERT model performed the labeling of 1000 MR images in 0.2 second.

conclusionThe developed model used labels extracted from radiology reports to provide automated diagnosis categorization of MR images with a high level of performance.

Indexed as

Diagnosis/Classification/Application DomainMRINamed Entity RecognitionSemisupervised Learning

Identifiers

PMID35146435
PMCPMC8823679

What OpenQuestion holds

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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.