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骨肿瘤影像诊断决策辅助工具——骨浏览器

Bone Browser a decision-aid for the radiological diagnosis of bone tumors.

作者信息

Lejbkowicz I, Wiener Fred, Nachtigal A, Militiannu D, Kleinhaus U, Applbaum Y H

机构信息

Faculty of Medicine, Technion-Israel Institute of Technology, Technion City, Haifa 32000, Israel.

出版信息

Comput Methods Programs Biomed. 2002 Feb;67(2):137-54. doi: 10.1016/s0169-2607(01)00115-8.

Abstract

Bone Browser, a decision-aid for radiological diagnosis of bone tumors, was developed in cooperation with the Radiology Department of the Rambam Medical Center, Haifa. The system offers case specific advice from an expert system (ES), general information on the lesion area and allows for recording and retrieving cases. The ES utilizes both rule-based and probabilistic inferencing methodologies to arrive at a differential diagnosis (DD). The knowledge base was validated on 105 cases with known outcome. Clinical evaluation consisted of 59 new cases whose final diagnosis was not known to the evaluators. The correct diagnosis was included in the system's DD in 85% of the cases, which is comparable to the diagnostic accuracy of senior radiologists (88%). The system proved to be helpful to the expert, diagnosing cases missed by the radiologists and suggesting additional diagnoses not listed by the radiologists, raising their diagnostic capability to 91%.

摘要

“骨浏览器”是一款用于骨肿瘤放射诊断的决策辅助工具,它是与海法市兰巴姆医疗中心放射科合作开发的。该系统提供来自专家系统(ES)的针对具体病例的建议、关于病变区域的一般信息,并允许记录和检索病例。该专家系统利用基于规则和概率推理方法来得出鉴别诊断(DD)。知识库在105例已知结果的病例上进行了验证。临床评估包括59例评估人员不知道最终诊断结果的新病例。在85%的病例中,系统的鉴别诊断中包含了正确诊断,这与资深放射科医生的诊断准确率(88%)相当。该系统被证明对专家有帮助,能诊断出放射科医生漏诊的病例,并提出放射科医生未列出的其他诊断,将他们的诊断能力提高到了91%。

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