Evidence map›Paper›PMID 36266650›Full record

ArticleBMC medical informatics and decision making2022

Identifying stroke diagnosis-related features from medical imaging reports to improve clinical decision-making support.

Xiaowei Xu, Lu Qin, Lingling Ding, Chunjuan Wang, Meng Wang, Zixiao Li, Jiao Li

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

7 authors.

Xiaowei Xu *Institute of Medical Information, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Lu Qin *Institute of Medical Information, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
Lingling DingBeijing Tiantan Hospital, Capital Medical University, Beijing, China.
Chunjuan WangBeijing Tiantan Hospital, Capital Medical University, Beijing, China.
Meng WangBeijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zixiao LiBeijing Tiantan Hospital, Capital Medical University, Beijing, China. lizixiao2008@hotmail.com.
Jiao LiInstitute of Medical Information, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China. li.jiao@imicams.ac.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical imaging reports play an important role in communication of diagnostic information between radiologists and clinicians. Head magnetic resonance imaging (MRI) reports can provide evidence that is widely used in the diagnosis and treatment of ischaemic stroke. The high-signal regions of diffusion-weighted imaging (DWI) images in MRI reports are key evidence. Correctly identifying high-signal regions of DWI images is helpful for the treatment of ischaemic stroke patients. Since most of the multiple signals recorded in head MRI reports appear in the same part, it is challenging to identify high-signal regions of DWI images from MRI reports.

methodsWe developed a deep learning model to automatically identify high-signal regions of DWI images from head MRI reports. We proposed a fine-grained entity typing model based on machine reading comprehension that transformed the traditional two-step fine-grained entity typing task into a question-answering task.

resultsTo prove the validity of the model proposed, we compared it with the fine-grained entity typing model, of which the F1 measure was 5.9% and 3.2% higher than the F1 measures of the models based on LSTM and BERT, respectively.

conclusionIn this study, we explore the automatic identification of high-signal regions of DWI images from the description part of a head MRI report. We transformed the identification of high-signal regions of DWI images to an FET task and proposed an MRC-FET model. Compared with the traditional two-step FET method, the model we proposed not only simplifies the task but also has better performance. The comparable result shows that the work in this study can contribute to improving the clinical decision support system.

Indexed as

Brain IschemiaIschemic StrokeStrokeClinical Decision-MakingDiffusion Magnetic Resonance ImagingHumansMagnetic Resonance ImagingDWIFine-grained entity typingHigh-Signal intensity regionsIschaemic strokeMRI reports

Identifiers

PMID36266650
PMCPMC9583470

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.