A Natural Language Processing–Assisted Extraction System for Gleason Scores: Development and Usability Study
| Autor: | Shun Yu, Anh Le, Emily Feld, Emily Schriver, Peter Gabriel, Abigail Doucette, Vivek Narayan, Michael Feldman, Lauren Schwartz, Kara Maxwell, Danielle Mowery |
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| Rok vydání: | 2021 |
| Předmět: |
Cancer Research
Prostate biopsy 030232 urology & nephrology computer.software_genre NLP 03 medical and health sciences Prostate cancer 0302 clinical medicine medicine Gleason scores Gleason score natural language processing RC254-282 Original Paper medicine.diagnostic_test business.industry Extraction (chemistry) Neoplasms. Tumors. Oncology. Including cancer and carcinogens Usability prostate cancer medicine.disease Oncology 030220 oncology & carcinogenesis Prostate surgery Artificial intelligence business computer Natural language processing |
| Zdroj: | JMIR Cancer, Vol 7, Iss 3, p e27970 (2021) JMIR Cancer |
| ISSN: | 2369-1999 |
| Popis: | Background Natural language processing (NLP) offers significantly faster variable extraction compared to traditional human extraction but cannot interpret complicated notes as well as humans can. Thus, we hypothesized that an “NLP-assisted” extraction system, which uses humans for complicated notes and NLP for uncomplicated notes, could produce faster extraction without compromising accuracy. Objective The aim of this study was to develop and pilot an NLP-assisted extraction system to leverage the strengths of both human and NLP extraction of prostate cancer Gleason scores. Methods We collected all available clinical and pathology notes for prostate cancer patients in an unselected academic biobank cohort. We developed an NLP system to extract prostate cancer Gleason scores from both clinical and pathology notes. Next, we designed and implemented the NLP-assisted extraction system algorithm to categorize notes into “uncomplicated” and “complicated” notes. Uncomplicated notes were assigned to NLP extraction and complicated notes were assigned to human extraction. We randomly reviewed 200 patients to assess the accuracy and speed of our NLP-assisted extraction system and compared it to NLP extraction alone and human extraction alone. Results Of the 2051 patients in our cohort, the NLP system extracted a prostate surgery Gleason score from 1147 (55.92%) patients and a prostate biopsy Gleason score from 1624 (79.18%) patients. Our NLP-assisted extraction system had an overall accuracy rate of 98.7%, which was similar to the accuracy of human extraction alone (97.5%; P=.17) and significantly higher than the accuracy of NLP extraction alone (95.3%; P Conclusions We demonstrated that an NLP-assisted extraction system was able to achieve much faster Gleason score extraction compared to traditional human extraction without sacrificing accuracy. |
| Databáze: | OpenAIRE |
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