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  • Speech To Chart: Speech Recognition and Natural Language Processing For Dental Charting (Irwin J)

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    Center for Dental Informatics
    199 Ansichten4 Seiten
    Typically, when using practice management systems (PMS), dentists perform data entry by utilizing an assistant as a transcriptionist. This prevents dentists from interacting directly with the PMSs. Speech recognition interfaces can provide the solution to this problem. Existing speech interfaces of PMSs are cumbersome and poorly designed. In dentistry, there is a desire and need for a usable natural language interface for clinical data entry. In this presentation, we describe the development and evaluation of our speech-to-chart prototype which contained the following components: speech recognizer; post-processor for error correction; NLP application (ONYX) and; graphical chart generator. We evaluated the accuracy of the speech recognizer and the post-processor. We then performed a summative evaluation on the entire system. Our prototype charted 12 hard tissue exams. We compared the charted exams to reference standard exams charted by two dentists. On manually transcribed exams, the system performed with an average 80% accuracy. The average time to chart a single hard tissue finding with the prototype was 7.3 seconds. An improved discourse processor will greatly enhance the prototype’s accuracy. This is an improvement over the speech interfaces of existing PMSs which are cumbersome, require using specific speech commands, and make several errors per exam. We successfully created a speech-to-chart prototype that charts hard tissue findings from naturally spoken dental exams. Presentation: http://www.dental.pitt.edu/informatics/talks/Irwin_Speech-to-Chart_091509.php

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    Speech to chart: speech recognition and natural language processing for dental charting (Irwin J)

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    Typically, when using practice management systems (PMS), dentists perform data entry by utilizing an assistant as a transcriptionist. This prevents dentists from interacting directly with the PMSs. Speech recognition interfaces can provide the solution to this problem. Existing speech interfaces of PMSs are cumbersome and poorly designed. In dentistry, there is a desire and need for a usable natural language interface for clinical data entry. In this presentation, we describe the development and evaluation of our speech-to-chart prototype which contained the following components: speech recognizer; post-processor for error correction; NLP application (ONYX) and; graphical chart generator. We evaluated the accuracy of the speech recognizer and the post-processor. We then performed a summative evaluation on the entire system. Our prototype charted 12 hard tissue exams. We compared the charted exams to reference standard exams charted by two dentists. On manually transcribed exams, the system performed with an average 80% accuracy. The average time to chart a single hard tissue finding with the prototype was 7.3 seconds. An improved discourse processor will greatly enhance the prototype’s accuracy. This is an improvement over the speech interfaces of existing PMSs which are cumbersome, require using specific speech commands, and make several errors per exam. We successfully created a speech-to-chart prototype that charts hard tissue findings from naturally spoken dental exams. Presentation: http://www.dental.pitt.edu/informatics/talks/Irwin_Speech-to-Chart_091509.php

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    199 Ansichten4 Seiten

    Speech To Chart: Speech Recognition and Natural Language Processing For Dental Charting (Irwin J)

    Hochgeladen von

    Center for Dental Informatics
    Typically, when using practice management systems (PMS), dentists perform data entry by utilizing an assistant as a transcriptionist. This prevents dentists from interacting directly with the PMSs. Speech recognition interfaces can provide the solution to this problem. Existing speech interfaces of PMSs are cumbersome and poorly designed. In dentistry, there is a desire and need for a usable natural language interface for clinical data entry. In this presentation, we describe the development and evaluation of our speech-to-chart prototype which contained the following components: speech recognizer; post-processor for error correction; NLP application (ONYX) and; graphical chart generator. We evaluated the accuracy of the speech recognizer and the post-processor. We then performed a summative evaluation on the entire system. Our prototype charted 12 hard tissue exams. We compared the charted exams to reference standard exams charted by two dentists. On manually transcribed exams, the system performed with an average 80% accuracy. The average time to chart a single hard tissue finding with the prototype was 7.3 seconds. An improved discourse processor will greatly enhance the prototype’s accuracy. This is an improvement over the speech interfaces of existing PMSs which are cumbersome, require using specific speech commands, and make several errors per exam. We successfully created a speech-to-chart prototype that charts hard tissue findings from naturally spoken dental exams. Presentation: http://www.dental.pitt.edu/informatics/talks/Irwin_Speech-to-Chart_091509.php

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    Speech to chart: Dictation to Dentrix 9/15/2009

    Speech-to-Chart Prototype
    Dictation to Dentrix

    speech-to-chart
    Jeannie Irwin, MS
    September 15, 2009

    Our prototype

    University of Pittsburgh Center for


    Dental Informatics 1
    Speech to chart: Dictation to Dentrix 9/15/2009

    speech to text

    speech to text

    BEFORE AFTER

    And is Peter you show recording and is pieter you show recording
    patient ID 329415. number 2 as patient id 329415 . number 2 has
    an adult amalgam. number to an adult amalgam . number 2 also
    also primary carries on the primary caries on the distal .
    distal. number 3 has clues of number 3 has occlusal caries .
    carries. number 14 as an number 14 has an occlusal
    occlusal composite. number 15 composite . number 15 has an
    has an occlusal amalgam. or 16 occlusal amalgam . or 16 has a
    has a work area. number 19 has work area . number 19 has a
    a Clouseau , book will amalgam. clouseau , buccal amalgam .
    number 30 has an occlusal number 30 has an occlusal
    amalgam. and number 1 has amalgam . and number 1 has
    occlusal carries. occlusal caries.

    "number 2 has an mo amalgam" CONDITION_AT_LOCATION(*filling,*number two)


    & LOCATION_HAS_SURFACE(*number two,*mesial occlusal)
    "number 2 also has primary caries on the distal"
    CONDITION_AT_LOCATION(*caries,*number two) &
    LOCATION_HAS_SURFACE(*number two,*distal)
    "number 3 has occlusal caries" CONDITION_AT_LOCATION(*caries,*number three)
    & LOCATION_HAS_SURFACE(*number three,*occlusal)
    "number 14 has an occlusal composite"

    ONYX
    CONDITION_AT_LOCATION(*restoration,*number fourteen) &
    LOCATION_HAS_SURFACE(*number fourteen,*occlusal)
    "number 5 has an occlusal amalgam" CONDITION_AT_LOCATION(*filling,*number
    five) & LOCATION_HAS_SURFACE(*number five,*occlusal)
    "number 16 occlusal caries" CONDITION_AT_LOCATION(*caries,*number sixteen)
    & LOCATION_HAS_SURFACE(*number sixteen,*occlusal)
    "number 19 has occlusal , buccal amalgam"

    University of Pittsburgh Center for


    Dental Informatics 2
    Speech to chart: Dictation to Dentrix 9/15/2009

    Onyx Output
    "number 2 has an mo amalgam"
    CONDITION_AT_LOCATION(*filling,*number two) &
    LOCATION_HAS_SURFACE(*number two,*mesial occlusal)

    "number 2 also has primary caries on the distal"


    CONDITION_AT_LOCATION(*caries,*number two) &
    LOCATION_HAS_SURFACE(*number two,*distal)

    "number 3 has occlusal caries"


    CONDITION_AT_LOCATION(*caries,*number three) &
    LOCATION_HAS_SURFACE(*number three,*occlusal)

    charting

    and is pieter you show recording patient id 329415 .


    this ------- ------------ recording patient id 329415. number 2 has an
    number 2 has an adult amalgam . number 2 also primary
    mo amalgam. number 2 also has primary caries on the distal.
    caries on the distal . number 3 has occlusal caries .
    number 3 has occlusal caries. number 14 has an occlusal
    number 14 has an occlusal composite . number 15 has an
    composite. number 5 has an occlusal amalgam. number 16 occlusal
    occlusal amalgam . or 16 has a work area . number 19 has
    caries. number 19 has occlusal , buccal amalgam. number 30 has
    a clouseau , buccal amalgam . number 30 has an
    an occlusal amalgam , and number 1 has occlusal caries.
    occlusal amalgam . and number 1 has occlusal caries.

    occlusal

    tooth 16 , caries , [‘occlusal’]

    University of Pittsburgh Center for


    Dental Informatics 3
    Speech to chart: Dictation to Dentrix 9/15/2009

    How well does it do? Results

    transcription D D+PP MT
    12 exams from dental students
    accuracy 48 54 80

    sensitivity 31 43 75

    specificity 68 73 74

    positive predicative value 89 87 92

    negative predictive value 30 37 49

    Future
    • more training for ONYX

    • ONYX discourse and grammar

    • improve speech recognition for dentistry

    University of Pittsburgh Center for


    Dental Informatics 4

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