Erratum: On the role of artificial intelligence in medical imaging of COVID-19.

[This corrects the article DOI: 10.1016/j.patter.2021.100269.].

On the role of artificial intelligence in medical imaging of COVID-19.

Although a plethora of research articles on AI methods on COVID-19 medical imaging are published, their clinical value remains unclear. We conducted the largest systematic review of the literature addressing the utility of AI in imaging for COVID-19 patient care. By keyword searches on PubMed and preprint servers throughout 2020, we identified 463 manuscripts and performed a systematic meta-analysis to assess their technical merit and clinical relevance. Our analysis evidences a significant disparity between clinical and AI communities, in the focus on both imaging modalities (AI experts neglected CT and ultrasound, favoring X-ray) and performed tasks (71.9% of AI papers centered on diagnosis). The vast majority of manuscripts were found to be deficient regarding potential use in clinical practice, but 2.7% (n = 12) publications were assigned a high maturity level and are summarized in greater detail. We provide an itemized discussion of the challenges in developing clinically relevant AI solutions with recommendations and remedies.

Generalized Extraction and Classification of Span-Level Clinical Phrases.

Much of the critical information in a patient's electronic health record (EHR) is hidden in unstructured text. As such, there is an increasing role for automated text extraction and summarization to make this information available in a way that can be quickly and easily understood. While many clinical note text extraction techniques have been examined, most existing techniques are either narrowly targeted or focus primarily on concept-level extraction, potentially missing important contextual information. In contrast, in this work we examine the extraction of several clinical categories at the phrase level, attempting to provide the necessary context while still keeping the extracted elements concise. To do so, we employ a three-stage pipeline which extracts categorized phrases of interest using clinical concepts as anchor points. Results suggest the proposed method achieves performance comparable to that of individual human annotators.

Improving the Path from Diagnoses to Documentation: A Cognitive Review Tool for Clinical Notes and Administrative Records.

EMR systems are intended to improve patient-centered care management and hospital administrative processing. However, the information stored in EMRs can be disorganized, incomplete, or inconsistent, creating problems at the patient and system level. We present a technology that reconciles inconsistencies between clinical diagnoses and administrative records by analyzing free-text notes, problem lists and recorded diagnoses in real time. A fully integrated pipeline has been developed for efficient, knowledge-driven extraction, normalization, and matching of disease terms among structured and unstructured data, with modular precision of 94-98% on over 1000 patients. This cognitive data review tool improves the path from diagnosis to documentation, facilitating accurate and timely clinical and administrative decision-making.