Mirsky Reuth, Hibah Shay, Hadad Moshe, Gorenstein Ariel, Kalech Meir
Department of Software and Information Systems Engineering, Ben Gurion University, Negev 84105, Israel.
Computer Science Department, University of Texas at Austin, Austin, TX 78712, USA.
Diagnostics (Basel). 2020 Jan 28;10(2):72. doi: 10.3390/diagnostics10020072.
Many physiotherapy treatments begin with a diagnosis process. The patient describes symptoms, upon which the physiotherapist decides which tests to perform until a final diagnosis is reached. The relationships between the anatomical components are too complex to keep in mind and the possible actions are abundant. A trainee physiotherapist with little experience naively applies multiple tests to reach the root cause of the symptoms, which is a highly inefficient process. This work proposes to assist students in this challenge by presenting three main contributions: (1) A compilation of the neuromuscular system as components of a system in a Model-Based Diagnosis problem; (2) The is an AI-based tool that enables an interactive visualization and diagnosis to assist trainee physiotherapists; and (3) An empirical evaluation that comprehends performance analysis and a user study. The performance analysis is based on evaluation of simulated cases and common scenarios taken from anatomy exams. The user study evaluates the efficacy of the system to assist students in the beginning of the clinical studies. The results show that our system significantly decreases the number of candidate diagnoses, without discarding the correct diagnosis, and that students in their clinical studies find helpful in the diagnosis process.
许多物理治疗都始于诊断过程。患者描述症状,然后物理治疗师据此决定进行哪些检查,直到得出最终诊断。解剖结构之间的关系过于复杂,难以牢记,而且可能的检查方式繁多。经验不足的实习物理治疗师会盲目地进行多项检查以找出症状的根源,这是一个效率极低的过程。这项工作提出通过以下三个主要贡献来帮助学生应对这一挑战:(1)将神经肌肉系统汇编为基于模型的诊断问题中的系统组件;(2)这是一个基于人工智能的工具,可实现交互式可视化和诊断,以协助实习物理治疗师;(3)一项包括性能分析和用户研究的实证评估。性能分析基于对模拟病例和解剖学考试中的常见场景的评估。用户研究评估该系统在临床研究初期帮助学生的效果。结果表明,我们的系统显著减少了候选诊断的数量,同时没有遗漏正确诊断,并且临床研究中的学生发现该系统在诊断过程中很有帮助。