Purpose: To develop and evaluate domain-specific and pretrained bidirectional encoder representations from transformers (BERT) models in a transfer learning task on varying training dataset sizes to annotate a larger overall dataset. Materials and Methods: The authors retrospectively reviewed 69 095 anonymized adult chest radiograph reports (reports dated April 2020-March 2021). From the overall cohort, 1004 reports were randomly selected and labeled for the presence or absence of each of the following devices: endotracheal tube (ETT), enterogastric tube (NGT, or Dobhoff tube), central venous catheter (CVC), and Swan-Ganz catheter (SGC). Pretrained transformer models (BERT, PubMedBERT, DistilBERT, RoBERTa, and DeBERTa) were trained, validated, and tested on 60%, 20%, and 20%, respectively, of these reports through fivefold cross-validation. Additional training involved varying dataset sizes with 5%, 10%, 15%, 20%, and 40% of the 1004 reports. The best-performing epochs were used to assess area under the receiver operating characteristic curve (AUC) and determine run time on the overall dataset. Results: The highest average AUCs from fivefold cross-validation were 0.996 for ETT (RoBERTa), 0.994 for NGT (RoBERTa), 0.991 for CVC (PubMedBERT), and 0.98 for SGC (PubMedBERT). DeBERTa demonstrated the highest AUC for each support device trained on 5% of the training set. PubMedBERT showed a higher AUC with a decreasing training set size compared with BERT. Training and validation time was shortest for DistilBERT at 3 minutes 39 seconds on the annotated cohort. Conclusion: .
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