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Data Analysis and Knowledge Discovery  2020, Vol. 4 Issue (9): 133-144    DOI: 10.11925/infotech.2096-3467.2020.0192
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Automatic Expression of Co-occurrence Clustering Based on Indexing Rules of Medical Subject Headings
Wu Jinming1,Hou Yuefang2,Cui Lei2()
1Institute of Medical Information/Medical Library, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100020, China
2College of Medical Informatics, China Medical University, Shenyang 110122, China
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Abstract  

[Objective] This study proposes an automatic procedure to present the clustering results, aiming to promote the development of co-word clustering analysis.[Methods] First, we examined the indexing rules of neoplastic diagnosis and chose 10 common neoplasms as sample sets for co-occurrence clustering analysis. Then, we reviewed the results and combined the indexing rules to identify the semantic types / subheading combination patterns of high-frequency subject headings. Third, we developed a python application to automatically interpret the clustering results for four groups of neoplasms. Finally, we invited 12 experts to evaluate the accuracy, comprehensiveness, practicality, comprehensibility and simplicity of the presentation.[Results] We found 30 indexing patterns of neoplastic diagnosis as well as 98 combination semantic patterns. The scores of the accuracy, comprehensiveness, practicality, comprehensibility and simplicity were 4.282, 4.435, 4.209, 4.457, and 4.206 out of 5.[Limitations] It was difficult to reveal the “hidden relations” among the subject headings with the proposed method.[Conclusions] Our new method could effectively present results of co-occurrence clustering analysis for medical records.

Key wordsCo-word Analysis      Clustering Analysis      Cluster Description      Knowledge Expression      Automatic Description     
Received: 16 March 2020      Published: 17 June 2020
ZTFLH:  G202  
Corresponding Authors: Cui Lei     E-mail: lcui@cmu.edu.cn

Cite this article:

Wu Jinming,Hou Yuefang,Cui Lei. Automatic Expression of Co-occurrence Clustering Based on Indexing Rules of Medical Subject Headings. Data Analysis and Knowledge Discovery, 2020, 4(9): 133-144.

URL:

https://manu44.magtech.com.cn/Jwk_infotech_wk3/EN/10.11925/infotech.2096-3467.2020.0192     OR     https://manu44.magtech.com.cn/Jwk_infotech_wk3/EN/Y2020/V4/I9/133

Research Framework
检索策略 类型 检索篇数 高频词阈值 高频词数 类数 规则数
"Abdominal Neoplasms/diagnosis"[Majr] 训练集 6 138 90 30 7 5
"Bone Neoplasms/diagnosis"[Majr] 训练集 3 302 46 41 7 6
"Breast Neoplasms/diagnosis"[Majr] 训练集 3 464 61 40 6 12
"Digestive System Neoplasms/diagnosis"[Majr] 训练集 6 783 150 25 7 4
"Endocrine Gland Neoplasms/diagnosis"[Majr] 训练集 8 283 173 25 6 5
"Eye Neoplasms/diagnosis"[Majr] 训练集 5 713 84 30 6 3
"Head and Neck Neoplasms/diagnosis"[Majr] 训练集 7 777 175 25 5 4
"Skin Neoplasms/diagnosis"[Majr] 训练集 2 830 32 44 9 7
"Thoracic Neoplasms/diagnosis"[Majr] 训练集 8 074 161 26 5 9
"Urogenital Neoplasms/diagnosis"[Majr] 训练集 8 107 187 27 7 8
"Lung Neoplasms/diagnosis"[Majr] 验证集 5 159 83 40 9 /
"Stomach Neoplasms/diagnosis"[Majr] 验证集 3 789 51 35 7 /
"Prostatic Neoplasms/diagnosis"[Majr] 验证集 3 987 61 39 7 /
"Thyroid Neoplasms/diagnosis"[Majr] 验证集 5 324 99 35 6 /
Retrieval Strategy and Results of Training Set and Validation Set
标引规则 标引含义
(器官肿瘤)/相同的副主题词+(组织学类型)/相同的副主题词 表示某组织学类型的某器官肿瘤的某一方面
(原发肿瘤)/病理学+(转移肿瘤)/继发性+(组织学类型)/继发性 肿瘤的继发
(原发肿瘤)/病理学+(组织学类型)/病理学+(被肿瘤)/病理学+肿瘤浸润 肿瘤的浸润
(疾病A)/诊断+(疾病B)/诊断+诊断,鉴别 疾病A、B的鉴别诊断
(疾病)/诊断或下位词+(专指的诊断方法)/方法 应用某技术诊断某疾病
(疾病)/诊断显像+(器官)/诊断显像+(专指诊断显像技术)(NLM或不标引) 应用某显像技术在某解剖学部位诊断某疾病
(疾病)/诊断+生物标记/相应的副主题词+(内源性物质)/相应的副主题词 某内源性物质作为生物标记诊断某疾病
(肿瘤)/病理学+肿瘤分期 表示肿瘤的分期
(放射性核素显像技术)/方法+(放射性同位素)+放射性药物 某放射性同位素以放射性药物的方式进行投药应用于某放射性核素显像技术
(疾病)/诊断+临床酶试验+(器官)/酶学 应用临床酶试验诊断某器官部位疾病
Indexing Patterns of Neoplastic Diagnosis(Partial)
Rule Base Construction Process
正式规则 语义注释
12000(器官肿瘤)/诊断+(组织学类型)/诊断+(诊断技术)/方法 应用(某种诊断技术)诊断组织学类型为(某组织学类型)的(某器官肿瘤)。
12160(器官肿瘤A)/诊断显像+(组织学类型)/诊断显像+(诊断显像技术)/方法+(器官肿瘤A)/病理学 通常是指应用(某显像诊断技术)对组织学类型为(某组织学类型)的(某器官肿瘤)进行诊断,获取肿瘤的病理学信息(如肿瘤的临床分期、肿瘤的恶性程度、病变的范围等)或进行病理学相关研究等。
13000(器官肿瘤)/诊断+(组织学类型)/诊断+肿瘤标记/相应副主题词 通过检测肿瘤标记物来诊断组织学类型为(某组织学类型)的(某器官肿瘤)。
13200(器官肿瘤A)/诊断+(组织学类型)/诊断+肿瘤标记/相应副主题词+(器官肿瘤A)/治疗 通常是指某物质可作为标志物在临床上诊断组织学类型为(某组织学类型)的(某器官肿瘤),辅助临床治疗,或检测肿瘤治疗效果,或判断肿瘤预后以及群体随访观察或其他。
02141(疾病)/诊断显像+(放射性核素显像技术)/方法+(具体放射性药物)+放射性药物 应用放射性药物(某具体药物)辅助(某种放射性核素显像技术)来诊断(某疾病)。
02180(肿瘤A)/诊断显像+(诊断显像技术)/方法 +(肿瘤A)/治疗 通常是指应用(某诊断显像技术)诊断(某肿瘤),指导放疗或外科治疗等治疗计划的制定;或进行术后或放疗后残余和/或复发的早期诊断;或进行治疗效果以及预后的评估或其他。
03000(疾病)/诊断 +生物标记 通过检测分析生物标记物来诊断(某疾病)。
03100(疾病)/诊断+生物标记+(内源性物质) (某内源性物质)可作为标志物在临床上诊断(某疾病)。
08000(疾病)/流行病学+普查+早期发现 通常是指对(某疾病)进行早期诊断和普查以及进行流行病学相关研究等。
Semantic Type / Subheading Combination Patterns of Neoplastic Diagnosis (Partial)
类别 主要主题词/副主题词 程序运行结果
Cluster 0 Radiopharmaceuticals
Fluorodeoxyglucose F18
Positron-Emission Tomography
Tomography, X-Ray Computed
Multimodal Imaging
(1)实施正电子发射断层显像术时应用放射性药物氟脱氧葡萄糖F18。
(2)进行多模态成像时应用了X线体层摄影术。
(3)进行多模态成像时应用了正电子发射断层显像术。
Cluster 1 Algorithms
Radiographic Image Interpretation, Computer-Assisted/methods
Tomography, X-Ray Computed/methods
Solitary Pulmonary Nodule/diagnostic imaging
(1)应用X线体层摄影术诊断肺硬币病变。
(2)应用计算机辅助放射摄影影像解释技术诊断肺硬币病变。
Cluster 2 Mesothelioma/diagnosis
Biomarkers, Tumor/metabolism
Carcinoma, Squamous Cell/diagnosis
Adenocarcinoma/diagnosis
(1)通过检测分析肿瘤标志物诊断间皮瘤。
(2)通过检测分析肿瘤标志物诊断鳞状细胞癌。
(3)通过检测分析肿瘤标志物诊断腺癌。
Cluster 3 Lung Neoplasms/diagnosis
Carcinoma, Non-Small-Cell Lung/diagnosis
Lung Neoplasms/Therapy
Biomarkers, Tumor/analysis
Lung Neoplasms/genetics
(1)某种遗传物质或相关产物等可作为标志物在临床上诊断肺肿瘤,辅助临床治疗,或检测肿瘤治疗效果,或判断肿瘤预后以及群体随访观察或其他。
(2)通过检测分析肿瘤标志物诊断非小细胞肺癌。
Cluster 4 Early Detection of Cancer/methods
Mass Screening/methods
Early Detection of Cancer
Lung Neoplasms/epidemiology
(1)对肺肿瘤进行早期诊断和普查以及进行流行病学相关研究等。
Cluster 5 Lung Neoplasms /pathology
Carcinoma, Non-Small-Cell Lung/pathology
Carcinoma, Non-Small-Cell Lung/diagnostic imaging
Lung Neoplasms/diagnostic imaging
Lung Neoplasms/radiotherapy
Position-Emission Tomography/methods
(1)应用正电子发射断层显像术对肺肿瘤进行诊断,获取肿瘤的病理学信息(如肿瘤的临床分期、肿瘤的恶性程度、病变的范围等)或进行病理学相关研究等。
(2)应用正电子发射断层显像术对非小细胞肺癌进行诊断,获取肿瘤的病理学信息(如肿瘤的临床分期、肿瘤的恶性程度、病变的范围等)或进行病理学相关研究等。
(3)应用正电子发射断层显像术对肺肿瘤进行诊断,并指导放疗计划的制定;或进行放疗后残余和/或复发的早期诊断;或进行治疗效果以及预后的评估或其他。
Cluster 6 Lung/diagnostic imaging
Lung/pathology
Bronchoscopy/methods
Bronchial Neoplasms/diagnosis
(1)通过支气管镜检查在肺等相关部位诊断支气管肿瘤,获取肿瘤的病理学信息(如肿瘤的临床分期、肿瘤的恶性程度、病变的范围等)或进行病理学相关研究等。
Cluster 7 Solitary Pulmonary/diagnosis
Lung Neoplasms/surgery
Adenocarcinoma/diagnostic imaging
Lung Neoplasms/secondary
(1)肺硬币病变的诊断,可能包含检查、鉴别诊断及预后等。
(2)肺肿瘤的手术治疗。
(3)腺癌的显像诊断,包括放射诊断、超声诊断等。
(4)其他器官肿瘤转移后生成肺肿瘤。
Cluster 8 Biomarkers, Tumor/blood
Small Cell Lung Carcinoma/diagnosis
Lung Neoplasms/metabolism
Lung Neoplasms/drug therapy
(1)通过检测分析肿瘤标志物诊断小细胞肺癌。
(2)某物质可作为标志物在临床上诊断肺肿瘤,可能作为临床药物治疗的治疗靶标,或检测肿瘤药物治疗效果,或判断肿瘤预后以及群体随访观察或其他。
Co-occurrence Clustering Results Presentation of Lung Neoplastic Diagnosis Subject Headings
主题 准确性 全面性 实用性 易理解性 简洁性
肺肿瘤诊断 4.444 4.519 4.074 4.629 4.111
胃肿瘤诊断 4.333 4.571 4.238 4.381 4.476
前列腺肿瘤诊断 4.238 4.429 4.524 4.429 4.238
甲状腺肿瘤诊断 4.111 4.222 4.000 4.389 4.000
平均分 4.282 4.435 4.209 4.457 4.206
Expert Evaluation Results
Cluster 0 of Co-occurrence Clustering Results of Lung Neoplastic Diagnosis Subject Headings
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