This work demonstrates that, in this reporting scenario, the ASTAR-induced template surpasses two expert-curated templates across template coverage, information fidelity, diagnostic fidelity, and expert-rated usability, reducing template development from weeks of committee deliberation to hours of automated processing.
Abstract
Structured reporting converts free-text radiology narratives into queryable data keys, facilitating cohort assembly, longitudinal tracking, and training label generation for medical AI. The prevailing paradigm follows a two-stage pipeline: (1) constructing a reporting template, (2) extracting information to populate it. While the extraction stage has benefited from advances in large language models (LLMs), template construction remains a manual bottleneck relying on labor-intensive expert consensus that is static, difficult to scale, and may fail to capture real-world reporting diversity. We address this limitation with ASTAR, an LLM-based framework for Automated induction of STAndardized radiology Reporting templates from large-scale clinical free-text corpora. Extensive experiments on 4,215 fetal brain MRI reports from multiple centers demonstrate that, in this reporting scenario, the ASTAR-induced template surpasses two expert-curated templates across template coverage, information fidelity, diagnostic fidelity, and expert-rated usability, reducing template development from weeks of committee deliberation to hours of automated processing.
Extracting structured information from free-text radiology reports is essential for downstream clinical analysis and decision support. In mammography, this challenge is amplified by heterogeneous writing styles, the absence of standardized terminology across institutions, and limited availability of annotated Spanish d...
Eduardo Godoy, J. De Ferrari, Sofia Lazo et al.· BMC Medical Informatics and...· 1 citation· ⚡1
Abstract Background Mental health clinical notes contain decision-critical information often absent from structured electronic health record fields. Large language models (LLMs) can extract clinically relevant signals from narrative text; however, variability in output format, limited reproducibility, and inconsistent...
Diya Saha, J. Edgcomb· JMIR Mental Health· 0 citations
This work presents Stroke CT Analysis and Natural Language Reporting (SCAN-R), a unified end-to-end framework that integrates multiclass stroke detection, Transformerenhanced U-Net segmentation with task-specific pre-trained backbones, and Retrieval-Augmented Generation for evidence-based clinical report generation.
Le Minh Toan Truong, X. Nguyen, Dang Khanh Tran· International Conference on...· 0 citations
Background: Large language models (LLMs) show promise for extracting information from clinical free-text documents, but their outputs are often unstructured and lack traceability, complicating validation and adoption in clinical workflows. In this work we introduce SIFTING, an LLM-based framework designed to address th...
Mirco Hess, Gerben van Veenendaal, J. Wakkie et al.· 0 citations
This work presents a slide-level framework generating prostate biopsy reports that is language-independent by construction: tokenizer and model are trained from scratch, and institutions can thus train native-language reporting models on their own archives.
Christian Grashei, Fabian Gülhan, Maximilian Legnar et al.· 0 citations
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