Abstract: Systems and methods for automated processing of medical information in electronic patient medical record databases, wherein billing information (e.g., diagnosis codes, procedural codes) is automatically extracted from electronic patient medical records through comprehensive analysis of clinical information included in the patient medical records using a knowledge base of domain-specific criteria. The extracted billing information can be automatically processed for purposes of, e.g., medical claims correction, medical claims billing, quality assurance of recorded billing information, or claim reimbursement tracking.

Abstract: CAD (computer-aided diagnosis) systems and applications for breast imaging are provided, which implement methods to automatically extract and analyze features from a collection of patient information (including image data and/or non-image data) of a subject patient, to provide decision support for various aspects of physician workflow including, for example, automated diagnosis of breast cancer other automated decision support functions that enable decision support for, e.g., screening and staging for breast cancer. The CAD systems implement machine-learning techniques that use a set of training data obtained (learned) from a database of labeled patient cases in one or more relevant clinical domains and/or expert interpretations of such data to enable the CAD systems to “learn” to analyze patient data and make proper diagnostic assessments and decisions for assisting physician workflow.

Abstract: A system and method for lung cancer screening is provided. The system includes a database including structured patient information for a patient population and a domain knowledge base including information about lung cancer; an individual patient record; and a processor for analyzing the patient record with data from the database to determine if a patient has indications of lung cancer. The method includes the steps of inputting patient-specific data into a patient record; performing at least one lung cancer screening procedure on a patient, wherein at least one result from the at least one procedure is inputted into the patient record in a structured format; and analyzing the patient record with a domain knowledge base to determine if the patient has indications of lung cancer.

Abstract: Systems and methods are provided for automated assessment of regional myocardial function using wall motion analysis methods that analyze various features/parameters of patient information (image data and non-image data) obtained from medical records of a patient. For example, a method for providing automatic diagnostic support for cardiac imaging generally comprises obtaining image data of a heart of a patient, obtaining features from the image data of the heart, which are related to motion of the myocardium of the heart, and automatically assessing regional myocardial function of one or more regions of a myocardial wall using the obtained features.

Abstract: A method and an apparatus display marks in an image data set, wherein an image data set comprising marks is provided and wherein during a review phase not all marks within the image data set are displayed at the same time. A list of the marks can be generated by sorting the marks depending on a predetermined sorting criterion and wherein the marks are displayed temporally one after another within the image data set in accordance with the generated list. The image data set is for example a medical image data set, wherein the marks are computer-aided detection (CAD) marks and wherein the sorting criterion is the probability of marking illness, in particular the suspiciousness.

Abstract: Hierarchal modeling is used to distinguish one state or class from three or more classes. In a first stage, a normal or other class is distinguished from a diseased or other groups of classes. If the results of the first stage classification indicate diseased or data within the groups of different classes, a subsequent stage of classification is performed. In a subsequent stage of classification, the data is classified to distinguish one or more other classes from the remaining classes. Using two or more stages, medical information is classified by eliminating one or more possible classes in each stage to finally identify a particular class most appropriate or probable for the data.

Abstract: Missing data is addressed in a medical decision support system. The classifier applied to the patient record with missing data is obtained as a function of the available data. For example, one of a plurality of different classifiers is selected based on the features available in the patient record to be classified. The different classifiers are developed using different feature sets. The classifier developed using a feature set closest to or a sub-set of the features available in the patient record is selected for classifying the patient record. As another example, features in a training set corresponding to features available in the patient record are used to build a classifier. The classifier is applied to the patient record by inputting the available features of the patient record.

Abstract: CAD (computer-aided diagnosis) systems and applications for breast imaging are provided, which implement methods to automatically extract and analyze features from a collection of patient information (including image data and/or non-image data) of a subject patient, to provide decision support for various aspects of physician workflow including, for example, automated diagnosis of breast cancer other automated decision support functions that enable decision support for, e.g., screening and staging for breast cancer. The CAD systems implement machine-learning techniques that use a set of training data obtained (learned) from a database of labeled patient cases in one or more relevant clinical domains and/or expert interpretations of such data to enable the CAD systems to “learn” to analyze patient data and make proper diagnostic assessments and decisions for assisting physician workflow.

Abstract: Medical ontology information is used for mining and/or probabilistic modeling. A domain knowledge base may be automatically or semi-automatically created by a processor from a medical ontology. The domain knowledge base, such as a list of disease associated terms, is used to mine for corresponding information from a medical record. The relationship of different terms with respect to a disease may be used to train a probabilistic model. Probabilities of a disease or chance of indicating the disease are determined based on the terms from a medical ontology. This probabilistic reasoning is learned with a machine from ontology information and a training data set.

Abstract: The present invention provides a data mining framework for mining high-quality structured clinical information. The data mining framework includes a data miner that mines medical information from a computerized patient record (CPR) based on domain-specific knowledge contained in a knowledge base. The data miner includes components for extracting information from the CPR, combining all available evidence in a principled fashion over time, and drawing inferences from this combination process. The mined medical information is stored in a structured CPR which can be a data warehouse.

Abstract: The present invention provides a data mining framework for mining high-quality structured clinical information. The data mining framework includes a data miner that mines medical information from a computerized patient record (CPR) based on domain-specific knowledge contained in a knowledge base. The data miner includes components for extracting information from the CPR, combining all available evidence in a principled fashion over time, and drawing inferences from this combination process. The mined medical information is stored in a structured CPR which can be a data warehouse.

Abstract: Modeling of prognosis of survivability, side-effect, or both is provided. For example, RILI is predicted using bullae information. The amount, volume or ratio of Bullae, even alone, may indicate the likelihood of complication, such as the likelihood of significant (e.g., stage 3) pneumonitis. As another example, RILI is predicted using uptake values of an imaging agent. Standardized uptake from a functional image (e.g., FDG uptake from a positron emission image), alone or in combination with other features, may indicate the likelihood of side-effect. In another example, survivability, such as two-year survivability, is predicted using blood biomarkers. The characteristics of a patient's blood may be measured and, alone or in combination with other features, may indicate the likelihood of survival. The modeling may be for survivability, side-effect, or both and may use one or more of the blood biomarker, uptake value, and bullae features.

Abstract: A system for modeling complete response prediction is provided. The system includes an input that is operable to receive treatment information representing treatment data that may be used to predict a complete response of a tumor. The complete response may include a disappearance of all or substantially all of a disease. A processor may be operable to use a model to predict complete response of the tumor as a function of the treatment data. The model represents a probability of complete response to treatment given the treatment data. A display is operable to output an image as a function of the complete response prediction.

Abstract: A detection framework that matches anatomical structures using appearance and shape is disclosed. A training set of images are used in which object shapes or structures are annotated in the images. A second training set of images represents negative examples for such shapes and structures, i.e., images containing no such objects or structures. A classification algorithm trained on the training sets is used to detect a structure at its location. The structure is matched to a counterpart in the training set that can provide details about the structure's shape and appearance.

Abstract: A detection framework that matches anatomical structures using appearance and shape is disclosed. A training set of images are used in which object shapes or structures are annotated in the images. A second training set of images represents negative examples for such shapes and structures, i.e., images containing no such objects or structures. A classification algorithm trained on the training sets is used to detect a structure at its location. The structure is matched to a counterpart in the training set that can provide details about the structure's shape and appearance.

Abstract: A computer-implemented method for privacy-preserving data mining to determine cancer survival rates includes providing a random matrix B agreed to by a plurality of entities, wherein each entity i possesses a data matrix Ai of cancer survival data that is not publicly available, providing a class matrix Di for each of the data matrices Ai, providing a kernel K(Ai, B) by each of said plurality of entities to allow public computation of a full kernel, and computing a binary classifier that incorporates said public full kernel, wherein said classifier is adapted to classify a new data vector according to a sign of said classifier.

Abstract: The present invention provides methods and compositions for predicting patient responses to cancer treatment using hypoxia gene signatures. These methods can comprise measuring in a biological sample from a patient the levels of gene expression of a group of the genes designated herein. The present invention also provides for microarrays that can detect expression from a group of genes.

Abstract: A detection framework that matches anatomical structures using appearance and shape is disclosed. A training set of images are used in which object shapes or structures are annotated in the images. A second training set of images represents negative examples for such shapes and structures, i.e., images containing no such objects or structures. A classification algorithm trained on the training sets is used to detect a structure at its location. The structure is matched to a counterpart in the training set that can provide details about the structure's shape and appearance.

Abstract: A method for providing automatic decision support for the selection of a treatment protocol includes receiving information pertaining to the patient, the condition and the preferences partially or wholly by automatically parsing patient records. The information pertaining to the patient, the condition and the preferences may be partially or wholly ascertained by prompting a user for manual input of the desired data. The information is used to calculate one or more surrogate variables. A knowledge base including a plurality of treatment protocols is accessed and one or more of the plurality of treatment protocols are selected from the knowledge base based on the received information pertaining to the patient, the condition, and the preferences, the surrogate variables, and using a probabilistic framework. The selected treatment protocols are provided as treatment guidance.

Abstract: Systems and methods are provided for protecting individual privacy (e.g., patient privacy) when individual data records (e.g., patient data records) are shared between various entities (e.g., healthcare entities). In one aspect, systems and methods are provided which implement secured key encryption for de-identifying patient data to ensure patient privacy, while allowing only the owners of the patient data and/or legally empowered entities to re-identify subject patients associated with de-identified patient data records, when needed.