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Accurate Clinical Entity Recognition and Code Mapping of Anatomopathological Reports Using BioClinicalBERT Enhanced
Hamida Abdaoui1, Chamseddine Barki1, Ismail Dergaa2
1Laboratory of Biophysics and Medical Technologies, Higher Institute of Medical Technologies of Tunis (ISTMT), University of Tunis El Manar, Tunis 1006, Tunisia.
This study presents an automated pipeline for extracting and standardizing information from anatomopathological reports, improving data accessibility for research. The system demonstrates high accuracy in entity recognition and multi-ontology normalization, overcoming limitations of manual data processing.
Area of Science:
- Medical Informatics
- Natural Language Processing
- Computational Pathology
Background:
- Anatomopathological reports are unstructured, hindering automated data extraction and large-scale research.
- Manual data standardization is resource-intensive and difficult to scale.
Purpose of the Study:
- To develop and evaluate an automated pipeline for entity extraction and multi-ontology normalization of anatomopathological reports.
- To enhance data interoperability and facilitate automated research using clinical text.
Main Methods:
- A corpus of 560 reports was annotated for sample type, test performed, and finding.
- Entity extraction employed BioBERT v1.1.
- Normalization utilized BioClinicalBERT with retrieval-augmented generation over SNOMED CT, LOINC, and ICD-11.
Main Results:
- High extraction performance achieved (overall F1-score of 0.963).
- The combined BioClinicalBERT and dense retrieval approach outperformed others for terminology mapping.
- Substantial to near-perfect agreement (Cohen's Kappa 0.7829-0.9773) demonstrated robust coding.
Conclusions:
- The developed pipeline offers robust automated extraction and multi-ontology coding for anatomopathological entities.
- Transformer-based named entity recognition and retrieval-augmented generation support the system's capabilities.
- Multi-institutional validation is recommended prior to clinical deployment due to study limitations.
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