DeepSSR: a deep learning system for structured recognition of text images from unstructured paper-based medical reports

BACKGROUND: Complete electronic health records (EHRs) are not often available, because information barriers are caused by differences in the level of informatization and the type of the EHR system. Therefore, we aimed to develop a deep learning system [deep learning system for structured recognition of text images from unstructured paper-based medical reports (DeepSSR)] for structured recognition of text images from unstructured paper-based medical reports (UPBMRs) to help physicians solve the data-sharing problem. METHODS: UPBMR images were firstly preprocessed through binarization, image correction, and image segmentation. Next, the table area was detected with a lightweight network (i.e., the proposed YOLOv3-MobileNet model). In addition, the text of the table area was detected and recognized with the model based on differentiable binarization (DB) and convolutional recurrent neural network (CRNN). Finally, the recognized text was structured according to its row and column coordinates. DeepSSR was trained and validated on our dataset with 4,221 UPBMR images which were randomly split into training, validation, and testing sets in a ratio of 8:1:1. RESULTS: DeepSSR achieved a high accuracy of 91.10% and a speed of 0.668 s per image. In the system, the proposed YOLOv3-MobileNet model for table detection achieved a precision of 97.8% and a speed of 0.006 s per image. CONCLUSIONS: DeepSSR has high accuracy and fast speed in structured recognition of text based on UPBMR images. This system may help solve the data-sharing problem due to information barriers between hospitals with different EHR systems.