Reporting

报告
  • 文章类型: Journal Article
    评论员建议法医科学家的报告应包含各种披露,以促进理解。然而,很少有研究探讨遵循最佳实践建议是否会影响接收者对证据的印象。我们研究了更符合这些最佳实践建议的法医学报告是否减少了对证据的高估,并使法律和社区决策者对证据质量敏感。在三个实验中,向240名法律从业人员/受训人员和566名社区决策者提交了指纹或鞋类报告,该报告符合或不符合最佳实践建议。然后要求参与者根据报告做出评估和决定。我们发现报告合规性的影响喜忧参半。报告依从性影响了社区参与者对证据说服力的评估,但对法律从业人员/受训者的判断影响有限。当提供合规报告时,我们发现,社区参与者认为未知可靠性证据比高可靠性证据更不可靠和更没有说服力,建议披露有助于减少证据的高估,并提高对证据质量差异的敏感性。这些结果表明,遵守报告建议确实会影响社区印象,而对法医学证据的法律印象影响最小。这一结果的成本和/或收益需要进一步审查。
    Commentators have recommended that forensic scientists\' reports contain various disclosures to facilitate comprehension. However, little research has explored whether following best practice recommendations for disclosure impacts on receivers\' impressions of the evidence. We examined whether forensic science reports that are more compliant with these best practice recommendations reduced overvaluing of the evidence and sensitized legal and community decision-makers to evidence quality. Across three experiments, 240 legal practitioners/trainees and 566 community decision-makers were presented with a fingerprint or footwear report that was either compliant or non-compliant with best practice recommendations. Participants were then asked to make evaluations and decisions based on the report. We found mixed effects of report compliance. Report compliance affected community participant\'s evaluations of the persuasiveness of the evidence but had limited impact on the judgments of legal practitioners/trainees. When presented with compliant reports, we found that community participants regarded unknown reliability evidence as less reliable and less persuasive than high reliability evidence, suggesting disclosures helped reduce overvaluing of the evidence and create sensitivity to differences in evidence quality. These results suggest compliance with reporting recommendations does affect community impressions, while only minimally influencing legal impressions of forensic science evidence. The costs and/or benefits of this outcome require further examination.
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  • 文章类型: Editorial
    大量证据表明,育儿计划对儿童和家庭产生积极影响,突出了大规模实施这些计划的潜在公共卫生益处。尽管有证据和全球关注,除了通过随机试验高度控制的育儿计划,对计划的有效性或如何解释在社区环境中实施时通常观察到的较差结果知之甚少。研究人员,从业者,和政策制定者必须共同努力,以确定在现实世界的服务系统中促进采用和维持基于证据的育儿计划所需要的东西,以及如何通过这些系统交付时提高计划的有效性。收集,分析,使用促进者保真度数据是研究人员和从业人员可以做出贡献的重要前沿。在这篇评论中,我们概述了评估促进者保真度和利用这些评估产生的数据的价值;描述研究中的差距,知识,和实践;并推荐研究和实践方向。在提出建议时,我们描述了一个协作过程,以制定初步指南-育儿计划实施指南或FIPP-在报告促进者保真度时使用。请读者完成在线调查,以提供对指南初稿的意见和反馈。
    在线版本包含10.1007/s43477-023-00092-5提供的补充材料。
    The sizeable body of evidence indicating that parenting programs have a positive impact on children and families highlights the potential public health benefits of their implementation on a large scale. Despite evidence and global attention, beyond the highly controlled delivery of parenting programs via randomized trials, little is known about program effectiveness or how to explain the poorer results commonly observed when implemented in community settings. Researchers, practitioners, and policymakers must work together to identify what is needed to spur adoption and sustainment of evidence-based parenting programs in real-world service systems and how to enhance program effectiveness when delivered via these systems. Collecting, analyzing, and using facilitator fidelity data is an important frontier through which researchers and practitioners can contribute. In this commentary, we outline the value of assessing facilitator fidelity and utilizing the data generated from these assessments; describe gaps in research, knowledge, and practice; and recommend directions for research and practice. In making recommendations, we describe a collaborative process to develop a preliminary guideline-the Fidelity of Implementation in Parenting Programs Guideline or FIPP-to use when reporting on facilitator fidelity. Readers are invited to complete an online survey to provide comments and feedback on the first draft of the guideline.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s43477-023-00092-5.
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  • 文章类型: Journal Article
    自然语言处理(NLP)可用于处理和构造自由文本,如(自由文本)放射报告。在放射学中,重要的是报告是完整和准确的临床分期,例如,肺肿瘤学.计算机断层扫描(CT)或正电子发射断层扫描(PET)-CT扫描在肿瘤分期中非常重要,当用于分期过程时,NLP可能对放射学报告具有附加价值,因为它可能能够提取第8个肿瘤淋巴结转移(TNM)分类系统的T和N分期。这项研究的目的是通过在已经存在的基于规则的NLP算法(TN-CT)上添加一层代谢活动来评估一种新的TN算法(TN-PET-CT)。这种新的TN-PET-CT算法能够分期胸部CT检查以及PET-CT扫描。研究设计使得可以执行子组分析以测试先前TN-CT算法的外部验证。对于信息提取和匹配,pyContextNLP,SpaCy,和正则表达式被使用。TN-PET-CT算法的总TN准确度评分在训练和验证集中为0.73和0.62(N=63,N=100)。TN-CT分类器的外部验证(N=65)为0.72。总的来说,可以将TN-CT算法调整为TN-PET-CT算法。然而,结果高度取决于报告的准确性,使用的词汇,和它的上下文来表达,例如,不确定性。这对于经调整的PET-CT算法和在另一医院中应用时的CT算法都是如此。
    Natural language processing (NLP) can be used to process and structure free text, such as (free text) radiological reports. In radiology, it is important that reports are complete and accurate for clinical staging of, for instance, pulmonary oncology. A computed tomography (CT) or positron emission tomography (PET)-CT scan is of great importance in tumor staging, and NLP may be of additional value to the radiological report when used in the staging process as it may be able to extract the T and N stage of the 8th tumor-node-metastasis (TNM) classification system. The purpose of this study is to evaluate a new TN algorithm (TN-PET-CT) by adding a layer of metabolic activity to an already existing rule-based NLP algorithm (TN-CT). This new TN-PET-CT algorithm is capable of staging chest CT examinations as well as PET-CT scans. The study design made it possible to perform a subgroup analysis to test the external validation of the prior TN-CT algorithm. For information extraction and matching, pyContextNLP, SpaCy, and regular expressions were used. Overall TN accuracy score of the TN-PET-CT algorithm was 0.73 and 0.62 in the training and validation set (N = 63, N = 100). The external validation of the TN-CT classifier (N = 65) was 0.72. Overall, it is possible to adjust the TN-CT algorithm into a TN-PET-CT algorithm. However, outcomes highly depend on the accuracy of the report, the used vocabulary, and its context to express, for example, uncertainty. This is true for both the adjusted PET-CT algorithm and for the CT algorithm when applied in another hospital.
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  • 文章类型: Journal Article
    背景:不良事件是指在医院对患者有潜在或实际伤害的事件。这些事件通常通过患者安全事件(PSE)报告进行记录。其中包括详细的叙述,提供有关事件的上下文信息。PSE报告的准确分类对于患者安全监测至关重要。然而,由于分类不一致和报告数量庞大,这一过程面临挑战。文本表示的最新进展,特别是从基于转换器的语言模型派生的上下文文本表示,为更精确的PSE报告分类提供了一个有前途的解决方案。集成机器学习(ML)分类器需要在人类专业知识和人工智能(AI)之间取得平衡。这种整合的核心是可解释性的概念,这对于建立信任和确保有效的人与人工智能协作至关重要。
    目的:本研究旨在研究使用上下文文本表示训练的ML分类器在自动分类PSE报告中的功效。此外,该研究提出了一个界面,该界面将ML分类器与可解释性技术集成在一起,以促进PSE报告分类的人与人工智能协作。
    方法:本研究使用了来自美国东南部一家大型学术医院产科的861份PSE报告的数据集。使用PSE报告的静态和上下文文本表示来训练各种ML分类器。使用多类分类度量和混淆矩阵评估训练的ML分类器。使用本地可解释模型不可知解释(LIME)技术来提供ML分类器预测的基本原理。为事件报告系统设计了将ML分类器与LIME技术集成的接口。
    结果:使用上下文表示的最佳分类器能够获得75.4%(95/126)的准确性,而使用静态文本表示训练的最佳分类器的准确性为66.7%(84/126)。已设计了PSE报告界面,以促进PSE报告分类中的人类与AI协作。在这个设计中,ML分类器推荐前2个最可能的事件类型,以及对预测的解释,使PSE记者和患者安全分析师选择最合适的一个。LIME技术表明,分类器偶尔依赖于任意单词进行分类,强调人类监督的必要性。
    结论:这项研究表明,使用上下文文本表示训练ML分类器可以显着提高PSE报告分类的准确性。本研究设计的界面为PSE报告分类中的人与人协作奠定了基础。从这项研究中获得的见解增强了PSE报告分类中的决策过程,使医院能够更有效地识别潜在的风险和危害,并使患者安全分析师能够及时采取行动,防止患者受到伤害。
    BACKGROUND: Adverse events refer to incidents with potential or actual harm to patients in hospitals. These events are typically documented through patient safety event (PSE) reports, which consist of detailed narratives providing contextual information on the occurrences. Accurate classification of PSE reports is crucial for patient safety monitoring. However, this process faces challenges due to inconsistencies in classifications and the sheer volume of reports. Recent advancements in text representation, particularly contextual text representation derived from transformer-based language models, offer a promising solution for more precise PSE report classification. Integrating the machine learning (ML) classifier necessitates a balance between human expertise and artificial intelligence (AI). Central to this integration is the concept of explainability, which is crucial for building trust and ensuring effective human-AI collaboration.
    OBJECTIVE: This study aims to investigate the efficacy of ML classifiers trained using contextual text representation in automatically classifying PSE reports. Furthermore, the study presents an interface that integrates the ML classifier with the explainability technique to facilitate human-AI collaboration for PSE report classification.
    METHODS: This study used a data set of 861 PSE reports from a large academic hospital\'s maternity units in the Southeastern United States. Various ML classifiers were trained with both static and contextual text representations of PSE reports. The trained ML classifiers were evaluated with multiclass classification metrics and the confusion matrix. The local interpretable model-agnostic explanations (LIME) technique was used to provide the rationale for the ML classifier\'s predictions. An interface that integrates the ML classifier with the LIME technique was designed for incident reporting systems.
    RESULTS: The top-performing classifier using contextual representation was able to obtain an accuracy of 75.4% (95/126) compared to an accuracy of 66.7% (84/126) by the top-performing classifier trained using static text representation. A PSE reporting interface has been designed to facilitate human-AI collaboration in PSE report classification. In this design, the ML classifier recommends the top 2 most probable event types, along with the explanations for the prediction, enabling PSE reporters and patient safety analysts to choose the most suitable one. The LIME technique showed that the classifier occasionally relies on arbitrary words for classification, emphasizing the necessity of human oversight.
    CONCLUSIONS: This study demonstrates that training ML classifiers with contextual text representations can significantly enhance the accuracy of PSE report classification. The interface designed in this study lays the foundation for human-AI collaboration in the classification of PSE reports. The insights gained from this research enhance the decision-making process in PSE report classification, enabling hospitals to more efficiently identify potential risks and hazards and enabling patient safety analysts to take timely actions to prevent patient harm.
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  • 文章类型: Journal Article
    目的:为了检查兽医临床病理学家的偏好,临床医生,和学生的细胞学报告格式。
    方法:24位临床病理学家,1,014名兽医,和93名兽医学生,他们是兽医信息网络的成员。
    方法:兽医信息网络成员回应了在线调查邀请,在2023年7月11日至2023年7月24日期间提供。受访者被随机定向到4套细胞学报告中的1,每个都包含传统的叙事格式,叙事格式,带有表示置信度和相关数值范围的术语,和具有相似置信度估计的模板格式。受访者按偏好顺序对报告进行排名,然后提供有关其排名最高的选择的评论。回答主要通过描述性统计或比例比较进行分析。
    结果:24位临床病理学家中有14位更喜欢传统的叙事格式,而1,042名兽医临床医生和兽医学生中的449人更喜欢模板格式.受访者(460/1,131)将模板格式列为最首选,但是带有表达自信程度的术语的叙事格式总体上排名最高。许多受访者似乎误解了用数字表示的置信度估计。选择每种格式的受访者经常表示,他们的首选选择是“最容易理解”和“最全面”。\"
    结论:鉴于兽医临床医生和兽医学生对模板格式的偏好,临床病理学家应该考虑修改他们报告细胞学标本评估的方式.模板格式应有助于规范细胞学标本的报告,从而改善临床病理学家和临床医生之间的沟通。然而,临床医生和临床病理学家都需要更好地理解表达此类报告可信度的术语的目的.
    OBJECTIVE: To examine preferences of veterinary clinical pathologists, clinicians, and students for cytology report formats.
    METHODS: 24 clinical pathologists, 1,014 veterinarians, and 93 veterinary students who were members of the Veterinary Information Network.
    METHODS: Members of the Veterinary Information Network responded to an online survey invitation, made available between July 11, 2023, and July 24, 2023. Respondents were randomly directed to 1 of 4 sets of cytology reports, each containing a traditional narrative format, narrative format with terms expressing a degree of confidence and associated numerical ranges, and template format with similar estimates of confidence. Respondents ranked the reports in order of preference and then provided comments about their top-ranked choice. Responses were analyzed mostly with descriptive statistics or comparisons of proportions.
    RESULTS: 14 of 24 clinical pathologists preferred the traditional narrative format, whereas 449 of 1,042 veterinary clinicians and veterinary students preferred the template format. Respondents (460/1,131) ranked the template format as most preferred, but the narrative format with terms expressing a degree of confidence ranked highest overall. Many respondents appeared to misunderstand the degree of confidence estimates being expressed numerically. Respondents choosing each format often stated that their preferred choice was \"easiest to understand\" and \"most comprehensive.\"
    CONCLUSIONS: Given the preferences of veterinary clinicians and veterinary students for a template format, clinical pathologists should consider modifying the way they report evaluations of cytologic specimens. Template formats should help standardize reporting of cytologic specimens, thereby improving communication between clinical pathologists and clinicians. However, both clinicians and clinical pathologists need to better understand the purpose of terminology expressing degrees of confidence in such reports.
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  • 文章类型: Journal Article
    背景和目的:老年人可能难以理解有关COVID-19流行的信息的质量和数量,这会给他们的健康和幸福带来额外的精神压力。本研究的目的是探讨老年人对COVID-19信息的处理。材料与方法:2021年夏季进行了一项定性研究。采样基于滚雪球法。这种方法使我们能够相对自由地和毫无保留地与下一个潜在参与者进行交流。两名女性研究人员(均为医学博士,博士)进行了采访。所有采访都以塞尔维亚语进行。采用定性内容分析法对数据进行分析。结果:对13名参与者(平均年龄71岁)进行了访谈。对定性内容的分析表明,可以确定四个主题:(1)信息来源,(2)信息兴趣和需求,(3)报告信息和(4)更好的报告建议。参与者对信息过剩感到困扰,关于死亡人数的重复信息,媒体中不合格的人讨论大流行和前后矛盾的报道。这些特征使参与者在处理所有信息时感到心理负担。结论:塞尔维亚的老年人跟随主流媒体获得有关COVID-19的信息;然而,他们意识到报告存在各种问题,这使得对信息的理解变得困难和心理负担。在向老年人提供健康相关信息时,应考虑这些发现。
    Background and Objectives: Elderly people may have difficulties understanding the quality and quantity of information about the COVID-19 epidemic, which can put an additional mental strain on their health and well-being. The purpose of this study was to explore the processing of COVID-19 information among older people. Materials and Methods: A qualitative study was carried out in summer 2021. The sampling was based on the snowball method. This approach allowed us to communicate with the next potential participants relatively freely and without reservations. Two female researchers (both MD, PhD) conducted the interviews. All interviews were held in Serbian. The data were analyzed using qualitative content analysis. Results: The interviews were conducted with 13 participants (average age 71 years). The analysis of qualitative content suggested that four topics could be identified: (1) sources of information, (2) information interest and need, (3) reporting of information and (4) suggestions for better reporting. The participants were troubled by the excess of information, repetitive information about death tolls, unqualified people in media discussing the pandemic and inconsistent reporting. These features caused the participants to feel the psychological burden in processing all the pieces of information. Conclusions: The elderly people in Serbia followed mainstream media to get information about COVID-19; however, they perceived a variety of problems with reporting, which made the understanding of the information difficult and psychologically burdensome. These findings should be taken into consideration when delivering health-related information to elderly people.
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  • 文章类型: Journal Article
    背景:报告儿童虐待(CM)的机制在COVID-19大流行爆发后立即受到服务提供变化的影响。
    目的:检查COVID-19发病前后CM医疗遭遇的计数和CPS报告的变化。
    方法:在圣地亚哥雷迪儿童医院的研究期间,所有急诊科和住院医疗遇到至少一个CM诊断,2016年至2021年11月期间,加州最大的儿科医院。
    方法:使用链接的病历和CPS管理数据,中断的时间序列模型测试了随着COVID-19的发作向CPS报告的每月计数和CM医疗遭遇百分比的变化。Logistic回归测试CPS报告与CM相遇相关的可能性。
    结果:在COVID-19发作后,CM医疗遭遇总计2528次,包括793次。随着大流行的开始,中断的时间序列模型表明,CM接触计数增加了18%(RR:1.18,95%CI1.03-1.34),报告给CPS的百分比增加了10%(RR:1.10,95%CI:1.05-1.17).在COVID-19大流行发作后发生的CM遭遇增加了CPS报告的几率(完全调整模型:OR:1.08;95%CI:1.05-1.12)。
    结论:这项研究发现,大流行发作后,每月计数增加,与CPS报告的CM医疗接触百分比更高。
    Mechanisms for reporting child maltreatment (CM) were affected by changes in service provision immediately following the onset of the COVID-19 pandemic.
    To examine changes in counts and CPS reporting of CM medical encounters before and after the onset of COVID-19.
    All emergency department and inpatient medical encounters with at least one CM diagnosis during the study period at Rady Children\'s Hospital San Diego, the largest pediatric hospital in California between 2016 and November 2021.
    Using linked medical record and CPS administrative data, interrupted time series models tested for changes in monthly counts and percentages of CM medical encounters reported to CPS with the onset of COVID-19. Logistic regression tested for the likelihood of a CPS report being associated with a CM encounter.
    CM medical encounters totaled 2528, including 793 after the onset of COVID-19. Interrupted time series models indicated with the onset of the pandemic, the counts of CM encounters increased 18 % (RR: 1.18, 95 % CI 1.03-1.34) and the percentages reported to CPS increased 10 % (RR: 1.10, 95 % CI: 1.05-1.17). CM encounters that occurred after the onset of the COVID-19 pandemic had increased odds of a CPS report (fully adjusted model: OR: 1.08; 95 % CI: 1.05-1.12).
    This study found increases in monthly counts and a higher percentage of CM medical encounters with CPS reports after the pandemic onset.
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  • 文章类型: Journal Article
    近年来,企业社会责任(CSR)报告在组织中获得了战略重要性,特别是在战略和不同的国际规则制定之后,例如《全球契约》和《联合国2030年议程》或指令2014/95/EU。这个,加上企业社会责任研究和企业管理的繁荣,在企业社会责任报告的概念化和管理方面产生了异质性。因此,本研究对4966篇研究文章进行了文献计量和系统分析,在Scopus存储库中提供,并在2001-2021年期间发布,以改善CSR沟通的概念化和管理。分析的文件是研究文章,其中包括诸如企业社会责任,通信,并在标题中报告,摘要和关键词,在21世纪出版。结果表明,近年来科学生产呈指数级增长,与战略和国际法规的发展相吻合,作者比例很高,来自欧盟的机构和国家。此外,研究的主要特征是与最有生产力的作者的数据一起获得的,机构,期刊,和国家,除了有关其国际合作网络的信息。最后,结果显示了与检测到的四个研究课题最相关的贡献,即:(a)问责制;(b)业绩披露;(c)组织管理;(d)公司战略;(e)公司声誉。这些结果表明,这条研究路线具有广泛的多学科性。最后,建立了未来的研究路线,可以有助于改善或扩大该研究领域的当前发现。
    In recent years, the corporate social responsibility (CSR) report has gained strategic importance within organizations, especially after the development of strategies and different international regulations, such as the Global Compact and the United Nations\' 2030 Agenda or Directive 2014/95/EU. This, together with the boom in CSR research and business management, has given rise to heterogeneity in the conceptualization and management of CSR report. Consequently, this research study proposes a bibliometric and systematic analysis of 4966 research articles, available in the Scopus repository and published during the period of 2001-2021, to improve the conceptualization and management of CSR communication. The documents analyzed were research articles that included concepts such as CSR, communication, and reporting in the title, abstract and keywords and that were published in the 21st century. The results show an exponential growth in scientific production in recent years, coinciding with the development of strategies and international regulations, and with a high percentage of authors, institutions and countries coming from the European Union. Additionally, the main characteristics of the research are obtained alongside data on the most productive authors, institutions, journals, and countries, in addition to information about their international cooperation networks. Finally, the results present the most relevant contributions in regard to the four research topics detected, namely: (a) accountability; (b) disclosure of performance; (c) management of the organization; (d) corporate strategy; and (e) corporate reputation. These results indicate a broad multidisciplinarity of this line of research. Finally, future lines of research that can contribute to improving or expanding the current findings in this research area are established.
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  • 文章类型: Journal Article
    内窥镜检查是耳鼻咽喉科领域中通常在患者外进行的手术。内窥镜检查的重要部分之一是报告和打印报告以使其可用于患者以及治疗医师的任务。大多数市售的内窥镜检查报告软件价格昂贵,需要适当的硬件,运行相同的专业知识和人力。以下文章描述了一种创新的,时间和成本效益的技术,它可以使用简单的智能手机和基本数据包用于报告目的,无需额外的人力。
    Endoscopy is a commonly performed out patient procedure in the field of Otorhinolaryngology. One of the important parts of an endoscopy is the task of reporting and printing the report to make it available for the patient as well as the treating physician. Most endoscopy reporting software available commercially are expensive and needs appropriate hardware, expertise and manpower for running the same. The following article describes an innovative, time and cost-effective technique, which can be used for reporting purposes using a simple smart phone and a basic data pack with no additional manpower.
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  • 文章类型: Journal Article
    背景:自然语言处理(NLP)被认为是一种有前途的解决方案,可以以结构化的方式从自由文本中提取和存储概念,以用于数据挖掘目的。放射学报告也是如此,仍然主要由自由文本组成。准确、完整的报告对于临床决策支持非常重要,例如,在肿瘤分期中。因此,NLP可以是构建放射学报告内容的工具,从而增加报告的值。
    目的:本研究描述了肺肿瘤学N期分类器的实施和验证。它基于根据肿瘤的自由文本放射学胸部计算机断层扫描报告,节点,和转移(TNM)分类,已被添加到已经存在的T阶段分类器以创建组合的TN阶段分类器。
    方法:SpaCy,PyContextNLP,和正则表达式用于适当的信息提取,在设置额外规则以准确提取N期之后。
    结果:TN阶段分类器总体准确度得分分别为0.84和0.85,用于训练(N=95)和验证(N=97)集。这与T阶段分类器的结果(0.87-0.92)相当。
    结论:这项研究表明,根据TNM分类系统,NLP在从自由文本放射学报告中对肺肿瘤进行分类方面具有潜力,因为可以高精度地提取T和N阶段。
    BACKGROUND: Natural language processing (NLP) is thought to be a promising solution to extract and store concepts from free text in a structured manner for data mining purposes. This is also true for radiology reports, which still consist mostly of free text. Accurate and complete reports are very important for clinical decision support, for instance, in oncological staging. As such, NLP can be a tool to structure the content of the radiology report, thereby increasing the report\'s value.
    OBJECTIVE: This study describes the implementation and validation of an N-stage classifier for pulmonary oncology. It is based on free-text radiological chest computed tomography reports according to the tumor, node, and metastasis (TNM) classification, which has been added to the already existing T-stage classifier to create a combined TN-stage classifier.
    METHODS: SpaCy, PyContextNLP, and regular expressions were used for proper information extraction, after additional rules were set to accurately extract N-stage.
    RESULTS: The overall TN-stage classifier accuracy scores were 0.84 and 0.85, respectively, for the training (N=95) and validation (N=97) sets. This is comparable to the outcomes of the T-stage classifier (0.87-0.92).
    CONCLUSIONS: This study shows that NLP has potential in classifying pulmonary oncology from free-text radiological reports according to the TNM classification system as both the T- and N-stages can be extracted with high accuracy.
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