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Automatic Extraction of BI-RADS Features from Cross-Institution and Cross-Language Free-Text Mammography Reports. Houssam Nassif, Terrie Kitchner, Filipe Cunha, Inês C. Moreira, and Elizabeth S. Burnside. Mammogram. Radiologist. Structured Database. Impression (free text). Predictive
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Automatic Extraction of BI-RADS Features from Cross-Institution and Cross-Language Free-Text Mammography Reports Houssam Nassif, Terrie Kitchner, Filipe Cunha, Inês C. Moreira, and Elizabeth S. Burnside
Mammogram Radiologist Structured Database Impression (free text) Predictive Model Benign Malignant
BI-RADS Lexicon Concepts
Example In the right breast, an approximately 1.0 cm mass is identified in the right upper inner breast. This mass is noncalcified and partially obscured and lobulated in appearance.
Materials & Methods • Training on 146,972 mammograms • Testing on same academic institution as training and on different private institution • Replicate algorithm into Portuguese language, and test on Portuguese set • All test sets manually annotated
Conclusion • Automated BI-RADS extractor: • Performs no worse than manual extraction • Generalizes across institutions • Generalizes across languages • Enables the incorporation of free-text data into breast cancer risk prediction tools