Using GPT-4o for CAD-RADS feature extraction and categorization with free-text coronary CT Angiography reports (Preprint)
Youmei Chen,
Jie Sun,
Mengshi Dong
и другие.
Опубликована: Янв. 8, 2025
BACKGROUND
Despite
the
Coronary
Artery
Reporting
and
Data
System
(CAD-RADS)
providing
a
standardized
approach,
radiologists
continue
to
favor
free-text
reports.
This
preference
creates
significant
challenges
for
data
extraction
analysis
in
longitudinal
studies,
potentially
limiting
large-scale
research
quality
assessment
initiatives.
OBJECTIVE
To
evaluate
ability
of
GPT-4o
model
convert
real-world
coronary
CT
angiography
(CCTA)
reports
into
structured
automatically
identify
CAD-RADS
categories
P
Categories.
METHODS
retrospective
study
analyzed
CCTA
from
January
2024
July
2024.
A
subset
25
was
used
prompt
engineering
instruct
LLMs
extracting
categories,
Categories,
presence
myocardial
bridges
non-calcified
plaques.
Reports
were
processed
using
API
custom
Python
scripts.
The
ground
truth
established
by
radiologist
based
on
2.0
guidelines.
Model
performance
assessed
accuracy,
sensitivity,
specificity,
F1
score.
Intra-rater
reliability
Cohen's
Kappa
coefficient.
RESULTS
Among
999
patients
(median
age
66
years,
range
58-74;
650
males),
categorization
showed
accuracy
0.98-1.00,
sensitivity
0.95-1.00,
specificity
score
0.96-1.00.
Categories
demonstrated
0.97-1.00,
0.90-1.00,
0.91-0.99.
Myocardial
bridge
detection
achieved
0.98
calcified
plaque
accuracy.
values
all
classifications
exceeded
0.98.
CONCLUSIONS
efficiently
accurately
converts
data,
excelling
classification,
burden
assessment,
Язык: Английский
The radiologist as an independent “third party” to the patient and clinicians in the era of generative AI
La radiologia medica,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 26, 2025
Язык: Английский
The Role of Neck Imaging Reporting and Data System (NI-RADS) in the Management of Head and Neck Cancers
Bioengineering,
Год журнала:
2025,
Номер
12(4), С. 398 - 398
Опубликована: Апрель 8, 2025
This
review
evaluates
the
current
evidence
on
use
of
Neck
Imaging
Reporting
and
Data
System
(NI-RADS)
for
surveillance
early
detection
recurrent
head
neck
cancers.
NI-RADS
offers
a
standardized,
structured
framework
specifically
tailored
post-treatment
imaging,
aiding
radiologists
in
differentiating
between
residual
tumors,
scar
tissue,
post-surgical
changes.
demonstrated
strong
diagnostic
performance
across
multiple
studies,
with
high
sensitivity
specificity
reported
detecting
tumors
at
primary
sites.
Despite
these
strengths,
limitations
persist,
including
frequency
indeterminate
results
variability
di-agnostic
concordance
imaging
modalities
(computed
tomography,
magnetic
resonance
(MRI),
positron
emission
tomography(PET)).
The
also
highlights
NI-RADS’s
reproducibility,
showing
inter-
intra-reader
agreements
different
techniques,
although
some
modality-specific
differences
were
observed.
While
it
demonstrates
good
reproducibility
modalities,
attention
is
required
to
address
findings
variations.
Future
studies
should
focus
integrating
advanced
characteristics,
such
as
diffusion-weighted
PET/MRI
fusion
further
enhance
accuracy.
Continuous
efforts
refine
protocols
interpretations
will
ensure
more
consistent
recurrences,
ultimately
improving
clinical
outcomes
cancer
management.
Язык: Английский