Name
Title | ||
|---|---|---|
Clinical Decision Support for Colonoscopy Surveillance Using Natural Language Processing |
Abstract | ||
|---|---|---|
Colorectal cancer is the second leading cause of cancer-related deaths in the United States. However, 41% of patients do not receive adequate screening, since the surveillance guidelines for colonoscopy are complex and are not easily recalled by health care providers. As a potential solution, we developed a guideline based clinical decision support system (CDSS) that can interpret relevant freetext reports including indications, pathology and procedure notes. The CDSS was evaluated by comparing its recommendations with those of a gastroenterologist for a test set of 53 patients. The CDSS made the optimal recommendation in 48 cases, and helped the gastroenterologist revise the recommendation in 3 cases. We performed an error analysis for the 5 failure cases, and subsequently were able to modify the CDSS to output the correct recommendation for all the test cases. Results indicate that the system has a high potential for clinical deployment, but further evaluation and optimization is required. Limitations of our study are that the study was conducted at a single institution and with a single expert, and the evaluation did not include rare decision scenarios. Overall our work demonstrates the utility of natural language processing to enhance clinical decision support. |
Year | DOI | Venue |
|---|---|---|
2012 | 10.1109/HISB.2012.11 | HISB |
Keywords | Field | DocType |
cancer,decision support systems,error analysis,health care,language translation,medical information systems,natural language processing,optimisation,relevance feedback,text analysis,United States,cancer-related deaths,clinical decision support system,colonoscopy surveillance,colorectal cancer,error analysis,guideline-based CDSS,health care providers,indications,natural language processing,optimal recommendation,optimization,pathology,procedure notes,relevant freetext reports interpretation,clinical decision support,colonoscopy,colorectal cancer,natural language processing | Health care,Colonoscopy,Language translation,Software deployment,Computer science,Decision support system,Natural language processing,Test case,Artificial intelligence,Clinical decision support system,Guideline | Conference |
Citations | PageRank | References |
2 | 0.48 | 16 |
Authors | ||
11 | ||
Name | Order | Citations | PageRank |
|---|---|---|---|
| Kavishwar Wagholikar | 1 | 25 | 3.72 |
| Sunghwan Sohn | 2 | 687 | 50.76 |
| Stephen Wu | 3 | 147 | 11.73 |
| Vinod Kaggal | 4 | 27 | 5.27 |
| Sheila Buehler | 5 | 2 | 0.48 |
| Robert Greenes | 6 | 644 | 106.18 |
| Tsung-Teh Wu | 7 | 2 | 0.48 |
| David Larson | 8 | 5 | 1.90 |
| Hongfang Liu | 9 | 1479 | 160.66 |
| Rajeev Chaudhry | 10 | 26 | 10.98 |
| Lisa Boardman | 11 | 2 | 0.48 |