Comparison of Various Machine Learning Models to Identify Peripherally Inserted Central Catheter (PICC) Tip Position from Radiology Reports

Background: Infants in the neonatal intensive care unit (NICU) frequently need peripherally inserted central catheters (PICC) to provide medications, parenteral nutrition, and fluids. An upper extremity PICC line tip is optimally positioned “centrally” in the superior vena cava (SVC) or at the SVC-right atrial (RA) junction. Malpositioned PICC lines run the risk of extravasation into surrounding spaces or causing vascular damage due to highly osmolar fluids. PICC line tip position must be confirmed frequently, as the tip may move from its original position, especially for small neonates. Automated detection of …