# Automated Labeling of German Chest X-Ray Radiology Reports using Deep Learning

arXiv: https://arxiv.org/abs/2306.05997 · HTML: https://mlsanity.com/paper/2306.05997/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 14 of its 26 references that are in the map.
- First posted on arXiv 9 Jun 2023.

## Builds on (most cited first, 14 of 14)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [Efficient Estimation of Word Representations in Vector Space](https://mlsanity.com/paper/1301.3781/) (2013)
- [Enriching Word Vectors with Subword Information](https://mlsanity.com/paper/1607.04606/) (2016)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases](https://mlsanity.com/paper/1705.02315/) (2017)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [CheXbert: Combining Automatic Labelers and Expert Annotations for Accurate Radiology Report Labeling Using BERT](https://mlsanity.com/paper/2004.09167/) (2020)
- [FLERT: Document-Level Features for Named Entity Recognition](https://mlsanity.com/paper/2011.06993/) (2020)
- [Exploring large scale public medical image datasets](https://mlsanity.com/paper/1907.12720/) (2019)
- [Attention-based Saliency Maps Improve Interpretability of Pneumothorax Classification](https://mlsanity.com/paper/2303.01871/) (2023)
- [German CheXpert Chest X-ray Radiology Report Labeler](https://mlsanity.com/paper/2306.02777/) (2023)

## Abstract (arXiv)

Radiologists are in short supply globally, and deep learning models offer a promising solution to address this shortage as part of clinical decision-support systems. However, training such models often requires expensive and time-consuming manual labeling of large datasets. Automatic label extraction from radiology reports can reduce the time required to obtain labeled datasets, but this task is challenging due to semantically similar words and missing annotated data. In this work, we explore the potential of weak supervision of a deep learning-based label prediction model, using a rule-based labeler. We propose a deep learning-based CheXpert label prediction model, pre-trained on reports labeled by a rule-based German CheXpert model and fine-tuned on a small dataset of manually labeled reports. Our results demonstrate the effectiveness of our approach, which significantly outperformed the rule-based model on all three tasks. Our findings highlight the benefits of employing deep learning-based models even in scenarios with sparse data and the use of the rule-based labeler as a tool for weak supervision.