论文标题
放射学报告自动结构的合奏方法
An Ensemble Approach for Automatic Structuring of Radiology Reports
论文作者
论文摘要
电子病历的自动结构对临床工作流解决方案的需求很高,以促进患者护理信息的提取,存储和查询。但是,开发可扩展解决方案非常具有挑战性,特别是放射学报告,因为大多数医疗机构都使用没有模板或部门/研究所的特定模板。此外,放射科医生的报告风格因句子是电报而异,并且不遵循一般英语语法规则。我们提出了一种合奏方法,该方法可以合并三个模型的预测,从而捕获文本信息的各种属性,以自动使用章节标签的句子标记。这三个模型是:1)重点句子模型,捕获目标句子的上下文; 2)围绕上下文模型,捕获目标句子的相邻上下文;最后,3)格式/布局模型,旨在学习报告格式化提示。我们利用双向LSTM,然后是句子编码器来获取上下文。此外,我们定义了包含报告结构的几个功能。我们将我们提出的方法与专有数据集上的多种基线和最先进的方法进行了比较,以及来自MIMIC-III数据集的100个手动注释的放射学说明,我们正在公开使用。我们提出的方法通过达到97.1%的准确性来显着优于其他方法。
Automatic structuring of electronic medical records is of high demand for clinical workflow solutions to facilitate extraction, storage, and querying of patient care information. However, developing a scalable solution is extremely challenging, specifically for radiology reports, as most healthcare institutes use either no template or department/institute specific templates. Moreover, radiologists' reporting style varies from one to another as sentences are telegraphic and do not follow general English grammar rules. We present an ensemble method that consolidates the predictions of three models, capturing various attributes of textual information for automatic labeling of sentences with section labels. These three models are: 1) Focus Sentence model, capturing context of the target sentence; 2) Surrounding Context model, capturing the neighboring context of the target sentence; and finally, 3) Formatting/Layout model, aimed at learning report formatting cues. We utilize Bi-directional LSTMs, followed by sentence encoders, to acquire the context. Furthermore, we define several features that incorporate the structure of reports. We compare our proposed approach against multiple baselines and state-of-the-art approaches on a proprietary dataset as well as 100 manually annotated radiology notes from the MIMIC-III dataset, which we are making publicly available. Our proposed approach significantly outperforms other approaches by achieving 97.1% accuracy.