Modeling Incidental Findings in Radiology Records

  • Authors:
  • Eamon Johnson;W. Christopher Baughman;Gultekin Ozsoyoglu

  • Affiliations:
  • Department of Electrical Engineering and Computer Science, Case Western Reserve University, Cleveland, OH;Department of Radiology, MetroHealth Medical Center, Cleveland, OH;Department of Electrical Engineering and Computer Science, Case Western Reserve University, Cleveland, OH

  • Venue:
  • Proceedings of the International Conference on Bioinformatics, Computational Biology and Biomedical Informatics
  • Year:
  • 2013

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Abstract

Information loss can occur between radiologists and patients with regard to incidental findings (unexpected or uncertain results) in the interpretation of an image. When a healthcare provider fails to inform a patient of a potential medical issue, quality of care is decreased and medical-legal issues arise. We discuss issues in modeling incidental findings in clinical records, examine available machine learning inputs, and propose a clinical text analysis system using weighted syntactic matching and user feedback learning. To demonstrate that our proposal would support better quality of care at lower cost than prior process-based solutions, we evaluate a prototype system on a gold-standard set of 580 records, yielding 82% sensitivity and 92% specificity, as compared with 43% sensitivity and 100% specificity for an existing manual review process.