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Artificial Intelligence in Health





                                        ORIGINAL RESEARCH ARTICLE
                                        Leveraging summary of radiology reports with

                                        transformers



                                        Raul Salles de Padua * and Imran Qureshi *
                                                          1
                                                                            2
                                        1 Quod Analytics, Niterói, Rio de Janeiro, Brazil
                                        2 Department of Computer Science, University of  Texas  Austin,  Austin,  Texas, United States of
                                        America



                                        Abstract

                                        Two fundamental problems in health-care stem from patient handoff and triage.
                                        Doctors are often required to perform complex findings summarization to facilitate
                                        efficient communication with specialists and decision-making on the urgency of
                                        each case. To address these challenges, we present a state-of-the-art radiology report
                                        summarization model utilizing adjusted bidirectional encoder representation from
                                        transformers BERT-to-BERT encoder–decoder architecture. Our approach includes
                                        a novel method for augmenting medical data and a comprehensive performance
                                        analysis. Our best-performing model achieved a recall-oriented understudy for
                                        gisting evaluation-L F1 score of 58.75/100, outperforming specialized checkpoints
                                        with more sophisticated attention mechanisms. We also provide a data processing
                                        pipeline for future models developed on the MIMIC-chest X-ray dataset. The model
                                        introduced in this paper demonstrates significantly improved capacity in radiology
            *Corresponding authors:     report summarization, highlighting the potential for ensuring better clinical
            Raul Salles de Padua        workflows and enhanced patient care.
            (raul.padua@iese.net)
            Imran Qureshi
            (imranq@utexas.edu)         Keywords: Text summarization; Natural language processing; Deep learning; Artificial
            Citation: de Padua RS, Qureshi I.   intelligence; Health care; Bidirectional encoder representations from transformers;
            Leveraging summary of radiology   MIMIC-chest X-ray
            reports with transformers. Artif Intell
            Health. 2024;1(4):85-96.
            doi: 10.36922/aih.3846
            Received: June 4, 2024      1. Introduction
            Accepted: August 5, 2024    Text summarization helps people devote attention to the most important parts of books,
            Published Online: September 26,   large bodies of text, and documents. In the process of radiology reporting, doctors
            2024                        need to painstakingly summarize complex findings to facilitate communication with
            Copyright: © 2024 Author(s).   specialists, and the resulting technical reports, which are typically long, are largely
            This is an Open-Access article   obscure for most patients. The task of report summarization is an extremely crucial part
            distributed under the terms of the
            Creative Commons Attribution   of radiology reporting, but the complexities and challenges involved in reporting are
            License, permitting distribution,   further compounded by a shortage of practicing radiologists in the United States. 1
            and reproduction in any medium,
            provided the original work is   Despite the advances attained, natural language processing (NLP) has rarely been
            properly cited.             applied to medical summarization tasks, particularly in radiology; therefore, very little is
            Publisher’s Note: AccScience   known about language models that are specifically trained for radiology summarization.
            Publishing remains neutral with   Radiology reports are typically lengthy and filled with technical jargons, making them
            regard to jurisdictional claims in
            published maps and institutional   difficult for non-specialists to interpret. Patients, in particular, may find it challenging
            affiliations.               to understand their medical conditions and treatment plans after reading these detailed


            Volume 1 Issue 4 (2024)                         85                               doi: 10.36922/aih.3846
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