Evaluation of a large-scale biomedical data annotation initiative
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Updated: Jun 20, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
Ronilda Lacson1, Erik Pitzer, Christian Hinske
1Departments of Biomedical & Health Informatics, University of Washington, Seattle, WA, USA. rlacson@dsg.harvard.edu
Background:
This study describes a large-scale manual re-annotation of data samples in the Gene Expression Omnibus (GEO), using variables and values derived from the National Cancer Institute thesaurus. A framework is described for creating an annotation scheme for various diseases that is flexible, comprehensive, and scalable. The annotation structure is evaluated by measuring coverage and agreement between annotators.
Results:
There were 12,500 samples annotated with approximately 30 variables, in each of six disease categories - breast cancer, colon cancer, inflammatory bowel disease (IBD), rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), and Type 1 diabetes mellitus (DM). The annotators provided excellent variable coverage, with known values for over 98% of three critical variables: disease state, tissue, and sample type. There was 89% strict inter-annotator agreement and 92% agreement when using semantic and partial similarity measures.
Conclusion:
We show that it is possible to perform manual re-annotation of a large repository in a reliable manner.

