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Automated abstraction of myocardial perfusion imaging reports using natural language processing.


ABSTRACT:

Background

Findings and interpretations of myocardial perfusion imaging (MPI) studies are documented in free-text MPI reports. MPI results are essential for research, but manual review is prohibitively time consuming. This study aimed to develop and validate an automated method to abstract MPI reports.

Methods

We developed a natural language processing (NLP) algorithm to abstract MPI reports. Randomly selected reports were double-blindly reviewed by two cardiologists to validate the NLP algorithm. Secondary analyses were performed to describe patient outcomes based on abstracted-MPI results on 16,957 MPI tests from adult patients evaluated for suspected ACS.

Results

The NLP algorithm achieved high sensitivity (96.7%) and specificity (98.9%) on the MPI categorical results and had a similar degree of agreement compared to the physician reviewers. Patients with abnormal MPI results had higher rates of 30-day acute myocardial infarction or death compared to patients with normal results. We identified issues related to the quality of the reports that not only affect communication with referring physicians but also challenges for automated abstraction.

Conclusion

NLP is an accurate and efficient strategy to abstract results from the free-text MPI reports. Our findings will facilitate future research to understand the benefits of MPI studies but requires validation in other settings.

SUBMITTER: Zheng C 

PROVIDER: S-EPMC8096860 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Automated abstraction of myocardial perfusion imaging reports using natural language processing.

Zheng Chengyi C   Sun Benjamin C BC   Wu Yi-Lin YL   Ferencik Maros M   Lee Ming-Sum MS   Redberg Rita F RF   Kawatkar Aniket A AA   Musigdilok Visanee V VV   Sharp Adam L AL  

Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 20201105 3


<h4>Background</h4>Findings and interpretations of myocardial perfusion imaging (MPI) studies are documented in free-text MPI reports. MPI results are essential for research, but manual review is prohibitively time consuming. This study aimed to develop and validate an automated method to abstract MPI reports.<h4>Methods</h4>We developed a natural language processing (NLP) algorithm to abstract MPI reports. Randomly selected reports were double-blindly reviewed by two cardiologists to validate t  ...[more]

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