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Paper · arXiv

Automated Chest CT Protocol Selection via Large Language Model Derived Text Embeddings from Imaging Request Text

Purpose: Accurate CT protocol selection is critical for diagnostic quality and patient safety, yet the current process is manual, time-consuming, and prone to inconsistencies. Prior Machine Learning methods using keywords or bag-of-words lack contextual understanding and perform poorly on rare protocols. We propose a decision support system using large language model (LLM) features to recommend protocols from free-text clinical indications, capturing clinical nuance and phrasing variation for more consistent, efficient selection. Methods: In this REB-approved retrospective study, 285,123 chest CT imaging requests from a large academic medical center (2017-2024) were split into training (2...

AuthorsZahra Hosseini, Mahan Pouromidi, Farzad Khalvati et al.
Primary categorycs.LG
Published7 September 2026
Last updated at source7 September 2026
cs.LG
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