A comparison of two approaches to text processing: facilitating chart reviews of radiology reports in electronic medical records.

Julie A. Womack, Matthew Scotch, Cynthia Gibert, Wendy Chapman, Michael Yin, Amy C. Justice, Cynthia Brandt

Research output: Contribution to journalArticle

8 Scopus citations


Chart review is central to health services research. Text processing, which analyzes free-text fields through automated methods, can facilitate this process. We compared precision and accuracy of NegEx and SQLServer 2008 Free-Text Search in identifying acute fractures in radiology reports.The term "fracture" was included in 23,595 radiology reports from the Veterans Aging Cohort Study. Four hundred reports were randomly selected and manually reviewed for acute fractures to establish a gold standard. Reports were then processed by SQLServer and NegEx. Results were compared to the gold standard to determine accuracy, precision, recall, and F-statistic.NegEx and the gold standard identified acute fractures in 13 reports. SQLServer identified 2 in a report-based analysis (precision: 1.00; accuracy: 0.97; recall: 0.15; F-statistic: 0.26), and 12 in a sentence-by-sentence analysis (precision: 1.00; recall: 0.92; accuracy: 0.92; F-statistic: 0.96).Text-processing tools utilizing basic database or programming skills are comparable, precise, and accurate in identifying reports for review.

Original languageEnglish (US)
Pages (from-to)1a
JournalPerspectives in health information management / AHIMA, American Health Information Management Association
StatePublished - 2010


ASJC Scopus subject areas

  • Medicine(all)

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