Evidence map›Paper›PMID 38885475›Full record

ArticleJCO clinical cancer informatics2024

Extracting Systemic Anticancer Therapy and Response Information From Clinical Notes Following the RECIST Definition.

Xu Zuo, Ashok Kumar, Shuhan Shen, Jianfu Li, Grace Cong, Edward Jin, Qingxia Chen, Jeremy L Warner, Ping Yang, Hua Xu

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Xu ZuoUniversity of Texas Health Science Center, Houston, TX.ORCID 0009-0008-8571-5529
Ashok KumarMayo Clinic, Scottsdale, AZ.
Shuhan ShenMayo Clinic, Scottsdale, AZ.
Jianfu LiUniversity of Texas Health Science Center, Houston, TX.ORCID 0000-0002-9949-7007
Grace CongUniversity of Maryland, College Park, College Park, MD.
Edward JinUniversity of Southern California, Los Angeles, CA.ORCID 0009-0004-2939-3108
Qingxia ChenVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-0507-1847
Jeremy L WarnerVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-2851-7242
Ping YangMayo Clinic, Scottsdale, AZ.ORCID 0000-0002-8588-847X
Hua XuYale University, New Haven, CT.

Funding

ALPHA 1 AD CARRIERS AND LUNG CANCER RISKR01CA080127 · NCI · MAYO CLINIC ROCHESTER · PI YANG, PING · 2000 to 2009
$4.4M
Genetic Determinants of Lung Cancer SurvivalR01CA084354 · NCI · MAYO CLINIC ROCHESTER · PI YANG, PING · 2001 to 2012
$4.0M
Advancing Cancer Pharmacoepidemiology Research Through EHRs and InformaticsU24CA194215 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TAO, CUI, YANG, PING · 2016 to 2020
$3.3M
Health and QOL among Long-Term Lung Cancer SurvivorsR01CA115857 · NCI · MAYO CLINIC ROCHESTER · PI YANG, PING · 2006 to 2010
$2.4M
DEVELOPMENT OF LUNG CANCER EPIDEMIOLOGY RESEARCHR03CA077118 · NCI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI YANG, PING · 1997 to 1998
–
NCI NIH HHS R01 CA080127NCI NIH HHS R01 CA084354NCI NIH HHS R01 CA115857NCI NIH HHS R03 CA077118NCI NIH HHS U24 CA194215
6 · The paper itself

Abstract

purposeThe RECIST guidelines provide a standardized approach for evaluating the response of cancer to treatment, allowing for consistent comparison of treatment efficacy across different therapies and patients. However, collecting such information from electronic health records manually can be extremely labor-intensive and time-consuming because of the complexity and volume of clinical notes. The aim of this study is to apply natural language processing (NLP) techniques to automate this process, minimizing manual data collection efforts, and improving the consistency and reliability of the results.

methodsWe proposed a complex, hybrid NLP system that automates the process of extracting, linking, and summarizing anticancer therapy and associated RECIST-like responses from narrative clinical text. The system consists of multiple machine learning-/deep learning-based and rule-based modules for diverse NLP tasks such as named entity recognition, assertion classification, relation extraction, and text normalization, to address different challenges associated with anticancer therapy and response information extraction. We then evaluated the system performances on two independent test sets from different institutions to demonstrate its effectiveness and generalizability.

resultsThe system used domain-specific language models, BioBERT and BioClinicalBERT, for high-performance therapy mentions identification and RECIST responses extraction and categorization. The best-performing model achieved a 0.66 score in linking therapy and RECIST response mentions, with end-to-end performance peaking at 0.74 after relation normalization, indicating substantial efficacy with room for improvement.

conclusionWe developed, implemented, and tested an information extraction system from clinical notes for cancer treatment and efficacy assessment information. We expect this system will support future cancer research, particularly oncologic studies that focus on efficiently assessing the effectiveness and reliability of cancer therapeutics.

Indexed as

Electronic Health RecordsNatural Language ProcessingNeoplasmsResponse Evaluation Criteria in Solid TumorsAlgorithmsData MiningDeep LearningHumansMachine Learning

Identifiers

PMID38885475
PMCPMC12032536

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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.