Evidence map›Paper›PMID 37817193›Full record

ArticleBMC medical informatics and decision making2023

Construction of a knowledge graph for breast cancer diagnosis based on Chinese electronic medical records: development and usability study.

Xiaolong Li, Shuifa Sun, Tinglong Tang, Ji Lu, Lijuan Zhang, Jie Yin, Qian Geng, Yirong Wu

Abstract read
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Article in BMC medical informatics and decision making, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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5citing papers in PubMed
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3 · Its place in the literature

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5 citing papers in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Xiaolong LiYichang Key Laboratory of Intelligent Medicine, Yichang, Hubei, China.
Shuifa SunYichang Key Laboratory of Intelligent Medicine, Yichang, Hubei, China.
Tinglong TangYichang Key Laboratory of Intelligent Medicine, Yichang, Hubei, China.
Ji LuYichang Central People's Hospital, Yichang, Hubei, China.
Lijuan ZhangThe Fourth Affiliated Hospital of Nanjing Medical University (Pukou Hospital), Nanjing, Jiangsu, China.
Jie YinThe Fourth Affiliated Hospital of Nanjing Medical University (Pukou Hospital), Nanjing, Jiangsu, China.
Qian GengInstitute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University, No18 Jinfeng Road, Tangjiawan, Xiangzhou District, Zhuhai, 519087, Guangdong, China.
Yirong WuInstitute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University, No18 Jinfeng Road, Tangjiawan, Xiangzhou District, Zhuhai, 519087, Guangdong, China. yrwu@bnu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic medical records (EMRs) contain a wealth of information related to breast cancer diagnosis and treatment. Extracting relevant features from these medical records and constructing a knowledge graph can significantly contribute to an efficient data analysis and decision support system for breast cancer diagnosis.

methodsAn approach was proposed to develop a workflow for effectively extracting breast cancer-related features from Chinese breast cancer mammography reports and constructing a knowledge graph for breast cancer diagnosis. Firstly, the concept layer of the knowledge graph for breast cancer diagnosis was constructed based on breast cancer diagnosis and treatment guidelines, along with insights from clinical experts. .Next, a BiLSTM-Highway-CRF model was designed to extract the mammography features, which formed the data layer of the knowledge graph. Finally, the knowledge graph was constructed by combining the concept layer and the data layer in a Neo4j graph data platform, and then applied in visualization analysis, semantic query and computer assisted diagnosis.

resultsMammographic features were extracted from a total of 1171 mammography examination reports. The overall extraction performance of the model achieved an accuracy rate of 97.16%, a recall rate of 98.06%, and a F1 score of 97.61%. Additionally, 47,660 relationships between entities were identified based on the four different types of relationships defined in the concept layer. The knowledge graph for breast cancer diagnosis was constructed after inputting mammographic features and relationships into the Neo4j graph data platform. The model was assessed from the concept layer, data layer, and application layer perspectives, and showed promising results.

conclusionsThe proposed workflow is applicable for constructing knowledge graphs for breast cancer diagnosis based on Chinese EMRs. This study serves as a reference for the rapid design, construction, and application of knowledge graphs for diagnosis and treatment of other diseases. Furthermore, it offers a potential solution to address the issues of limited data sharing and format inconsistencies present in Chinese EMR data.

Indexed as

Breast NeoplasmsElectronic Health RecordsComputer SimulationData VisualizationEast Asian PeopleFemaleHumansInformation Storage and RetrievalPattern Recognition, AutomatedSemanticsBreast cancerChinese electronic medical recordsComputer assisted diagnosisKnowledge graphMammography

Identifiers

PMID37817193
PMCPMC10563203

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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.