A multidimensional-scaling approach is used to analyze frequently used medical-topic terms in queries submitted to a Web-based consumer health information system. Based on a year-long transaction log file, five medical focus keywords (stomach, hip, stroke, depression, and cholesterol ) and their co-occurring query terms are analyzed. An overlap-coefficient similarity measure and a conversion measure are used to calculate the proximity of terms to one another based on their co-occurrences in queries. The impact of the dimensionality of the visual configuration, the cutoff point of term co-occurrence for inclusion in the analysis, and the Minkowski metric power k on the stress value are discussed. A visual clustering of groups of terms based on the proximity within each focus-keyword group is also conducted.Term distributions within each visual configuration are characterized and are compared with formal medical vocabulary. This investigation reveals that there are significant differences between consumer health query-term usage and more formal medical terminology used by medical professionals when describing the same medical subject. Future directions are discussed.
The Radiological Society of North America (RSNA) has developed a set of templates for structured reporting of radiology results. To measure how much of the content of conventional narrative ("free-text") reports is covered by the concepts included in the RSNA reporting templates, we selected five reporting templates that represented a variety of imaging modalities and organ systems. From a sample of 8,275 consecutive, de-identified radiology reports from an academic medical center, we identified one corresponding imaging procedure code for each reporting template. The reports were annotated with RadLex and SNOMED CT terms using the BioPortal Annotator web service. The reporting templates we examined accounted for 17 to 49 % of the concepts that actually appeared in a sample of corresponding radiology reports. The findings suggest that the concepts that appear in the reporting templates occur frequently within free-text clinical reports; thus, the templates provide useful coverage of the "domain of discourse" in radiology reports. The techniques used in this study may be helpful to guide the development of reporting templates by identifying concepts that occur frequently in radiology reports, to evaluate the coverage of existing templates, and to establish global benchmarks for reporting templates.
Radiologists are critically interested in promoting best practices in medical imaging, and to that end, they are actively developing tools that will optimize terminology and reporting practices in radiology. The RadLex® vocabulary, developed by the Radiological Society of North America (RSNA), is intended to create a unifying source for the terminology that is used to describe medical imaging. The RSNA Reporting Initiative has developed a library of reporting templates to integrate reusable knowledge, or meaning, into the clinical reporting process. This report presents the initial analysis of the intersection of these two major efforts. From 70 published radiology reporting templates, we extracted the names of 6,489 reporting elements. These terms were reviewed in conjunction with the RadLex vocabulary and classified as an exact match, a partial match, or unmatched. Of 2,509 unique terms, 1,017 terms (41%) matched exactly to RadLex terms, 660 (26%) were partial matches, and 832 reporting terms (33%) were unmatched to RadLex. There is significant overlap between the terms used in the structured reporting templates and RadLex. The unmatched terms were analyzed using the multidimensional scaling (MDS) visualization technique to reveal semantic relationships among them. The co-occurrence analysis with the MDS visualization technique provided a semantic overview of the investigated reporting terms and gave a metric to determine the strength of association among these terms.
Concerns about health issues cover a wide spectrum. Consumer health information, which has become more available on the Internet, plays an extremely important role in addressing these concerns. A subject directory as an information organization and browsing mechanism is widely used in consumer health-related Websites. In this study we employed the information visualization technique Self-Organizing Map (SOM) in combination with a new U-matrix algorithm to analyze health subject clusters through a Web transaction log. An experimental study was conducted to test the proposed methods. The findings show that the clusters identified from the same cells based on path-length-1 outperformed both the clusters from the adjacent cells based on path-length-1 and the clusters from the same cells based on path-length-2 in the visual SOM display. The U-matrix method successfully distinguished the irrelevant subjects situated in the adjacent cells with different colors in the SOM display. The findings of this study lead to a better understanding of the health-related subject relationship from the users' traversal perspective.
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