Incidental Lung

FINDING
NODULES
Delores Mincarelli
PURPOSE AND GOALS
Problem
We do not have a way to
systematic way to
discretely identify
patients with incidental
lung nodules (ILN)
because this information
is in radiology text notes.
Cost Structure
Team – member time to work on project: Advanced
Analytics Team, and business customers.
Solution Unique Value Proposition Unfair Advantage Customer Segments
Use text mining to An in-house solution is: Knowledge/Experience
March 24, 2020 - Primary Care
Lean Canvas
determine which patients
Incidental Lung Nodules
If we get this right, there-
Iteration 1.0
Physicians
have ILN (Include) and Better value: you don’t is-no-stopping us:
which don’t (Exclude). have to worry about price Lung Nodule
increases, contracts, ~80% EHR data is Specialists
unstructured.
Close integration - “home
court advantage” with
business customer.
Key Metrics Channels
% Increase in Patients
that have incidental lung Inclusions will be routed
nodules that are notified pushed back into EHR -
Primary Care Physicians
% Increase in Patients will get messages if their
that we notified that had patient has an ILN
follow-up treatment.
Benefit
- Improved patient care – giving patients the earliest possible notification of a
serious problem is the right thing to do.
PRODUCT MARKET
 HISTORY:
COMPARISON
TECHNIQUE:

LUNGS/AIRWAYS: 5 mm groundglass nodule right lower lobe series 903 image

40. Remainder the lungs unremarkable.
PLEURA:

ANATOMY MEDIASTINUM/HILA:

OF A HEART/PERICARDIUM:

RADIOLOGY VESSELS:.
CHEST WALL/LOWER NECK:
NOTE BONES:

IMPRESSION:. 5 mm groundglass nodule right lower lobe.

 Click icon to add picture

WE WANT THIS BUT NOT THIS

5 mm groundglass no air space disease or mass ,

nodule right lower lobe no definite nodule .
series 903 image 40.
Remainder the lungs
unremarkable.
 APPROACH

TEXT MINING & PREDICTION

-RANDOM FOREST
-BOOSTING
Supplement, using scoring.

GET INSPIRED: Explore ways to

understand the data and exploit the
advantages of text mining.
BUT WAIT, WHAT ABOUT REGULAR EXPRESSIONS?
WORDS AS INDEPENDENT VARIABLES

Document Term Matrix

Document Term Matrix Summary

 MEASURES OF SUCCESS

Creative ways to use Text Mining in our interactions

Overall Cost: Asymetric 5:1 ratio,
penalizing false negatives
False Negative and False Positive Rate
with business customers?
Other serendipitous learnings as a result
of this exploration…. Speaking of serendipitous…

AUC

Explainability… (within reason.. do the variable

importance plots make sense? )

Comparison to RegEx?