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Paying Per-Label Attention for Multi-label Extraction from Radiology Reports

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Interpretable and Annotation-Efficient Learning for Medical Image Computing (IMIMIC 2020, MIL3ID 2020, LABELS 2020)

Abstract

Training medical image analysis models requires large amounts of expertly annotated data which is time-consuming and expensive to obtain. Images are often accompanied by free-text radiology reports which are a rich source of information. In this paper, we tackle the automated extraction of structured labels from head CT reports for imaging of suspected stroke patients, using deep learning. Firstly, we propose a set of 31 labels which correspond to radiographic findings (e.g. hyperdensity) and clinical impressions (e.g. haemorrhage) related to neurological abnormalities. Secondly, inspired by previous work, we extend existing state-of-the-art neural network models with a label-dependent attention mechanism. Using this mechanism and simple synthetic data augmentation, we are able to robustly extract many labels with a single model, classified according to the radiologist’s reporting (positive, uncertain, negative). This approach can be used in further research to effectively extract many labels from medical text.

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Notes

  1. 1.

    iCAIRD project number: 104690; University of St Andrews: CS14871.

  2. 2.

    https://github.com/google-research/bert.

  3. 3.

    https://github.com/th0mi/clinicalBERT.

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Acknowledgements

This work is part of the Industrial Centre for AI Research in digital Diagnostics (iCAIRD) which is funded by Innovate UK on behalf of UK Research and Innovation (UKRI) [project number: 104690]. We would like to thank the Glasgow Safe Haven for assistance in creating and providing this dataset. Thanks also to The Data Lab for support and funding.

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Correspondence to Patrick Schrempf .

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Schrempf, P. et al. (2020). Paying Per-Label Attention for Multi-label Extraction from Radiology Reports. In: Cardoso, J., et al. Interpretable and Annotation-Efficient Learning for Medical Image Computing. IMIMIC MIL3ID LABELS 2020 2020 2020. Lecture Notes in Computer Science(), vol 12446. Springer, Cham. https://doi.org/10.1007/978-3-030-61166-8_29

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  • DOI: https://doi.org/10.1007/978-3-030-61166-8_29

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