Computer-assisted adult medical diagnosis: subject review and evaluation of a new microcomputer-based system.
Three decades after the conceptual foundation was laid for computer-aided diagnosis, some of its potential has been realized. Systems based on probabilistic reasoning have been developed and applied within limited domains (e.g., acute abdominal pain) and for the general diagnosis of systemic disorde...
| Publicado en: | Medicine Vol. 69; no. 3; pp. 125 - 137 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
1990 May
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104751438&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104751438 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257974 2S6 jtl: Medicine issn: 00257974 maglogo: N pubinfo: dt: 1990 May vid: 69 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 104751438 104751438 2011110902 10.1097/00005792-199005000-00001 NLM2189054 104751438 ppf: 125 ppct: 12 formats: tig: atl: Computer-assisted adult medical diagnosis: subject review and evaluation of a new microcomputer-based system. aug: au: Waxman, H S Worley, W E affil: Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141. sug: subj: Diagnosis, Computer Assisted Equipment and Supplies Diagnosis, Computer Assisted Standards Microcomputers Artificial Intelligence Evaluation Research Human Internal Medicine Models, Theoretical Pediatrics Software ab: Three decades after the conceptual foundation was laid for computer-aided diagnosis, some of its potential has been realized. Systems based on probabilistic reasoning have been developed and applied within limited domains (e.g., acute abdominal pain) and for the general diagnosis of systemic disorders. Less progress has been made in the development and application of diagnostic systems based on 'artificial intelligence', reflecting theoretical limits to this application of computers to medicine and the enormity of the task. The presently available probabilistic systems have recently been joined by a new microcomputer-based system, MEDITEL Computer-Assisted Diagnosis, Adult System. The performance of this system was evaluated with both clinical-pathologic conference cases and consecutive admissions with undiagnosed illnesses. The correct diagnosis appeared on the list generated by the system in 80 to 90% of the cases. Experience with this and other systems illustrates current issues in the evaluation of computer systems for aid in diagnosis and of computer-based medical 'expert' systems in general. These issues include physician acceptance of these systems and the ethical, legal, and regulatory aspects of computer system application. We conclude that, in appropriately selected cases, the accuracy and efficiency of physician diagnosis can be enhanced with computer assistance, and the risk of overlooking the correct diagnosis can be reduced. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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