From 087f22b7ae24427d65313f8a881bd7752c59bf7e Mon Sep 17 00:00:00 2001
From: Voinea <manuela.voinea@siemens.com>
Date: Thu, 2 May 2024 14:06:23 +0300
Subject: [PATCH] Adding data preprocessing code for ITQM 2023 paper -
 Generation of Radiology Findings in Chest X-Ray by Leveraging Collaborative
 Knowledge

---
 mimic-iv-cxr/findings_generation/README.md    |     42 +
 .../data/mimic_dcm_files_list.txt             | 377110 +++++++++++++++
 .../extract_reports_sections.py               |     65 +
 .../data_preparation/format_data.py           |    138 +
 .../link_predictions_with_text_findings.py    |     39 +
 5 files changed, 377394 insertions(+)
 create mode 100644 mimic-iv-cxr/findings_generation/README.md
 create mode 100644 mimic-iv-cxr/findings_generation/data/mimic_dcm_files_list.txt
 create mode 100644 mimic-iv-cxr/findings_generation/data_preparation/extract_reports_sections.py
 create mode 100644 mimic-iv-cxr/findings_generation/data_preparation/format_data.py
 create mode 100644 mimic-iv-cxr/findings_generation/data_preparation/link_predictions_with_text_findings.py

diff --git a/mimic-iv-cxr/findings_generation/README.md b/mimic-iv-cxr/findings_generation/README.md
new file mode 100644
index 000000000..645d40b36
--- /dev/null
+++ b/mimic-iv-cxr/findings_generation/README.md
@@ -0,0 +1,42 @@
+# Generation of Radiology Findings in Chest X-Ray by Leveraging Collaborative Knowledge
+
+<p align="justify">
+This repository contains the code utilized for preparing the data used in the paper "Generation of Radiology Findings in Chest X-Ray by Leveraging Collaborative Knowledge". The paper was presented and published during the Tenth International Conference on Information Technology and Quantitative Management (ITQM 2023). The concepts and information presented in this paper are based on research results that are not commercially available. Future commercial availability cannot be guaranteed. 
+</p>
+
+The paper is available at this [link](https://www.sciencedirect.com/science/article/pii/S1877050923008529).
+
+<p align="justify">The proposed methodology for generating radiology reports follows a two-step approach:</p>
+
+
+1. <p align="justify">Abnormalities detection and classification in chest X-rays (the code is not available since the model was trained on a private dataset).</p>
+2. <p align="justify">Radiology Findings generation through LLM prompt-tuning (the data pre-processing code is available in this repository since the LLM was trained on the publicly availabele MIMIC-CXR dataset).</p>
+
+
+
+## Data pre-processing
+
+1. <p align="justify">Extracting the "FINDINGS" and "IMPRESSION" sections from the radiology reports in MIMIC-CXR dataset.</p>
+
+
+&emsp;&emsp;``!python data_preparation/extract_reports_sections.py``
+
+
+2. <p align="justify">After detecting the abnormalities in chest X-rays by inference on MIMIC-CXR images using the multi-class detection system, the predictions are pre-processed to a format compatible with LLMs. This pre-processing step includes:</p>
+
+* Linking the detected abnormalities in each chest X-ray with the corresponding "FINDINGS" text.
+    <br><br>
+    **Observation:** Inference predictions are stored in ``data/MIMIC_predictions.json`` as a dictionary, where each key is the path to a DICOM image in MIMIC-CXR dataset (e.g., ``p10/p10000032/s50414267/02aa804e-bde0afdd-112c0b34-7bc16630-4e384014.dcm``), and the values are dictionaries containing the following key-value pairs:
+  * bbxs - a list comprising sublists of length 4, each containing coordinates for the detected abnormalities in chest X-ray images, represented as bounding boxes within the image; 
+  * labels - a list containing abnormality indexes, each falling within the range [0, 19];
+  * probabilities - a list of probabilities associated with each predicted bounding-box;
+  * img_height - the height of the image;
+  * img_width - the width of the image.
+
+&emsp;&emsp;``!python data_preparation/link_predictions_with_text_findings.py``
+
+* Building the prompts by concatenating the list of detected abnormalities in chest X-rays and their corresponding probabilities into a text string, followed by a special “TL; DR” token. Then, creating the input sequence by appending the ground-truth Findings to the prompt.
+    <br><br>
+    **Observation:** In case of absent abnormalities (probability zero), they are excluded form the detection list. Additionally, when devices are identified within the input image, the 'Device' class is also omitted from the list of abnormalities.
+
+&emsp;&emsp;``!python data_preparation/format_data.py``
diff --git a/mimic-iv-cxr/findings_generation/data/mimic_dcm_files_list.txt b/mimic-iv-cxr/findings_generation/data/mimic_dcm_files_list.txt
new file mode 100644
index 000000000..b7814c6ac
--- /dev/null
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diff --git a/mimic-iv-cxr/findings_generation/data_preparation/extract_reports_sections.py b/mimic-iv-cxr/findings_generation/data_preparation/extract_reports_sections.py
new file mode 100644
index 000000000..29ba834ac
--- /dev/null
+++ b/mimic-iv-cxr/findings_generation/data_preparation/extract_reports_sections.py
@@ -0,0 +1,65 @@
+-- ------------------------------------------------------------------
+-- Title: Extracting sections of the reports.
+-- Description: Extracting the "FINDINGS" and "IMPRESSION" sections from the radiology reports in MIMIC-CXR dataset.
+-- ------------------------------------------------------------------
+
+
+import glob
+import json
+import tqdm
+
+
+def extract_final_report(report_path, report_paths, labels):
+    text = []
+    is_final_report = False
+    f = open(report_paths[report_path], "r")
+    for line in f:
+        if line.split() == ['FINAL', 'REPORT']:
+            is_final_report = True
+            continue
+        if is_final_report:
+            if line.split():
+                text.append(line.split())
+
+    final_reports = {'FINDINGS': '', 'IMPRESSION': ''}
+    i = 0
+    while i < len(text):
+        tmp_result = []
+        if text[i][0].replace(':', '').isupper() and ':' in text[i][0]:
+            tmp_result = tmp_result + text[i]
+            i = i + 1
+            while i < len(text) and ':' not in text[i][0]:
+                tmp_result = tmp_result + text[i]
+                i = i + 1
+        if tmp_result:
+            if tmp_result[0].replace(':', '') in labels:
+                final_reports[tmp_result[0].replace(':', '')] = ''.join(
+                    [(tmp_result[idx] + ' ') for idx, word in enumerate(tmp_result) if idx > 0])
+                final_reports[tmp_result[0].replace(':', '')] = final_reports[tmp_result[0].replace(':', '')][:-1]
+        else:
+            i = i + 1
+
+    return final_reports
+
+
+def main():
+    reports_path = r"..\data\MIMIC\physionet.org\files\mimic-cxr\2.0.0\files"
+    output_path = r"..\data\mimic_findings.json"
+
+    # Get report paths
+    paths = glob.glob(reports_path + '\**\**\*.txt', recursive=False)
+    report_paths = {}
+    for path in paths:
+        report_paths[path] = path
+
+    labels = ['FINDINGS', 'IMPRESSION']
+    report_findings = {}
+    for key, _ in tqdm.tqdm(report_paths.items()):
+        report_findings[key.replace(reports_path + '\\', '')] = extract_final_report(key, report_paths, labels)
+
+    with open(output_path, 'w') as f:
+        json.dump(report_findings, f)
+
+
+if __name__ == "__main__":
+    main()
diff --git a/mimic-iv-cxr/findings_generation/data_preparation/format_data.py b/mimic-iv-cxr/findings_generation/data_preparation/format_data.py
new file mode 100644
index 000000000..9d0fe8c89
--- /dev/null
+++ b/mimic-iv-cxr/findings_generation/data_preparation/format_data.py
@@ -0,0 +1,138 @@
+-- ------------------------------------------------------------------
+-- Title: Preprocessing abnormalities predictions to a format compatible with LLMs.
+-- Description: After detecting the abnormalities in chest X-rays by inference on MIMIC-CXR images using a multi-class detection system, the predictions are pre-processed to a format compatible with LLMs. This pre-processing step includes:
+        1. Linking the detected abnormalities in each chest X-ray with the corresponding "FINDINGS" text.
+        2. Building the prompts by concatenating the list of detected abnormalities in chest X-rays and their corresponding probabilities into a text string, followed by a special “TL; DR” token. Then, creating the input sequence by appending the ground-truth Findings to the prompt.
+    This script corresponds to the second step. 
+-- ------------------------------------------------------------------
+
+
+import json
+import random
+import regex as re
+
+random.seed(4)
+
+
+def split_data(data, train_ratio, test_ratio, val_ratio):
+    random.shuffle(data)
+    total_size = len(data)
+    train_size = int(total_size * train_ratio)
+    test_size = int(total_size * test_ratio)
+    val_size = int(total_size * val_ratio)
+    return data[:train_size], data[train_size:train_size + test_size], data[
+                                                                       train_size + test_size:train_size + test_size + val_size]
+
+
+def dump_dict_list_to_json(dict_list, file_path):
+    with open(file_path, 'w') as json_file:
+        json.dump(dict_list, json_file)
+    json_file.close()
+
+
+def clear_findings(findings):
+    clean_findings = ''
+    sentences = findings.split('.')[:-1]
+    for sentence in sentences:
+        s = sentence.lower()
+        if re.search("no .*", s) or (re.search("ap.*view", s) and not re.search("demonstrate", s)) or \
+                (re.search("ap.*views", s) and not re.search("demonstrate", s)) or \
+                (re.search("view.*chest", s) and not re.search("demonstrate", s)) or \
+                (re.search("view.*chest", s) and not re.search("demonstrate", s)) or \
+                re.search("is normal", s) or re.search("are normal", s) or re.search("normal in size", s) or \
+                re.search("is of normal", s) or re.search("top.*normal", s) or re.search("normal size", s) or \
+                re.search("lung.*clear", s) or re.search("within normal limits", s) or re.search("clear .* without",
+                                                                                                 s) or \
+                re.search("contours appear.*stable", s) or re.search("unremarkable", s) or \
+                re.search("followup", s) or re.search("follow-up", s) or re.search("chest radiograph.*provided", s) or \
+                re.search("chest radiograph.*obtained", s) or \
+                re.search("cannot be assessed", s) or re.search("lungs are well-expanded", s) or \
+                re.search("wire", s) or re.search("clip", s) or re.search("catheter", s) or re.search("cathether", s) or \
+                re.search("device", s) or re.search("pacemaker", s) or \
+                re.search("tube", s) or re.search("prosthetic", s) or re.search("prosthesis", s) or re.search("picc",
+                                                                                                              s) or \
+                re.search("infusion port", s) or re.search("line", s) or re.search("portable.*chest.*obtained", s) or \
+                re.search("portable.*chest.*submitted", s) or (
+                re.search("portable.*chest", s) and not re.search("demonstrate", s)) or \
+                re.search("intubated", s) or re.search("telephone", s) or re.search("icd", s) or \
+                re.search("stable", s) or re.search("lung volume.*low", s) or re.search("intact", s) or re.search(
+            "unchanged", s) or \
+                re.search("interstitial", s) or re.search("aicd", s) or re.search("pacer", s) or \
+                re.search("examination.*compared to", s) or re.search("heart size.*normal", s) or re.search("artifact",
+                                                                                                            s) or \
+                re.search("tortuos", s) or re.search("tortuous", s) or re.search(
+            "cardiomediastinal silhouette.*enlarged", s) or \
+                re.search("pulmonary vascular congestion", s) or re.search("copd", s) or \
+                re.search("obliq", s) or re.search("referring physician", s) or re.search("low lung volume", s) or \
+                re.search("lung volume.*decrease", s) or re.search("lung volume.*small", s) or \
+                re.search("difficult to assess", s) or \
+                re.search("bone", s) or re.search("port-a-cath", s) or re.search("not visualized", s) or \
+                re.search("pulmonary edema", s) or re.search("cm.*carina", s) or re.search("rotated", s) or \
+                re.search("kyphotic.*position", s) or re.search("pulmonary vascular engorgement", s) or \
+                re.search("rotator cuff disease", s) or re.search("at the time of dictation and observation", s) or \
+                re.search("patient is", s) or re.search("patient in.*position", s) or \
+                re.search("ekg leads", s) or re.search("ecg leads", s) or re.search("compared to prior study dated",
+                                                                                    s) or \
+                re.search("ett", s) or re.search("stent", s) or re.search("normal chest radiograph", s) or \
+                re.search("patient in.*department", s) or re.search("comparison is made to.*from", s) or \
+                re.search("normal.*contour", s) or re.search("hardware", s) or re.search(
+            "normal cardiomediastinal silhouette", s):
+            continue
+        elif (re.search("cardiomegaly", s) or (re.search("heart", s) and re.search("enlarged", s)) or (
+                re.search("cardiac", s) \
+                and (re.search("enlargement", s) or re.search("enlarged", s)))) and not re.search("no cardiomegaly", s):
+            continue
+        elif re.search("interstitial lung disease", s) or re.search("ILD", s):
+            continue
+        else:
+            clean_findings = clean_findings + sentence.strip() + '. '
+
+    return clean_findings.strip()
+
+
+def main():
+    with open('../data/mimic_cxr.json') as f:
+        result = json.load(f)
+
+    labels = {1: 'lesion', 2: 'consolidation', 4: 'atelectasis', 5: 'pleural effusion', 6: 'fibrosis',
+              7: 'pneumothorax', 8: 'calcification', 9: 'fracture', 10: 'hilar enlargment', 11: 'scoliosis',
+              12: 'eventration', 13: 'pneumoperitoneum', 14: 'hernia', 15: 'emphysema', 16: 'aorticdilatation',
+              17: 'thickening', 18: 'tracheal deviation', 19: 'subcutaneous emphysema'}
+
+    for key, value in result.items():
+        text = ''
+        labels_copy = labels.copy()
+        new_dict = dict()
+        for index, prob in enumerate(result[key]['probabilities']):
+            label = int(result[key]['labels'][index])
+            if float(prob) > 0.2:
+                prob_text = prob[2:4]
+            else:
+                continue
+            if label in labels_copy.keys():
+                new_dict[label] = prob_text
+                labels_copy.pop(label)
+            else:
+                continue
+        for label, prob in labels.items():
+            if label in new_dict.keys():
+                text = text + ' ' + labels[label] + ' ' + new_dict[label]
+            else:
+                continue
+        result[key]['proposition'] = text
+
+    data_list = []
+    for key, value in result.items():
+        if len(result[key]['proposition']) > 3 and len(result[key]['FINDINGS']):
+            clean_findings = clear_findings(result[key]['FINDINGS'])
+            if clean_findings != '':
+                data_list.append({'text': result[key]['proposition'] + ' TL;DR ' + clean_findings})
+    random.shuffle(data_list)
+    train_set, test_set, val_set = split_data(data_list, 0.7, 0.2, 0.1)
+    dump_dict_list_to_json(train_set, '../data/train.json')
+    dump_dict_list_to_json(test_set, '../data/test.json')
+    dump_dict_list_to_json(val_set, '../data/valid.json')
+
+
+if __name__ == '__main__':
+    main()
diff --git a/mimic-iv-cxr/findings_generation/data_preparation/link_predictions_with_text_findings.py b/mimic-iv-cxr/findings_generation/data_preparation/link_predictions_with_text_findings.py
new file mode 100644
index 000000000..c20961bf0
--- /dev/null
+++ b/mimic-iv-cxr/findings_generation/data_preparation/link_predictions_with_text_findings.py
@@ -0,0 +1,39 @@
+-- ------------------------------------------------------------------
+-- Title: Preprocessing abnormalities predictions to a format compatible with LLMs.
+-- Description: After detecting the abnormalities in chest X-rays by inference on MIMIC-CXR images using a multi-class detection system, the predictions are pre-processed to a format compatible with LLMs. This pre-processing step includes:
+        1. Linking the detected abnormalities in each chest X-ray with the corresponding "FINDINGS" text.
+        2. Building the prompts by concatenating the list of detected abnormalities in chest X-rays and their corresponding probabilities into a text string, followed by a special “TL; DR” token. Then, creating the input sequence by appending the ground-truth Findings to the prompt.
+    This script corresponds to the first step. 
+-- ------------------------------------------------------------------
+
+
+import json
+import os
+from tqdm import tqdm
+
+
+def main():
+    with open('../data/MIMIC_predictions.json', 'r') as f:
+        data = json.load(f)
+
+    with open('../data/mimic_findings.json', 'r') as f:
+        mimic_findings = json.load(f)
+
+    new_data = {}
+
+    for index, elem in tqdm(enumerate(data)):
+        elem_dict = {}
+        elem_dict['labels'] = data[elem]['labels']
+        elem_dict['probabilities'] = data[elem]['probabilities']
+        findings_key = os.path.dirname(elem).replace('/', '\\') + '.txt'
+        elem_dict['FINDINGS'] = mimic_findings['..\\data\\' + findings_key]['FINDINGS']
+        elem_dict['IMPRESSION'] = mimic_findings['..\\data\\' + findings_key]['IMPRESSION']
+        if elem_dict['FINDINGS'] != '':
+            new_data[elem] = elem_dict
+
+    with open("../data/mimic_cxr.json", "w") as outfile:
+        json.dump(new_data, outfile)
+
+
+if __name__ == '__main__':
+    main()
\ No newline at end of file