AI Article Synopsis

  • The study focuses on creating an automated algorithm to quickly identify patients who might qualify for specific anti-cancer treatments, reducing the lengthy prescreening process for clinical trials.
  • It analyzed 640 anonymized reports from multidisciplinary team meetings related to lung cancer, using regular expressions to extract relevant eligibility criteria, achieving impressive metrics: an average F1-score of 93%, 98% precision, and 92% recall.
  • Despite these successes, there were significant inconsistencies in the completeness of patient and tumor information, with genetic mutations being particularly underreported and challenging to extract automatically.

Article Abstract

Defining profiles of patients that could benefit from relevant anti-cancer treatments is essential. An increasing number of specific criteria are necessary to be eligible to specific anti-cancer therapies. This study aimed to develop an automated algorithm able to detect patient and tumor characteristics to reduce the time-consuming prescreening for trial inclusions without delay. Hence, 640 anonymized multidisciplinary team meetings (MTM) reports concerning lung cancers from one French teaching hospital data warehouse between 2018 and 2020 were annotated. To automate the extraction of eight major eligibility criteria, corresponding to 52 classes, regular expressions were implemented. The RegEx's evaluation gave a F1-score of 93% in average, a positive predictive value (precision) of 98% and sensitivity (recall) of 92%. However, in MTM, fill rates variabilities among patient and tumor information remained important (from 31% to 100%). Genetic mutations and rearrangement test results were the least reported characteristics and also the hardest to automatically extract. To ease prescreening in clinical trials, the PreScIOUs study demonstrated the additional value of rule based and machine learning based methods applied on lung cancer MTM reports.

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http://dx.doi.org/10.1177/14604582221146709DOI Listing

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