Evidence map›Paper›PMID 38875565›Full record

ArticleJMIR AI2023

Detecting Ground Glass Opacity Features in Patients With Lung Cancer: Automated Extraction and Longitudinal Analysis via Deep Learning-Based Natural Language Processing.

Kyeryoung Lee, Zongzhi Liu, Urmila Chandran, Iftekhar Kalsekar, Balaji Laxmanan, Mitchell K Higashi, Tomi Jun, Meng Ma, Minghao Li, Yun Mai and 9 more

Abstract read
In one paragraph

Article in JMIR AI, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

19 authors.

Kyeryoung Lee *Sema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-6937-9931
Zongzhi Liu *Sema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0003-1578-9967
Urmila ChandranLung Cancer Initiative, Johnson & Johnson, New Brunswick, NJ, United States.ORCID https://orcid.org/0000-0001-7183-3622
Iftekhar KalsekarLung Cancer Initiative, Johnson & Johnson, New Brunswick, NJ, United States.ORCID https://orcid.org/0000-0001-5232-5972
Balaji LaxmananLung Cancer Initiative, Johnson & Johnson, New Brunswick, NJ, United States.ORCID https://orcid.org/0000-0003-2862-3624
Mitchell K HigashiSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-1047-0263
Tomi JunSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-2120-1704
Meng MaSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-0212-298X
Minghao LiSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-3516-3702
Yun MaiSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-6011-8874
Christopher GilmanSema4, Stamford, CT, United States.ORCID https://orcid.org/0009-0003-1753-2046
Tongyu WangSema4, Stamford, CT, United States.ORCID https://orcid.org/0009-0008-6618-3088
Lei AiSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-2802-5774
Parag AggarwalSema4, Stamford, CT, United States.ORCID https://orcid.org/0009-0009-0904-0205
Qi PanSema4, Stamford, CT, United States.ORCID https://orcid.org/0009-0009-9381-5826
William OhIcahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID https://orcid.org/0000-0001-5113-8147
Gustavo StolovitzkySema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-9618-2819
Eric SchadtIcahn School of Medicine at Mount Sinai, New York, NY, United States.ORCID https://orcid.org/0000-0002-7892-8808
Xiaoyan WangSema4, Stamford, CT, United States.ORCID https://orcid.org/0000-0002-4193-4120

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGround-glass opacities (GGOs) appearing in computed tomography (CT) scans may indicate potential lung malignancy. Proper management of GGOs based on their features can prevent the development of lung cancer. Electronic health records are rich sources of information on GGO nodules and their granular features, but most of the valuable information is embedded in unstructured clinical notes.

objectiveWe aimed to develop, test, and validate a deep learning-based natural language processing (NLP) tool that automatically extracts GGO features to inform the longitudinal trajectory of GGO status from large-scale radiology notes.

methodsWe developed a bidirectional long short-term memory with a conditional random field-based deep-learning NLP pipeline to extract GGO and granular features of GGO retrospectively from radiology notes of 13,216 lung cancer patients. We evaluated the pipeline with quality assessments and analyzed cohort characterization of the distribution of nodule features longitudinally to assess changes in size and solidity over time.

resultsOur NLP pipeline built on the GGO ontology we developed achieved between 95% and 100% precision, 89% and 100% recall, and 92% and 100% F

conclusionsOur deep learning-based NLP pipeline can automatically extract granular GGO features at scale from electronic health records when this information is documented in radiology notes and help inform the natural history of GGO. This will open the way for a new paradigm in lung cancer prevention and early detection.

Indexed as

bidirectional long short-term memory (Bi-LSTM)conditional random fields (CRF)deep learningground glass opacitylongitudinal analysisnatural language processingradiology notesreal world data

Identifiers

PMID38875565
PMCPMC11041451

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.