Publications by authors named "A Makmur"

Background: Patient notes contain substantial information but are difficult for computers to analyse due to their unstructured format. Large-language models (LLMs), such as Generative Pre-trained Transformer 4 (GPT-4), have changed our ability to process text, but we do not know how effectively they handle medical notes. We aimed to assess the ability of GPT-4 to answer predefined questions after reading medical notes in three different languages.

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Background Context: Secure institutional large language models (LLM) could reduce the burden of noninterpretative tasks for radiologists.

Purpose: Assess the utility of a secure institutional LLM for MRI spine request form enhancement and auto-protocoling.

Study Design/setting: Retrospective study conducted from December 2023 to February 2024, including patients with clinical entries accessible on the electronic medical record (EMR).

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Article Synopsis
  • A deep learning model was developed to detect and classify cervical cord signal abnormalities, spinal canal, and neural foraminal stenosis on MRI, aimed at improving reporting efficiency and consistency for cervical spondylosis.
  • The study analyzed 504 cervical spine MRIs from a patient sample with a mean age of 58, using 90% for training and 10% for internal testing, with additional external testing on another 100 MRIs.
  • Results showed the DL model achieved substantial agreement with human readers, outperforming them in classifying spinal canal and foraminal stenosis, and exhibited a high recall of 92.3% for cord signal abnormalities, demonstrating its potential effectiveness in clinical practice.
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Diagnostic imaging, particularly MRI, plays a key role in the evaluation of many spine pathologies. Recent progress in artificial intelligence and its subset, machine learning, has led to many applications within spine MRI, which we sought to examine in this review. A literature search of the major databases (PubMed, MEDLINE, Web of Science, ClinicalTrials.

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