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Construction of a Digestive System Tumor Knowledge Graph Based on Chinese Electronic Medical Records: Development and
Xiaolei Xiu1, Qing Qian1, Sizhu Wu1
1Institute of Medical Information/Medical Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
JMIR Medical Informatics
|October 7, 2020
Summary
A new granular semantic digestive system tumor knowledge graph (DSTKG) was built from Chinese electronic medical records (CEMRs). This DSTKG offers detailed insights into digestive system tumors and aids intelligent applications.
Area of Science:
- Medical Informatics
- Artificial Intelligence
- Oncology
Background:
- Increasing digestive system tumor incidence and mortality in China necessitate improved data analysis.
- Chinese electronic medical records (CEMRs) contain valuable clinical data for understanding tumor diagnosis and treatment.
- Knowledge graphs offer a powerful framework for processing and organizing complex medical information.
Purpose of the Study:
- To construct a semantic-driven digestive system tumor knowledge graph (DSTKG).
- To represent knowledge from CEMRs with fine granularity and rich semantics.
- To address challenges in constructing Chinese tumor knowledge graphs, focusing on schema and semantic relationships.
Main Methods:
- Developed a DSTKG construction framework utilizing CEMRs.
- Created a knowledge graph schema with 7 classes and 16 semantic relationship types.
- Employed knowledge extraction, named entity linking, and graph visualization for DSTKG creation.
- Evaluated DSTKG quality across data, schema, and application layers.
Main Results:
- The DSTKG received a high expert rating (4.20 overall).
- Schema structure rationality, scalability, and result readability scored exceptionally well (above 4.67).
- DSTKG represents more granular entities and relationships than existing Chinese tumor knowledge graphs.
- The knowledge graph demonstrated flexibility and potential for personalized customization.
Conclusions:
- A granular, semantic DSTKG was successfully constructed.
- The DSTKG provides a foundation for building tumor knowledge graphs and for intelligent applications using CEMRs.
- Further research incorporating diverse data sources and advanced assertion classification is recommended to enhance DSTKG capabilities.

