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Aug 14

Reshaping Free-Text Radiology Notes Into Structured Reports With Generative Transformers

BACKGROUND: Radiology reports are typically written in a free-text format, making clinical information difficult to extract and use. Recently the adoption of structured reporting (SR) has been recommended by various medical societies thanks to the advantages it offers, e.g. standardization, completeness and information retrieval. We propose a pipeline to extract information from free-text radiology reports, that fits with the items of the reference SR registry proposed by a national society of interventional and medical radiology, focusing on CT staging of patients with lymphoma. METHODS: Our work aims to leverage the potential of Natural Language Processing (NLP) and Transformer-based models to deal with automatic SR registry filling. With the availability of 174 radiology reports, we investigate a rule-free generative Question Answering approach based on a domain-specific version of T5 (IT5). Two strategies (batch-truncation and ex-post combination) are implemented to comply with the model's context length limitations. Performance is evaluated in terms of strict accuracy, F1, and format accuracy, and compared with the widely used GPT-3.5 Large Language Model. A 5-point Likert scale questionnaire is used to collect human-expert feedback on the similarity between medical annotations and generated answers. RESULTS: The combination of fine-tuning and batch splitting allows IT5 to achieve notable results; it performs on par with GPT-3.5 albeit its size being a thousand times smaller in terms of parameters. Human-based assessment scores show a high correlation (Spearman's correlation coefficients>0.88, p-values<0.001) with AI performance metrics (F1) and confirm the superior ability of LLMs (i.e., GPT-3.5, 175B of parameters) in generating plausible human-like statements.

  • 8 authors
·
Mar 27, 2024

FetReg: Placental Vessel Segmentation and Registration in Fetoscopy Challenge Dataset

Fetoscopy laser photocoagulation is a widely used procedure for the treatment of Twin-to-Twin Transfusion Syndrome (TTTS), that occur in mono-chorionic multiple pregnancies due to placental vascular anastomoses. This procedure is particularly challenging due to limited field of view, poor manoeuvrability of the fetoscope, poor visibility due to fluid turbidity, variability in light source, and unusual position of the placenta. This may lead to increased procedural time and incomplete ablation, resulting in persistent TTTS. Computer-assisted intervention may help overcome these challenges by expanding the fetoscopic field of view through video mosaicking and providing better visualization of the vessel network. However, the research and development in this domain remain limited due to unavailability of high-quality data to encode the intra- and inter-procedure variability. Through the Fetoscopic Placental Vessel Segmentation and Registration (FetReg) challenge, we present a large-scale multi-centre dataset for the development of generalized and robust semantic segmentation and video mosaicking algorithms for the fetal environment with a focus on creating drift-free mosaics from long duration fetoscopy videos. In this paper, we provide an overview of the FetReg dataset, challenge tasks, evaluation metrics and baseline methods for both segmentation and registration. Baseline methods results on the FetReg dataset shows that our dataset poses interesting challenges, offering large opportunity for the creation of novel methods and models through a community effort initiative guided by the FetReg challenge.

  • 12 authors
·
Jun 15, 2021

EFT Validity and Truncation Uncertainty from few Nuisance Parameters

An observable in an Effective Field Theory (EFT) is an expansion in a set of small parameters, no different than any other perturbation series. Truncating such a series expansion leaves the leading dropped term as the dominant source of error, and that term itself contains a calculable portion. We explore the partial calculation of this next-order error, available at dim-6^2 in SMEFT with no additional tools needed to simulate it, and explore how to efficiently use that partial calculation to model the next-order uncertainty in full using a minimal number of nuisance parameters. This estimate of the uncertainty of the EFT signal rate naturally imposes EFT validity by ensuring that bounds are driven by kinematic regions where truncation uncertainties are parametrically smaller than the signal. We incorporate the calculable dim-6^2 piece into the signal and cover the remaining higher-dimension uncertainty with a small set of nuisance parameters derived from a scan over Wilson-coefficient values. Our algorithm to determine the relevant nuisance parameters and distributions is automation-friendly and applies to arbitrary truncation choices. We then provide multiple examples of its implementation in high-energy collider processes focused on SMEFT truncated at O(Λ^{-2}), where the dim-6^2 piece is used to estimate the full mathcal O(Λ^{-4}) dependence. In the examples considered here the reduction of nuisance parameters is appreciable, generically reducing the nuisance parameter count by an order of magnitude compared to naïve estimates.

  • 3 authors
·
Jul 1