Journal
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
Volume 21, Issue 1, Pages 27-30Publisher
OXFORD UNIV PRESS
DOI: 10.1136/amiajnl-2013-002090
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This study aimed to reduce reliance on large training datasets in support vector machine (SVM)-based clinical text analysis by categorizing keyword features. An enhanced Mayo smoking status detection pipeline was deployed. We used a corpus of 709 annotated patient narratives. The pipeline was optimized for local data entry practice and lexicon. SVM classifier retraining used a grouped keyword approach for better efficiency. Accuracy, precision, and F-measure of the unaltered and optimized pipelines were evaluated using k-fold cross-validation. Initial accuracy of the clinical Text Analysis and Knowledge Extraction System (cTAKES) package was 0.69. Localization and keyword grouping improved system accuracy to 0.9 and 0.92, respectively. F-measures for current and past smoker classes improved from 0.43 to 0.81 and 0.71 to 0.91, respectively. Non-smoker and unknown-class F-measures were 0.96 and 0.98, respectively. Keyword grouping had no negative effect on performance, and decreased training time. Grouping keywords is a practical method to reduce training corpus size.
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