Evidence map›Paper›PMID 36905469›Full record

ArticleEuropean radiology2023

Transformer-based structuring of free-text radiology report databases.

S Nowak, D Biesner, Y C Layer, M Theis, H Schneider, W Block, B Wulff, U I Attenberger, R Sifa, A M Sprinkart

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

S Nowak *Department of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. sebastian.nowak@ukbonn.de.
D Biesner *Fraunhofer Institute for Intelligent Analysis and Information Systems IAIS, Sankt Augustin, Germany.
Y C LayerDepartment of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
M TheisDepartment of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
H SchneiderFraunhofer Institute for Intelligent Analysis and Information Systems IAIS, Sankt Augustin, Germany.
W BlockDepartment of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
B WulffFraunhofer Institute for Intelligent Analysis and Information Systems IAIS, Sankt Augustin, Germany.
U I Attenberger *Department of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
R SifaFraunhofer Institute for Intelligent Analysis and Information Systems IAIS, Sankt Augustin, Germany.
A M Sprinkart *Department of Diagnostic and Interventional Radiology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
University Hospital Bonn · DEFraunhofer Institute for Intelligent Analysis and Information Systems · DE

Funding

Bundesministerium für Bildung und Forschung 01|S18038B
6 · The paper itself

Abstract

objectivesTo provide insights for on-site development of transformer-based structuring of free-text report databases by investigating different labeling and pre-training strategies.

methodsA total of 93,368 German chest X-ray reports from 20,912 intensive care unit (ICU) patients were included. Two labeling strategies were investigated to tag six findings of the attending radiologist. First, a system based on human-defined rules was applied for annotation of all reports (termed "silver labels"). Second, 18,000 reports were manually annotated in 197 h (termed "gold labels") of which 10% were used for testing. An on-site pre-trained model (T

resultsT

conclusionsCustom pre-training of transformers and fine-tuning on manual annotations promises to be an efficient strategy to unlock report databases for data-driven medicine. KEY POINTS: • On-site development of natural language processing methods that retrospectively unlock free-text databases of radiology clinics for data-driven medicine is of great interest. • For clinics seeking to develop methods on-site for retrospective structuring of a report database of a certain department, it remains unclear which of previously proposed strategies for labeling reports and pre-training models is the most appropriate in context of, e.g., available annotator time. • Using a custom pre-trained transformer model, along with a little annotation effort, promises to be an efficient way to retrospectively structure radiological databases, even if not millions of reports are available for pre-training.

Indexed as

RadiologyColorDatabases, FactualHumansNatural Language ProcessingRetrospective StudiesDeep learningIntensive care unitsNatural language processingRadiologyThorax

Identifiers

PMID36905469
PMCPMC10181962
OpenAlexW4323920618

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.