Use of Natural Language Understanding to Facilitate Surgical De-Escalation of Axillary Staging in Patients With Breast Cancer.
Neil M CarletonGilan SaadawiPriscilla F McAuliffeAtilla SoranSteffi OesterreichAdrian V LeeEmilia J DiegoPublished in: JCO clinical cancer informatics (2024)
Data from our NLU model suggest that omission of sentinel lymph node biopsy might be extended beyond Choosing Wisely recommendations, limited to those older than 70 years and to all postmenopausal women with early-stage ER+/cN0 disease. These data support the recently reported SOUND trial results and provide additional granularity to facilitate surgical de-escalation.
Keyphrases
- sentinel lymph node
- early stage
- lymph node
- neoadjuvant chemotherapy
- electronic health record
- open label
- big data
- ultrasound guided
- clinical trial
- phase iii
- physical activity
- randomized controlled trial
- squamous cell carcinoma
- pet ct
- breast cancer cells
- rectal cancer
- radiation therapy
- machine learning
- data analysis
- body composition
- locally advanced
- fine needle aspiration