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Text mining brain imaging reports

BACKGROUND: With the improvements to text mining technology and the availability of large unstructured Electronic Healthcare Records (EHR) datasets, it is now possible to extract structured information from raw text contained within EHR at reasonably high accuracy. We describe a text mining system f...

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Autores principales: Alex, Beatrice, Grover, Claire, Tobin, Richard, Sudlow, Cathie, Mair, Grant, Whiteley, William
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849161/
https://www.ncbi.nlm.nih.gov/pubmed/31711539
http://dx.doi.org/10.1186/s13326-019-0211-7
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author Alex, Beatrice
Grover, Claire
Tobin, Richard
Sudlow, Cathie
Mair, Grant
Whiteley, William
author_facet Alex, Beatrice
Grover, Claire
Tobin, Richard
Sudlow, Cathie
Mair, Grant
Whiteley, William
author_sort Alex, Beatrice
collection PubMed
description BACKGROUND: With the improvements to text mining technology and the availability of large unstructured Electronic Healthcare Records (EHR) datasets, it is now possible to extract structured information from raw text contained within EHR at reasonably high accuracy. We describe a text mining system for classifying radiologists’ reports of CT and MRI brain scans, assigning labels indicating occurrence and type of stroke, as well as other observations. Our system, the Edinburgh Information Extraction for Radiology reports (EdIE-R) system, which we describe here, was developed and tested on a collection of radiology reports.The work reported in this paper is based on 1168 radiology reports from the Edinburgh Stroke Study (ESS), a hospital-based register of stroke and transient ischaemic attack patients. We manually created annotations for this data in parallel with developing the rule-based EdIE-R system to identify phenotype information related to stroke in radiology reports. This process was iterative and domain expert feedback was considered at each iteration to adapt and tune the EdIE-R text mining system which identifies entities, negation and relations between entities in each report and determines report-level labels (phenotypes). RESULTS: The inter-annotator agreement (IAA) for all types of annotations is high at 96.96 for entities, 96.46 for negation, 95.84 for relations and 94.02 for labels. The equivalent system scores on the blind test set are equally high at 95.49 for entities, 94.41 for negation, 98.27 for relations and 96.39 for labels for the first annotator and 96.86, 96.01, 96.53 and 92.61, respectively for the second annotator. CONCLUSION: Automated reading of such EHR data at such high levels of accuracies opens up avenues for population health monitoring and audit, and can provide a resource for epidemiological studies. We are in the process of validating EdIE-R in separate larger cohorts in NHS England and Scotland. The manually annotated ESS corpus will be available for research purposes on application.
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spelling pubmed-68491612019-11-15 Text mining brain imaging reports Alex, Beatrice Grover, Claire Tobin, Richard Sudlow, Cathie Mair, Grant Whiteley, William J Biomed Semantics Research BACKGROUND: With the improvements to text mining technology and the availability of large unstructured Electronic Healthcare Records (EHR) datasets, it is now possible to extract structured information from raw text contained within EHR at reasonably high accuracy. We describe a text mining system for classifying radiologists’ reports of CT and MRI brain scans, assigning labels indicating occurrence and type of stroke, as well as other observations. Our system, the Edinburgh Information Extraction for Radiology reports (EdIE-R) system, which we describe here, was developed and tested on a collection of radiology reports.The work reported in this paper is based on 1168 radiology reports from the Edinburgh Stroke Study (ESS), a hospital-based register of stroke and transient ischaemic attack patients. We manually created annotations for this data in parallel with developing the rule-based EdIE-R system to identify phenotype information related to stroke in radiology reports. This process was iterative and domain expert feedback was considered at each iteration to adapt and tune the EdIE-R text mining system which identifies entities, negation and relations between entities in each report and determines report-level labels (phenotypes). RESULTS: The inter-annotator agreement (IAA) for all types of annotations is high at 96.96 for entities, 96.46 for negation, 95.84 for relations and 94.02 for labels. The equivalent system scores on the blind test set are equally high at 95.49 for entities, 94.41 for negation, 98.27 for relations and 96.39 for labels for the first annotator and 96.86, 96.01, 96.53 and 92.61, respectively for the second annotator. CONCLUSION: Automated reading of such EHR data at such high levels of accuracies opens up avenues for population health monitoring and audit, and can provide a resource for epidemiological studies. We are in the process of validating EdIE-R in separate larger cohorts in NHS England and Scotland. The manually annotated ESS corpus will be available for research purposes on application. BioMed Central 2019-11-12 /pmc/articles/PMC6849161/ /pubmed/31711539 http://dx.doi.org/10.1186/s13326-019-0211-7 Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License(http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Alex, Beatrice
Grover, Claire
Tobin, Richard
Sudlow, Cathie
Mair, Grant
Whiteley, William
Text mining brain imaging reports
title Text mining brain imaging reports
title_full Text mining brain imaging reports
title_fullStr Text mining brain imaging reports
title_full_unstemmed Text mining brain imaging reports
title_short Text mining brain imaging reports
title_sort text mining brain imaging reports
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849161/
https://www.ncbi.nlm.nih.gov/pubmed/31711539
http://dx.doi.org/10.1186/s13326-019-0211-7
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