Department of Medical Informatics, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Transformative System for Medical Information, Osaka University Graduate School of Medicine, Osaka, Japan.
Stud Health Technol Inform. 2024 Jan 25;310:569-573. doi: 10.3233/SHTI231029.
A radiology report is prepared for communicating clinical information about observed abnormal structures and clinically important findings with referring clinicians. However, such observations and findings are often accompanied by ambiguous expressions, which can prevent clinicians from accurately interpreting the content of reports. To systematically assess the degree of diagnostic certainty for each observation and finding in a report, we defined an ordinal scale comprising five classes: definite, likely, may represent, unlikely, and denial. Furthermore, we applied a deep learning classification model to determine its applicability to in-house radiology reports. We trained and evaluated the model using 540 in-house chest computed tomography reports. The deep learning model achieved a micro F1-score of 97.61%, which indicated that our ordinal scale was suitable for measuring the diagnostic certainty of observations and findings in a report.
放射学报告用于向临床医生传达有关观察到的异常结构和具有临床重要性的发现的临床信息。然而,这些观察结果和发现通常伴随着模糊的表述,这可能会妨碍临床医生准确解读报告的内容。为了系统地评估报告中每项观察结果和发现的诊断确定性程度,我们定义了一个包含五个等级的有序尺度:明确、可能、可能代表、不太可能和否认。此外,我们应用了深度学习分类模型来确定其在内部放射学报告中的适用性。我们使用 540 份内部胸部计算机断层扫描报告对模型进行了训练和评估。深度学习模型的微 F1 得分为 97.61%,这表明我们的有序尺度适用于测量报告中观察结果和发现的诊断确定性。