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基于案例的模糊认知图和语义网的临床诊断支持系统

Clinical diagnosis support system based on case based fuzzy cognitive maps and semantic web.

作者信息

Douali Nassim, De Roo Jos, Jaulent Marie-Christine

机构信息

Pierre and Marie Curie University, Paris, France.

出版信息

Stud Health Technol Inform. 2012;180:295-9.

Abstract

Incorrect or improper diagnostic tests uses have important implications for health outcomes and costs. Clinical Decision Support Systems purports to optimize the use of diagnostic tests in clinical practice. The computerized medical reasoning should not only focus on existing medical knowledge but also on physician's previous experiences and new knowledge. Such medical knowledge is vague and defines uncertain relationships between facts and diagnosis, in this paper, Case Based Fuzzy Cognitive Maps (CBFCM) are proposed as an evolution of Fuzzy Cognitive Maps. They allow more complete representation of knowledge since case-based fuzzy rules are introduced to improve diagnosis decision. We have developed a framework for interacting with patient's data and formalizing knowledge from Guidelines in the domain of Urinary Tract Infection. The conducted study allowed us to test cognitive approaches for implementing Guidelines with Semantic Web tools. The advantage of this approach is to enable the sharing and reuse of knowledge from Guidelines, physicians experiences and simplify maintenance.

摘要

不正确或不恰当的诊断测试使用对健康结果和成本具有重要影响。临床决策支持系统旨在优化临床实践中诊断测试的使用。计算机化医学推理不仅应关注现有的医学知识,还应关注医生以前的经验和新知识。此类医学知识较为模糊,定义了事实与诊断之间不确定的关系,本文提出基于案例的模糊认知图(CBFCM)作为模糊认知图的一种演进。由于引入了基于案例的模糊规则来改进诊断决策,它们能够更完整地表示知识。我们开发了一个框架,用于与患者数据交互并将尿路感染领域指南中的知识形式化。所进行的研究使我们能够测试使用语义网工具实施指南的认知方法。这种方法的优点是能够实现指南知识、医生经验的共享和重用,并简化维护。

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