A text processing pipeline to extract recommendations from radiology reports

  • Authors:
  • Meliha Yetisgen-Yildiz;Martin L. Gunn;Fei Xia;Thomas H. Payne

  • Affiliations:
  • Biomedical & Health Informatics, School of Medicine, University of Washington, Seattle, WA, United States and Department of Linguistics, University of Washington, Seattle, WA, United States;Department of Radiology, School of Medicine, University of Washington, Seattle, WA, United States;Department of Linguistics, University of Washington, Seattle, WA, United States and Biomedical & Health Informatics, School of Medicine, University of Washington, Seattle, WA, United States;Information Technology Services, School of Medicine, University of Washington, Seattle, WA, United States

  • Venue:
  • Journal of Biomedical Informatics
  • Year:
  • 2013

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Abstract

Communication of follow-up recommendations when abnormalities are identified on imaging studies is prone to error. The absence of an automated system to identify and track radiology recommendations is an important barrier to ensuring timely follow-up of patients especially with non-acute incidental findings on imaging examinations. In this paper, we present a text processing pipeline to automatically identify clinically important recommendation sentences in radiology reports. Our extraction pipeline is based on natural language processing (NLP) and supervised text classification methods. To develop and test the pipeline, we created a corpus of 800 radiology reports double annotated for recommendation sentences by a radiologist and an internist. We ran several experiments to measure the impact of different feature types and the data imbalance between positive and negative recommendation sentences. Our fully statistical approach achieved the best f-score 0.758 in identifying the critical recommendation sentences in radiology reports.