[Transformation of free-text radiology reports into structured data].

Radiologie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-11 DOI:10.1007/s00117-025-01422-4
Markus M Graf, Keno K Bressem, Lisa C Adams
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Abstract

Background: The rapid development of large language models (LLMs) opens up new possibilities for the automated processing of medical texts. Transforming unstructured radiology reports into structured data is crucial for efficient use in clinical decision support systems, research, and improving patient care.

Objectives: What are the challenges of transforming natural language radiology reports into structured data using LLMs? Which methods and architectures are promising? How can the quality and reliability of the extracted data be ensured?

Materials and methods: This article examines current research on the application of LLMs in radiological information processing. Various approaches such as rule-based systems, machine learning, and deep learning models, particularly neural network architectures, are analyzed and compared. The focus is on extracting information such as diagnoses, anatomical locations, findings, and measurements.

Results and conclusion: LLMs show great potential in transforming reports into structured data. In particular, deep learning models trained on large datasets achieve high accuracies. However, challenges remain, such as dealing with ambiguities, abbreviations, and the variability of linguistic expressions. Combining LLMs with domain-specific knowledge, for example, in the form of ontologies, can further improve the performance of the systems. Integrating contextual information and developing robust evaluation metrics are also important research directions.

[将自由文本放射学报告转换为结构化数据]。
背景:大型语言模型(llm)的快速发展为医学文本的自动化处理开辟了新的可能性。将非结构化放射学报告转换为结构化数据对于临床决策支持系统、研究和改善患者护理的有效使用至关重要。目的:使用法学硕士将自然语言放射学报告转换为结构化数据的挑战是什么?哪些方法和架构是有希望的?如何保证提取数据的质量和可靠性?材料和方法:本文综述了llm在放射信息处理中的应用研究现状。各种方法,如基于规则的系统,机器学习和深度学习模型,特别是神经网络架构,进行了分析和比较。重点是提取信息,如诊断、解剖位置、发现和测量。结果与结论:llm在将报告转化为结构化数据方面显示出巨大的潜力。特别是,在大数据集上训练的深度学习模型可以达到很高的准确性。然而,挑战仍然存在,例如处理歧义、缩写和语言表达的可变性。将法学硕士与特定领域的知识结合起来,例如,以本体的形式,可以进一步提高系统的性能。整合上下文信息和开发稳健的评价指标也是重要的研究方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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