Sumner W, Shultz E K
Program in Medical Information Science, Dartmouth Medical School, Hanover, NH 03755.
J Med Syst. 1992 Oct;16(5):183-93. doi: 10.1007/BF01000271.
Iliad 4.0 and QMR 2.03 are computer-based diagnostic knowledge bases that can play many roles in decision support and other areas of medical practice, but neither appears ready to assume the role of an expert diagnostic consultant. In contrast to human experts, these programs have problems related to recognition of their own limitations, interpretation of continuous data, recognition of dependent findings, selection of tests, and description of the impact of certain tests. Suggestions to improve these aspects of knowledge bases are offered.
《伊利亚特》4.0版和QMR 2.03版是基于计算机的诊断知识库,它们在决策支持和医疗实践的其他领域能发挥多种作用,但似乎都还未准备好承担专家诊断顾问的角色。与人类专家不同,这些程序在认识自身局限性、解读连续数据、识别相关发现、选择检查以及描述某些检查的影响等方面存在问题。文中针对改进知识库的这些方面提出了建议。