从放射学报告与自然语言处理对肺结节的随访评估
Kento Sugimoto1, Shoya Wada1,2, Shozo Konishi1
1Department of Medical Informatics, Osaka University Graduate School of Medicine, Osaka, Japan.
Studies in health technology and informatics
|August 23, 2024
概括
许多放射学报告建议进行肺结节的随访,但没有采取行动. 一项研究发现,超过40%的这些病例缺乏记录的随访,这表明患者护理中的潜在差距.
科学领域:
- 医学成像和诊断 医学成像和诊断
- 医疗信息学 医疗信息学
- 临床工作流程优化 临床工作流程优化
背景情况:
- 放射学报告对于医疗保健沟通至关重要,但自由文本描述可能会导致错过的发现.
- 确保基于放射科医生建议的适当患者管理对于有效的护理提供至关重要.
研究的目的:
- 评估在放射学报告中发现的肺结节的随访建议的遵守情况.
- 评估推的肺结节随访患者是否得到适当的后续护理.
主要方法:
- 使用自然语言处理 (NLP) 来自动提取放射学报告,建议对肺结节进行后续检查.
- 从10,507份总报告中,确定了1,501份报告的队列.
- 对42个随机抽样病例进行了图表审查,以验证患者的护理状态.
主要成果:
- 在推随访的1501份报告中,958例 (63.8%) 在400天内进行了随后的成像检查.
- 在对42例病例的图表审查中,17例 (40.5%) 没有记录后续治疗.
- 这表明不遵守推的肺结节后续检查的比例很高.
结论:
- 放射学报告中大量的肺结节随访建议在临床实践中没有得到充分的解决.
- 使用NLP的自动提取可以识别需要监控的重症监护途径.
- 需要进行系统性改进,以确保对肺结节的推随访始终向患者提供.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
88
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
88
Radiological Investigation II: MRI and Ventilation Perfusion Scan
107
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
107
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
179
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
179
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
Radiological Investigation I: X-ray and CT
219
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
219


