Abstract
A medical language processing system called SymText, two other automated methods, and a lay person were compared against an internal medicine resident for their ability to identify pneumonia related concepts on chest x-ray reports. Sensitivity (recall), specificity, and positive predictive value (precision) are reported with respect to an independent panel of physicians. Overall the performance of SymText was similar to the physician and superior to the other methods. The automatic encoding of pneumonia concepts will support clinical research, decision making, computerized clinical protocols, and quality assurance in a radiology department.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Friedman C., Cimino J. J., Johnson S. B. A schema for representing medical language applied to clinical radiology. J Am Med Inform Assoc. 1994 May-Jun;1(3):233–248. doi: 10.1136/jamia.1994.95236155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gundersen M. L., Haug P. J., Pryor T. A., van Bree R., Koehler S., Bauer K., Clemons B. Development and evaluation of a computerized admission diagnoses encoding system. Comput Biomed Res. 1996 Oct;29(5):351–372. doi: 10.1006/cbmr.1996.0026. [DOI] [PubMed] [Google Scholar]
- Haug P. J., Koehler S., Lau L. M., Wang P., Rocha R., Huff S. M. Experience with a mixed semantic/syntactic parser. Proc Annu Symp Comput Appl Med Care. 1995:284–288. [PMC free article] [PubMed] [Google Scholar]
- Haug P., Koehler S., Lau L. M., Wang P., Rocha R., Huff S. A natural language understanding system combining syntactic and semantic techniques. Proc Annu Symp Comput Appl Med Care. 1994:247–251. [PMC free article] [PubMed] [Google Scholar]
- Hripcsak G., Friedman C., Alderson P. O., DuMouchel W., Johnson S. B., Clayton P. D. Unlocking clinical data from narrative reports: a study of natural language processing. Ann Intern Med. 1995 May 1;122(9):681–688. doi: 10.7326/0003-4819-122-9-199505010-00007. [DOI] [PubMed] [Google Scholar]
- Pestotnik S. L., Evans R. S., Burke J. P., Gardner R. M., Classen D. C. Therapeutic antibiotic monitoring: surveillance using a computerized expert system. Am J Med. 1990 Jan;88(1):43–48. doi: 10.1016/0002-9343(90)90126-x. [DOI] [PubMed] [Google Scholar]
- Pryor T. A., Gardner R. M., Clayton P. D., Warner H. R. The HELP system. J Med Syst. 1983 Apr;7(2):87–102. doi: 10.1007/BF00995116. [DOI] [PubMed] [Google Scholar]
- Sager N., Lyman M., Bucknall C., Nhan N., Tick L. J. Natural language processing and the representation of clinical data. J Am Med Inform Assoc. 1994 Mar-Apr;1(2):142–160. doi: 10.1136/jamia.1994.95236145. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yerushalmy J. The statistical assessment of the variability in observer perception and description of roentgenographic pulmonary shadows. Radiol Clin North Am. 1969 Dec;7(3):381–392. [PubMed] [Google Scholar]
- Zingmond D., Lenert L. A. Monitoring free-text data using medical language processing. Comput Biomed Res. 1993 Oct;26(5):467–481. doi: 10.1006/cbmr.1993.1033. [DOI] [PubMed] [Google Scholar]