Cross language transformation of free text into structured lobectomy surgical records from a multi center study.

Journal: Scientific reports
PMID:

Abstract

In a recent study, the effectiveness of GPT-4 Omni in transforming lobectomy surgical records into structured data across multiple languages was explored. The aim was to improve both efficiency and accuracy in documenting thoracic surgical oncology procedures. Involving 466 records from seven specialized hospitals, the process started with OCR and text normalization. A manual restructuring by thoracic oncologists set the benchmark for fine-tuning Generative Pre-trained Transformer 4 Omni (GPT-4o). Experts reviewed the AI's output, assessing it on accuracy, precision, recall, and F1 scores. GPT-4o demonstrated high performance across both Chinese and English records, achieving an accuracy of 0.966, precision of 0.981, recall of 0.982, and an F1-score of 0.982 in both language settings. Results showed that GPT-4o was highly effective in both Chinese and English, significantly speeding up documentation compared to traditional methods. While it performed well across languages and reduced review times, common error types included terminology misinterpretations (2.82%), procedural sequence errors (1.41%), and omissions of key details (0.47%). While it performed well across languages and reduced review times, these limitations highlight areas for further refinement, particularly in enhancing contextual understanding and mitigating minor errors. Nonetheless, GPT-4o shows great potential in standardizing surgical records, streamlining workflows, and boosting care and research in thoracic oncology.

Authors

  • Xiongwen Yang
    Department of Thoracic Surgery, Guizhou Provincial People's Hospital, No. 83, Zhongshan East Road, Guiyang, , Guizhou, China. yangxiongwen@gz5055.com.
  • Yi Xiao
    Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, P. R. China.
  • Di Liu
    Laboratory of Nutrition and Functional Food, College of Food Science and Engineering, Jilin University, Changchun, China.
  • Huiyin Deng
    Department of Anesthesiology, the Third Xiangya Hospital of Central South University, Changsha, Hunan, China.
  • Jian Huang
    Center for Informational Biology, University of Electronic Science and Technology of China, No. 2006, Xiyuan Ave, West Hi-Tech Zone, Chengdu 611731, P. R. China.
  • Yubin Zhou
    Department of Dermatology, the University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, China.
  • Chuanzhou Dai
    Department of Thoracic Surgery, Chenzhou First People's Hospital, Chenzhou, Hunan, China.
  • Jun Wu
    Department of Emergency, Zhuhai Integrated Traditional Chinese and Western Medicine Hospital, Zhuhai, 519020, Guangdong Province, China. quanshabai43@163.com.
  • Dan Liu
    Department of Bioengineering, Temple University, Philadelphia, PA, United States.
  • Maoli Liang
    NHC Key Laboratory of Pulmonary Immunological Diseases, Guizhou Provincial People's Hospital, Guiyang, Guizhou, China.
  • Chuan Xu
    Department of Thoracic Surgery, Guizhou Provincial People's Hospital, No. 83, Zhongshan East Road, Guiyang, , Guizhou, China. xuchuan89757@163.com.