Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing

To investigate the feasibility of automated follow-up recommendations based on findings in radiology reports, this paper proposed a Natural Language Processing model specific for Pulmonary Nodule Radiology Reports. Unstructured findings used to describe pulmonary nodules in 48,091 radiology reports...

Full description

Bibliographic Details
Main Authors: Xiaolu Fei, Pengyu Chen, Lan Wei, Yue Huang, Yi Xin, Jia Li
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/9/6/244
_version_ 1797489915117699072
author Xiaolu Fei
Pengyu Chen
Lan Wei
Yue Huang
Yi Xin
Jia Li
author_facet Xiaolu Fei
Pengyu Chen
Lan Wei
Yue Huang
Yi Xin
Jia Li
author_sort Xiaolu Fei
collection DOAJ
description To investigate the feasibility of automated follow-up recommendations based on findings in radiology reports, this paper proposed a Natural Language Processing model specific for Pulmonary Nodule Radiology Reports. Unstructured findings used to describe pulmonary nodules in 48,091 radiology reports were processed in this study. We established an NLP model to extract information entities from findings of radiology reports, using deep learning and conditional random-field algorithms. Subsequently, we constructed a knowledge graph comprising 168 entities and four relationships, based on the export recommendations of the internationally renowned Fleischner Society for pulmonary nodules. These were employed in combination with rule templates to automatically generate follow-up recommendations. The automatically generated recommendations were then compared to the impression part of the reports to evaluate the matching rate of proper follow ups in the current situation. The NLP model identified eight types of entities with a recognition accuracy of up to 94.22%. A total of 43,898 out of 48,091 clinical reports were judged to contain appropriate follow-up recommendations, corresponding to the matching rate of 91.28%. The results show that NLP can be used on Chinese radiology reports to extract structured information at the content level, thereby realizing the prompt and intelligent follow-up suggestion generation or post-quality management of follow-up recommendations.
first_indexed 2024-03-10T00:23:27Z
format Article
id doaj.art-1c402bb41af4465897686b7637f93dc7
institution Directory Open Access Journal
issn 2306-5354
language English
last_indexed 2024-03-10T00:23:27Z
publishDate 2022-06-01
publisher MDPI AG
record_format Article
series Bioengineering
spelling doaj.art-1c402bb41af4465897686b7637f93dc72023-11-23T15:37:58ZengMDPI AGBioengineering2306-53542022-06-019624410.3390/bioengineering9060244Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language ProcessingXiaolu Fei0Pengyu Chen1Lan Wei2Yue Huang3Yi Xin4Jia Li5Information Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaInformation Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaInformation Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaInformation Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaSchool of Life Science, Beijing Institute of Technology, Beijing 100081,ChinaInformation Center, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaTo investigate the feasibility of automated follow-up recommendations based on findings in radiology reports, this paper proposed a Natural Language Processing model specific for Pulmonary Nodule Radiology Reports. Unstructured findings used to describe pulmonary nodules in 48,091 radiology reports were processed in this study. We established an NLP model to extract information entities from findings of radiology reports, using deep learning and conditional random-field algorithms. Subsequently, we constructed a knowledge graph comprising 168 entities and four relationships, based on the export recommendations of the internationally renowned Fleischner Society for pulmonary nodules. These were employed in combination with rule templates to automatically generate follow-up recommendations. The automatically generated recommendations were then compared to the impression part of the reports to evaluate the matching rate of proper follow ups in the current situation. The NLP model identified eight types of entities with a recognition accuracy of up to 94.22%. A total of 43,898 out of 48,091 clinical reports were judged to contain appropriate follow-up recommendations, corresponding to the matching rate of 91.28%. The results show that NLP can be used on Chinese radiology reports to extract structured information at the content level, thereby realizing the prompt and intelligent follow-up suggestion generation or post-quality management of follow-up recommendations.https://www.mdpi.com/2306-5354/9/6/244natural language processingradiology reportquality managementknowledge graphpulmonary nodule
spellingShingle Xiaolu Fei
Pengyu Chen
Lan Wei
Yue Huang
Yi Xin
Jia Li
Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing
Bioengineering
natural language processing
radiology report
quality management
knowledge graph
pulmonary nodule
title Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing
title_full Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing
title_fullStr Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing
title_full_unstemmed Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing
title_short Quality Management of Pulmonary Nodule Radiology Reports Based on Natural Language Processing
title_sort quality management of pulmonary nodule radiology reports based on natural language processing
topic natural language processing
radiology report
quality management
knowledge graph
pulmonary nodule
url https://www.mdpi.com/2306-5354/9/6/244
work_keys_str_mv AT xiaolufei qualitymanagementofpulmonarynoduleradiologyreportsbasedonnaturallanguageprocessing
AT pengyuchen qualitymanagementofpulmonarynoduleradiologyreportsbasedonnaturallanguageprocessing
AT lanwei qualitymanagementofpulmonarynoduleradiologyreportsbasedonnaturallanguageprocessing
AT yuehuang qualitymanagementofpulmonarynoduleradiologyreportsbasedonnaturallanguageprocessing
AT yixin qualitymanagementofpulmonarynoduleradiologyreportsbasedonnaturallanguageprocessing
AT jiali qualitymanagementofpulmonarynoduleradiologyreportsbasedonnaturallanguageprocessing