Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7604
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dc.contributor.authorJungmann, Florian-
dc.contributor.authorKämpgen, Benedikt-
dc.contributor.authorHahn, Felix-
dc.contributor.authorWagner, Daniel-
dc.contributor.authorMildenberger, Peter-
dc.contributor.authorDüber, Christoph-
dc.contributor.authorKloeckner, Roman-
dc.date.accessioned2022-08-23T08:47:51Z-
dc.date.available2022-08-23T08:47:51Z-
dc.date.issued2022-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7618-
dc.description.abstractObjective During the COVID-19 pandemic, the number of patients presenting in hospitals because of emergency conditions decreased. Radiology is thus confronted with the effects of the pandemic. The aim of this study was to use natural language processing (NLP) to automatically analyze the number and distribution of fractures during the pandemic and in the 5 years before the pandemic. Materials and methods We used a pre-trained commercially available NLP engine to automatically categorize 5397 radiological reports of radiographs (hand/wrist, elbow, shoulder, ankle, knee, pelvis/hip) within a 6-week period from March to April in 2015–2020 into “fracture affirmed” or “fracture not affirmed.” The NLP engine achieved an F1 score of 0.81 compared to human annotators. Results In 2020, we found a significant decrease of fractures in general (p < 0.001); the average number of fractures in 2015– 2019 was 295, whereas it was 233 in 2020. In children and adolescents (p < 0.001), and in adults up to 65 years (p = 0.006), significantly fewer fractures were reported in 2020. The number of fractures in the elderly did not change (p = 0.15). The number of hand/wrist fractures (p < 0.001) and fractures of the elbow (p < 0.001) was significantly lower in 2020 compared with the average in the years 2015–2019. Conclusion NLP can be used to identify relevant changes in the number of pathologies as shown here for the use case fracture detection. This may trigger root cause analysis and enable automated real-time monitoring in radiology.en_GB
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleNatural language processing of radiology reports to investigate the effects of the COVID-19 pandemic on the incidence and age distribution of fracturesen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7604-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleSkeletal radiologyde
jgu.journal.volume51de
jgu.pages.start375de
jgu.pages.end380de
jgu.publisher.year2022-
jgu.publisher.nameSpringerde
jgu.publisher.placeBerlin u.a.de
jgu.publisher.issn1432-2161de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1007/s00256-021-03760-5de
jgu.organisation.rorhttps://ror.org/023b0x485-
Appears in collections:JGU-Publikationen

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