23. Natural language processing for automated identification of intraoperative vascular injury in anterior lumbar spine surgery

2020 ◽  
Vol 20 (9) ◽  
pp. S11-S12
Author(s):  
Aditya V. Karhade ◽  
Michiel Bongers ◽  
Olivier Groot ◽  
Harold A. Fogel ◽  
Stuart H. Hershman ◽  
...  
Keyword(s):  
Natural Language Processing ◽  
Lumbar Spine ◽  
Natural Language ◽  
Language Processing ◽  
Vascular Injury ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Automated Identification

scholarly journals A Natural Language Processing Approach to Automated Highlighting of New Information in Clinical Notes

2020 ◽  
Vol 10 (8) ◽  
pp. 2824
Author(s):  
Yu-Hsiang Su ◽  
Ching-Ping Chao ◽  
Ling-Chien Hung ◽  
Sheng-Feng Sung ◽  
Pei-Ju Lee
Keyword(s):  
Natural Language Processing ◽  
Natural Language ◽  
Task Performance ◽  
Language Processing ◽  
Automated Identification ◽  
Clinical Notes ◽  
New Information ◽  
Perceived Workload ◽  
The Impact ◽  
User Experiment

Electronic medical records (EMRs) have been used extensively in most medical institutions for more than a decade in Taiwan. However, information overload associated with rapid accumulation of large amounts of clinical narratives has threatened the effective use of EMRs. This situation is further worsened by the use of “copying and pasting”, leading to lots of redundant information in clinical notes. This study aimed to apply natural language processing techniques to address this problem. New information in longitudinal clinical notes was identified based on a bigram language model. The accuracy of automated identification of new information was evaluated using expert annotations as the reference standard. A two-stage cross-over user experiment was conducted to evaluate the impact of highlighting of new information on task demands, task performance, and perceived workload. The automated method identified new information with an F1 score of 0.833. The user experiment found a significant decrease in perceived workload associated with a significantly higher task performance. In conclusion, automated identification of new information in clinical notes is feasible and practical. Highlighting of new information enables healthcare professionals to grasp key information from clinical notes with less perceived workload.

Poster 108: Accuracy of Natural Language Processing for Identifying Spondyloarthropathy in Primary Care Patients Receiving Lumbar Spine Imaging

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S11-S11
Author(s):  
Mychael B. Lagbas ◽  
Jeffrey G. Jarvik ◽  
Sean D. Rundell ◽  
Kathryn T. James ◽  
RiniA. Desai ◽  
...  
Keyword(s):  
Primary Care ◽  
Natural Language Processing ◽  
Lumbar Spine ◽  
Natural Language ◽  
Language Processing ◽  
Spine Imaging ◽  
Primary Care Patients

scholarly journals Automatic Diagnosis of Spinal Disorders on Radiographic Images: Leveraging Existing Unstructured Datasets With Natural Language Processing

2021 ◽  
pp. 219256822110269
Author(s):  
Fabio Galbusera ◽  
Andrea Cina ◽  
Tito Bassani ◽  
Matteo Panico ◽  
Luca Maria Sconfienza
Keyword(s):  
Artificial Intelligence ◽  
Deep Learning ◽  
Natural Language Processing ◽  
Lumbar Spine ◽  
Natural Language ◽  
Language Processing ◽  
Large Set ◽  
Learning Models ◽  
Radiological Findings ◽  
Radiographic Images

Study Design: Retrospective study. Objectives: Huge amounts of images and medical reports are being generated in radiology departments. While these datasets can potentially be employed to train artificial intelligence tools to detect findings on radiological images, the unstructured nature of the reports limits the accessibility of information. In this study, we tested if natural language processing (NLP) can be useful to generate training data for deep learning models analyzing planar radiographs of the lumbar spine. Methods: NLP classifiers based on the Bidirectional Encoder Representations from Transformers (BERT) model able to extract structured information from radiological reports were developed and used to generate annotations for a large set of radiographic images of the lumbar spine (N = 10 287). Deep learning (ResNet-18) models aimed at detecting radiological findings directly from the images were then trained and tested on a set of 204 human-annotated images. Results: The NLP models had accuracies between 0.88 and 0.98 and specificities between 0.84 and 0.99; 7 out of 12 radiological findings had sensitivity >0.90. The ResNet-18 models showed performances dependent on the specific radiological findings with sensitivities and specificities between 0.53 and 0.93. Conclusions: NLP generates valuable data to train deep learning models able to detect radiological findings in spine images. Despite the noisy nature of reports and NLP predictions, this approach effectively mitigates the difficulties associated with the manual annotation of large quantities of data and opens the way to the era of big data for artificial intelligence in musculoskeletal radiology.

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