This study aimed to develop an algorithm to automatically extract annotations for chest X-ray classification models from German thoracic radiology reports. An automatic label extraction model was designed based on the CheXpert architecture, and a web-based annotation interface was created for iterative improvements. Results showed that automated label extraction can reduce time spent on manual labeling and improve overall modeling performance. The model trained on automatically extracted labels performed competitively to manually labeled data and strongly outperformed the model trained on publicly available data.
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