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Proceedings ArticleDOI

Text mining in radiology reports (Methodologies and algorithms), and how it affects on workflow and supports decision making in clinical practice (Systematic review)

TL;DR: The main objective of text-mining on radiology reports in health care facilities which consider as a common source of medical information is demonstrated and how it affects radiologist performance and plays a big role in clinical practice workflow and decisions making in critical situations and time-consuming.
Abstract: The purpose of this review was to summarize the algorithms and methodologies of text-mining and demonstrate the main objective of text-mining on radiology reports in health care facilities which consider as a common source of medical information. And how it affects radiologist performance and plays a big role in clinical practice workflow and decisions making in critical situations and time-consuming. In case the radiologist widely used a narrative- text box in their reporting and sometimes there is a big need to know very specific and critical information about the patients’ current status and to provide with accurate diagnosis then take the appropriate action as soon as possible. However, here it becomes the need to utilize information technology and the effort was directed to find ways to merge data science with the health care field to solve such a problem. We follow the systematic review methodology conducted by Ahmad Alaiad .et al study completed after 29 quantitative and systematic related articles were searched using relevant database then extract and discuss the text-mining processes and provide overall picture about such new innovation and how the IT now days play a valuable role in health problem solving and make the clinical practice more effective and efficient and improve quality of care by improving clinical decision making process. We develop a research taxonomy that summarizes the most of algorithms and methodologies of existing research, we identify the major future questions, limitations and gaps.
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Journal ArticleDOI
TL;DR: In this article, a systematic review of the state-of-the-art in unstructured health record structuring is presented, focusing on the main challenges, such as difficulty in data acquisition, problems with natural language processing, and specific challenges of the studies that process non-English languages.
Abstract: The medical field has experienced a series of transformations with the adoption of new technologies. One of the aspects that experienced significant changes is how a patient’s information is stored. Electronic health records have brought a series of advantages but still present many issues. One of them is the degree of structuring for contained information. More structuring brings a greater richness of information. On the other hand, it contains more challenging and complex content when most of the information is stored in free text (unstructured information). In this sense, many studies focused on structuring the information contained in free text have emerged. This work aims to review the studies focused on the structuring of unstructured health record information, seeking to answer key questions to propose new studies in the field on topics such as the form in which information is structured, the main techniques used, and how data acquisition for development and evaluation is done. To answer these questions, a wide systematic review of the field was conducted since the emergence of BERT networks. In addition to answering those questions, this systematic review identified the main challenges, such as difficulty in data acquisition, problems with natural language processing, and the specific challenges of the studies that process non-English languages, finalizing with a general view of the state of the art in the field and its future opportunities.

3 citations

References
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Journal ArticleDOI
TL;DR: This review focuses on the recently renewed interest in development of fundamental NLP methods and advances in the NLP systems for CDS, and the current solutions to challenges posed by distinct sublanguages, intended user groups, and support goals.

570 citations


"Text mining in radiology reports (M..." refers background in this paper

  • ...Much of the data that support the decision making process exist in textual format which cannot be useful without NLP and text-mining approaches utilization to extract and encode the findings, NLP utilization will provide with active massages including alerting, coding, monitoring, and reminding, as a kind of clinical decision support in real time manner, the existing relationship between the NLP and CDS system perform a build block to provide such types of CDS ranking from specialized to specific task ,to a group of NLP algorithms runs by CDS system to stand-alone system take the narrative text as input and presented output which is very useful that could be used by CDS system [20]....

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Journal ArticleDOI
TL;DR: This review examines how radiology benefits from NLP, taking a close look at the individual studies in terms of tasks, the NLP methodology and tools used, and their application purpose and performance results.
Abstract: Radiological reporting has generated large quantities of digital content within the electronic health record, which is potentially a valuable source of information for improving clinical care and supporting research. Although radiology reports are stored for communication and documentation of diagnostic imaging, harnessing their potential requires efficient and automated information extraction: they exist mainly as free-text clinical narrative, from which it is a major challenge to obtain structured data. Natural language processing (NLP) provides techniques that aid the conversion of text into a structured representation, and thus enables computers to derive meaning from human (ie, natural language) input. Used on radiology reports, NLP techniques enable automatic identification and extraction of information. By exploring the various purposes for their use, this review examines how radiology benefits from NLP. A systematic literature search identified 67 relevant publications describing NLP methods that support practical applications in radiology. This review takes a close look at the individual studies in terms of tasks (ie, the extracted information), the NLP methodology and tools used, and their application purpose and performance results. Additionally, limitations, future challenges, and requirements for advancing NLP in radiology will be discussed.

387 citations


"Text mining in radiology reports (M..." refers background in this paper

  • ...Although structured report format for radiologic imaging studies provide with a high quality data, easier in retrieval and research processes but sill restricted the physicians from provide a comprehensive descriptions of important findings so the radiologists and other physicians intent to write more in a free-text box that exist in report format [1] , and while the natural language used in reporting with varies in terminology and language among the radiologist within a certain health care facility [6] and as well as digitize files become increasing dramatically as a result of using Electronic Health Records (EHR) and the amount of data become numerous, the capacity to get to data inside them turns out to be progressively troublesome [5,15,26]....

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Journal ArticleDOI
TL;DR: This issue of JAMIA focuses on natural language processing (NLP) techniques for clinical-text information extraction and shared tasks like the i2b2/VA Challenge, a shared-task challenge co-sponsored by the Veteran's Administration for the last 2 years.

272 citations

Journal ArticleDOI
TL;DR: The goals and current efforts of the Radiological Society of North America Radiology Reporting Committee are described.
Abstract: The goals and current efforts of the Radiological Society of North America Radiology Reporting Committee are described. The committee's charter provides an opportunity to improve the organization, content, readability, and usefulness of the radiology report and to advance the efficiency and effectiveness of the reporting process.

206 citations


"Text mining in radiology reports (M..." refers background in this paper

  • ...Radiology reports are kind of clinical reporting which the radiologist documents all procedure parts for example instruments used, procedure position, findings, the physicians who doing the examination, and ways to communicate the results to referring physicians who orders the examination [27,28]....

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Journal ArticleDOI
TL;DR: A natural language processor was developed that automatically structures the important medical information contained in a radiology free-text document as a formal information model that can be interpreted by a computer program.
Abstract: A natural language processor was developed that automatically structures the important medical information (eg, the existence, properties, location, and diagnostic interpretation of findings) contained in a radiology free-text document as a formal information model that can be interpreted by a computer program. The input to the system is a free-text report from a radiologic study. The system requires no reporting style changes on the part of the radiologist. Statistical and machine learning methods are used extensively throughout the system. A graphical user interface has been developed that allows the creation of hand-tagged training examples. Various aspects of the difficult problem of implementing an automated structured reporting system have been addressed, and the relevant technology is progressing well. Extensible Markup Language is emerging as the preferred syntactic standard for representing and distributing these structured reports within a clinical environment. Early successes hold out hope that...

170 citations


"Text mining in radiology reports (M..." refers background in this paper

  • ...Radiology reports are kind of clinical reporting which the radiologist documents all procedure parts for example instruments used, procedure position, findings, the physicians who doing the examination, and ways to communicate the results to referring physicians who orders the examination [27,28]....

    [...]