Utility of a Large Language Model for Extraction of Clinical Findings from Healthcare Data following Lung Ablation: A Feasibility Study

To assess the feasibility of utilizing a large language model (LLM) in extracting clinically relevant information from healthcare data in patients who have undergone microwave ablation for lung tumors. In this single-center retrospective study, radiology reports and clinic notes of 20 patients were...

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Veröffentlicht in:Journal of vascular and interventional radiology 2024-12
Hauptverfasser: Geevarghese, Ruben, Solomon, Stephen B., Alexander, Erica, Marinelli, Brett, Chatterjee, Subrata, Jain, Pulkit, Cadley, John, Hollingsworth, Alex, Chatterjee, Avijit, Ziv, Etay
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Sprache:eng
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Zusammenfassung:To assess the feasibility of utilizing a large language model (LLM) in extracting clinically relevant information from healthcare data in patients who have undergone microwave ablation for lung tumors. In this single-center retrospective study, radiology reports and clinic notes of 20 patients were extracted, up to 12 months after treatment. Utilizing an LLM (generative pretrained transformer 3.5 Turbo 16k), a zero-shot prompt strategy was employed to identify 4 key outcomes from relevant healthcare data: (a) recurrence at ablation site, (b) pneumothorax, (c) hemoptysis, and (d) hemothorax following ablation. This was validated with ground-truth labels obtained through manual chart review. Analysis of 104 radiology reports and 37 clinic notes was undertaken. The LLM output demonstrated high accuracy (85%–100%) across the 4 outcomes. An LLM approach appears to have utility in extraction of clinically relevant information from healthcare data. This method may be beneficial in facilitating data analysis for future interventional radiology studies. [Display omitted]
ISSN:1051-0443
1535-7732
1535-7732
DOI:10.1016/j.jvir.2024.11.029