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帕多瓦项目中心电图解读的方法学

Methodology of ECG interpretation in the Padova program.

作者信息

Degani R, Bortolan G

机构信息

Istituto per Richerche di Dinamica dei Sistemi e Bioingegneria del Consiglio Nazionale delle Ricerche, (LADSEB-CNR), Padova, Italy.

出版信息

Methods Inf Med. 1990 Sep;29(4):386-92.

PMID:2233386
Abstract

The main lines of the program designed for the interpretation of ECGs, developed in Padova by LADSEB-CNR with the cooperation of the Medical School of the University of Padova are described. In particular, the strategies used for (i) morphology recognition, (ii) measurement evaluation, and (iii) linguistic decision making are illustrated. The main aspect which discerns this program in comparison with other approaches to computerized electrocardiography is its ability of managing the imprecision in both the measurements and the medical knowledge through the use of fuzzy-set methodologies. So-called possibility distributions are used to represent ill-defined parameters as well as threshold limits for diagnostic criteria. In this way, smooth conclusions are derived when the evidence does not support a crisp decision. The influence of the CSE project on the evolution of the Padova program is illustrated.

摘要

描述了由帕多瓦的LADSEB - CNR与帕多瓦大学医学院合作开发的用于心电图解读的程序的主要思路。特别说明了用于(i)形态识别、(ii)测量评估和(iii)语言决策的策略。与其他计算机化心电图方法相比,该程序的主要区别在于它能够通过使用模糊集方法来处理测量和医学知识中的不精确性。所谓的可能性分布用于表示定义不明确的参数以及诊断标准的阈值。这样,当证据不支持明确决策时,可以得出平滑的结论。说明了CSE项目对帕多瓦程序发展的影响。

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