Using Machine Learning Techniques for Automated Detection of Correct Positioning of PICC tip from Radiological Reports in Infants

X-Ray Report
(Try example or copy & paste sample reports from below)
Classifier Output

SVC Boolean:
ADA Boost Boolean:
Naive Bayes Boolean:
SVC 12-category:
Sample X-Ray Report Explanation Correct Answer
CLINICAL HISTORY: Former 23 week infant CLD with worsening respiratory status.
COMPARISON: Chest x-ray
PROCEDURE COMMENTS: Single view of the chest obtained portably.FINDINGS:SUPPORT DEVICE(S): Endotracheal tube tip is in the thoracic inlet. There is a right upper extremity PICC line with tip projecting over the right axilla withdrawn from a previously central position.
CHEST: Worsening diffuse coarse opacities in the lungs bilaterally with more confluent opacity in the right upper lobe. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is partially obscured but grossly unchanged.

IMPRESSION:1. Endotracheal tube tip at the thoracic inlet. 2. Worsening diffuse coarse opacities with more confluent opacity over the right upper lung zone likely atelectasis.
A common theme is X-Rays obtained for reasons other than PICC position - for example for respiratory distress, where clinicians are focused on things like pneumonias or lung collapse. So a change in PICC position can often be missed. Non-Central
CLINICAL HISTORY: 2 wk CDH baby s/p repair now on oscillator.
PROCEDURE COMMENTS: Single view of the chest obtained portably.
* Endotracheal tube tip at the level of the thoracic inlet.
Enteric tube tip projects over the stomach.
* Chest tube and upper abdominal drain are unchanged in configuration.
* Left upper extremity PICC tip projects over the expected location of the SVC.
* Umbilical artery catheter tip projects to the left of the spine at T8.
CHEST: There is worsening opacification of the left lung with air bronchograms particularly the left upper lobe. There is a new moderate sized left pleural effusion. Leftward cardiomediastinal shift is unchanged. There is ongoing complete collapse of the right lung with a large pneumothorax and subcutaneous air within the chest wall.
IMPRESSION:1. Persistent complete right lung atelectasis and large right pneumothorax with leftward cardiomediastinal shift.
2. Worsening left lung atelectasis and new moderate pleural effusion.
3. Support devices as above.
Sometimes there might be a critical finding that is life threatening, such as pneumothroax, drawing attention away from other things in the report. Central

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