Endocrine oncology

Use of Natural Language Processing to Extract and Classify Papillary Thyroid Cancer Features From Surgical Pathology Reports

Endocr PractPublished Diagnostic accuracy study

Authors' conclusion

ThyroPath shows promise in automating the extraction and risk recurrence classification of thyroid pathology reports at large scale. It offers a solution to laborious manual reviews and advancing virtual registries. However, it requires further validation before implementation.

Study context

Population
Surgical pathology reports from adult PTC patients, 2010–2019pathology reports
Participants
1,410 reports
Comparison
ThyroPath NLP extraction and risk classification vs consensus-based ground truth
  • Structured reportsn = 120
  • Unstructured reportsn = 50
Outcome
Extraction (strict F1-score) and recurrence-risk classification accuracy of ThyroPath
Methodological detailsrule-based NLP pipeline, training and test sets, Training on 225 reports (150 structured, 75 unstructured); testing on 170 reports (120 structured, 50 unstructured)
  • Rule-based NLP pipeline
  • Training and test sets
  • Training on 225 reports (150 structured, 75 unstructured); testing on 170 reports (120 structured, 50 unstructured)

Performance

As reported in the abstract

Extraction of 18 PTC pathology features, overall strict F1-score
Test or modelValueStrict F1-score
Structured reports93%93%
Unstructured reports90%90%

Value

Structured reports93%
Unstructured reports90%

Strict F1-score

Structured reports93%
Unstructured reports90%
Overall accuracy of recurrence-risk classification from ThyroPath-extracted information
93%
Accuracy, high risk
76.9%
Accuracy, intermediate risk
86.8%
Accuracy, low and very low risk
100%

Further findings

Recurrence-risk classification from human-extracted pathology information

Accuracy across all risk categories
100%

Original publication

Use of Natural Language Processing to Extract and Classify Papillary Thyroid Cancer Features From Surgical Pathology Reports. Endocr Pract. Published 26 August 2024. doi:10.1016/j.eprac.2024.08.008

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