Summarising complex ICU data in natural language: demonstration of the BT-45 system (original) (raw)
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Summarising complex ICU data in natural language
AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2008
It has been shown that summarizing complex multi-channel physiological and discrete data in natural language (text) can lead to better decision-making in the intensive care unit (ICU). As part of the BabyTalk project, we describe a prototype system (BT-45) which can generate such textual summaries automatically. Although these summaries are not yet as good as those generated by human experts, we have demonstrated experimentally that they lead to as good decision-making as can be achieved through presenting the same data graphically.
Using Natural Language Generation Technology to Improve Information Flows in Intensive Care Units
2008
In the drive to improve patient safety, patients in modern intensive care units are closely monitored with the generation of very large volumes of data. Unless the data are further processed, it is difficult for medical and nursing staff to assimilate what is important. It has been demonstrated that data summarization in natural language has the potential to improve clinical decision making; we have implemented and evaluated a prototype system which generates such textual summaries automatically. Our evaluation of the computer generated summaries showed that the decisions made by medical and nursing staff after reading the summaries were as good as those made after viewing the currently available graphical presentations with the same information content. Since our automatically generated textual summaries can be improved by including additional content and expert knowledge, they promise to enhance information exchange between the medical and nursing staff, particularly when integrated with the currently available graphical presentations. The main feature of this technology is that it brings together a diverse set of techniques such as medical signal analysis, knowledge based reasoning, medical ontology and natural language generation. In this paper we discuss the main components of our approach with a critical analysis of their strengths and limitations and present options for improvement to address these limitations.
2010
Contemporary Neonatal Intensive Care Units collect vast amounts of patient data in various formats, making efficient processing of information by medical professionals difficult. Moreover, different stakeholders in the neonatal scenario, which include parents as well as staff occupying different roles, have different information requirements. This paper describes recent and ongoing work on building systems that automatically generate textual summaries of neonatal data. Our evaluation results show that the technology is viable and comparable in its effectiveness for decision support to existing presentation modalities. We discuss the lessons learned so far, as well as the major challenges involved in extending current technology to deal with a broader range of data types, and to improve the textual output in the form of more coherent summaries. Keywords: Natural language generation, signal analysis, signal processing, knowledge-based systems, medical informatics, narrative
2009
Contemporary Neonatal Intensive Care Units collect vast amounts of patient data in various formats, making efficient processing of information by medical professionals difficult. Moreover, different stakeholders in the neonatal scenario, which include parents as well as staff occupying different roles, have different information requirements. This paper describes recent and ongoing work on building systems that automatically generate textual summaries of neonatal data. Our evaluation results show that the technology is viable and comparable in its effectiveness for decision support to existing presentation modalities. We discuss the lessons learned so far, as well as the major challenges involved in extending current technology to deal with a broader range of data types, and to improve the textual output in the form of more coherent summaries.
Applied Cognitive Psychology, 2010
Volunteer staff from a Neonatal Intensive Care Unit (NICU) were presented with sets of anonymised physiological data recorded over approximately 45 minute periods from former patients. Staff were asked to select medical/nursing actions appropriate for each of the patients whose data were displayed. Data were shown in one of three conditions (a) as multiple line graphs similar to those commonly shown on the ward, or as textual descriptions generated by (b) expert medical/nursing staff or (c) computerised natural language generation (NLG). An overall advantage was found for the human generated text, but NLG resulted in decisions that were at least as good as those for the graphical displays with which staff were familiar. It is suggested that NLG might offer a viable automated approach to removing noise and artefacts in real, complex and dynamic data sets, thereby reducing visual complexity and mental workload, and enhancing decision-making particularly for inexperienced staff.
2012
INTRODUCTION: Our objective was to determine whether and how a computer system could automatically generate helpful natural language nursing shift summaries solely from an electronic patient record system, in a neonatal intensive care unit (NICU). METHODS: A system was developed which automatically generates partial NICU shift summaries (for the respiratory and cardiovascular systems), using data-to-text technology. It was evaluated for 2 months in the NICU at the Royal Infirmary of Edinburgh, under supervision.
Generating Verbal Descriptions from Medical Sensor Data: A Corpus Study on User Preferences
Understanding and interpreting medical sensor data is an essential part of pre-hospital care in medical emergencies, but requires training and previous knowledge. In this paper, we describe ongoing work towards a medical decision support tool, which automatically generates textual summaries of underlying sensor data. In particular, we present results from a survey investigating the preferences of individual users and user groups when summarizing medical sensor data. We find that the users' preferences are not necessarily dependent on the user's training level, profession or gender. We therefore use cluster analysis to identify user groups with consistent preferences with regard to 4 different first aid scenarios and 3 types of physiological parameters. In future work, we will utilize these findings to automatically adapt the generated output to personal preferences.
Detecting of a Patient's Condition From Clinical Narratives Using Natural Language Representation
IEEE Open Journal of Engineering in Medicine and Biology
The rapid progress in clinical data management systems and artificial intelligence approaches enable the era of personalized medicine. Intensive care units (ICUs) are ideal clinical research environments for such development because they collect many clinical data and are highly computerized. Goal: We designed a retrospective clinical study on a prospective ICU database using clinical natural language to help in the early diagnosis of heart failure in critically ill children. Methods: The methodology consisted of empirical experiments of a learning algorithm to learn the hidden interpretation and presentation of the French clinical note data. This study included 1386 patients' clinical notes with 5444 single lines of notes. There were 1941 positive cases (36% of total) and 3503 negative cases classified by two independent physicians using a standardized approach. Results: The multilayer perceptron neural network outperforms other discriminative and generative classifiers. Consequently, the proposed framework yields an overall classification performance with 89% accuracy, 88% recall, and 89% precision. Conclusions: This study successfully applied learning representation and machine learning algorithms to detect heart failure in a single French institution from clinical natural language. Further work is needed to use the same methodology in other languages and institutions.