Natural language processing in narrative breast radiology reporting in University Malaya Medical Centre

Tan, Wee Ming and Ng, Wei Lin and Ganggayah, Mogana Darshini and Hoe, Victor Chee Wai and Rahmat, Kartini and Zaini, Hana Salwani and Mohd Taib, Nur Aishah and Dhillon, Sarinder Kaur (2023) Natural language processing in narrative breast radiology reporting in University Malaya Medical Centre. Health Informatics Journal, 29 (3). ISSN 1460-4582, DOI https://doi.org/10.1177/14604582231203763.

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Abstract

Radiology reporting is narrative, and its content depends on the clinician's ability to interpret the images accurately. A tertiary hospital, such as anonymous institute, focuses on writing reports narratively as part of training for medical personnel. Nevertheless, free-text reports make it inconvenient to extract information for clinical audits and data mining. Therefore, we aim to convert unstructured breast radiology reports into structured formats using natural language processing (NLP) algorithm. This study used 327 de-identified breast radiology reports from the anonymous institute. The radiologist identified the significant data elements to be extracted. Our NLP algorithm achieved 97% and 94.9% accuracy in training and testing data, respectively. Henceforth, the structured information was used to build the predictive model for predicting the value of the BIRADS category. The model based on random forest generated the highest accuracy of 92%. Our study not only fulfilled the demands of clinicians by enhancing communication between medical personnel, but it also demonstrated the usefulness of mineable structured data in yielding significant insights.

Item Type: Article
Funders: Breast Cancer Research group
Uncontrolled Keywords: Information extraction; Natural language processing; Radiology reporting; Rule-based; Text mining
Subjects: R Medicine > R Medicine (General) > Medical technology
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science > Institute of Biological Sciences
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 08 Nov 2025 10:29
Last Modified: 08 Nov 2025 10:29
URI: http://eprints.um.edu.my/id/eprint/49749

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