Diagnosis extraction from unstructured Dutch echocardiogram reports using span- and document-level characteristic classification

Fuente: arXiv
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Autori principali: Arends, Bauke, Vessies, Melle, van Osch, Dirk, Teske, Arco, van der Harst, Pim, van Es, René, van Es, Bram
Natura: Preprint
Pubblicazione: 2024
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author Arends, Bauke
Vessies, Melle
van Osch, Dirk
Teske, Arco
van der Harst, Pim
van Es, René
van Es, Bram
author_facet Arends, Bauke
Vessies, Melle
van Osch, Dirk
Teske, Arco
van der Harst, Pim
van Es, René
van Es, Bram
contents Clinical machine learning research and AI driven clinical decision support models rely on clinically accurate labels. Manually extracting these labels with the help of clinical specialists is often time-consuming and expensive. This study tests the feasibility of automatic span- and document-level diagnosis extraction from unstructured Dutch echocardiogram reports. We included 115,692 unstructured echocardiogram reports from the UMCU a large university hospital in the Netherlands. A randomly selected subset was manually annotated for the occurrence and severity of eleven commonly described cardiac characteristics. We developed and tested several automatic labelling techniques at both span and document levels, using weighted and macro F1-score, precision, and recall for performance evaluation. We compared the performance of span labelling against document labelling methods, which included both direct document classifiers and indirect document classifiers that rely on span classification results. The SpanCategorizer and MedRoBERTa$.$nl models outperformed all other span and document classifiers, respectively. The weighted F1-score varied between characteristics, ranging from 0.60 to 0.93 in SpanCategorizer and 0.96 to 0.98 in MedRoBERTa$.$nl. Direct document classification was superior to indirect document classification using span classifiers. SetFit achieved competitive document classification performance using only 10% of the training data. Utilizing a reduced label set yielded near-perfect document classification results. We recommend using our published SpanCategorizer and MedRoBERTa$.$nl models for span- and document-level diagnosis extraction from Dutch echocardiography reports. For settings with limited training data, SetFit may be a promising alternative for document classification.
format Preprint
id arxiv_https___arxiv_org_abs_2408_06930
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Diagnosis extraction from unstructured Dutch echocardiogram reports using span- and document-level characteristic classification
Arends, Bauke
Vessies, Melle
van Osch, Dirk
Teske, Arco
van der Harst, Pim
van Es, René
van Es, Bram
Computation and Language
Artificial Intelligence
68T50, 68P20
I.2.7; J.3; H.3.3
Clinical machine learning research and AI driven clinical decision support models rely on clinically accurate labels. Manually extracting these labels with the help of clinical specialists is often time-consuming and expensive. This study tests the feasibility of automatic span- and document-level diagnosis extraction from unstructured Dutch echocardiogram reports. We included 115,692 unstructured echocardiogram reports from the UMCU a large university hospital in the Netherlands. A randomly selected subset was manually annotated for the occurrence and severity of eleven commonly described cardiac characteristics. We developed and tested several automatic labelling techniques at both span and document levels, using weighted and macro F1-score, precision, and recall for performance evaluation. We compared the performance of span labelling against document labelling methods, which included both direct document classifiers and indirect document classifiers that rely on span classification results. The SpanCategorizer and MedRoBERTa$.$nl models outperformed all other span and document classifiers, respectively. The weighted F1-score varied between characteristics, ranging from 0.60 to 0.93 in SpanCategorizer and 0.96 to 0.98 in MedRoBERTa$.$nl. Direct document classification was superior to indirect document classification using span classifiers. SetFit achieved competitive document classification performance using only 10% of the training data. Utilizing a reduced label set yielded near-perfect document classification results. We recommend using our published SpanCategorizer and MedRoBERTa$.$nl models for span- and document-level diagnosis extraction from Dutch echocardiography reports. For settings with limited training data, SetFit may be a promising alternative for document classification.
title Diagnosis extraction from unstructured Dutch echocardiogram reports using span- and document-level characteristic classification
topic Computation and Language
Artificial Intelligence
68T50, 68P20
I.2.7; J.3; H.3.3
url https://arxiv.org/abs/2408.06930