Spechtmeyer H, Wichmann H E, Gross R
Dtsch Med Wochenschr. 1978 Mar 31;103(13):545-9. doi: 10.1055/s-0028-1104473.
A system of computer-assisted diagnosis is described which, in analogy to conventional diagnosis, takes into account both logical and statistical factors. The arrangement of such a system makes it clear that, after a period of successful use in specialist branches of medicine, a phase of less spectacular success has occurred which, however, provides the conditions for including larger areas of medicine in computer-assisted diagnosis. These systems are likely to conform more closely to the needs of the doctor than previous ones. Whether they can be used in non-hospital practice would depend largely on whether the questions put to the system by the doctor do not take more time and answers can be given in short, easily understandable form. The best type of answer as well as the transmission of information can be discovered empirically. The differential diagnostic level of computer-assisted diagnosis is, according to present experience, quite satisfactory but can be further improved. This development is greatly helped by continuing increases in the speed of calculators and their data storage capacity.
本文描述了一种计算机辅助诊断系统，该系统类似于传统诊断，兼顾了逻辑和统计因素。这种系统的布局表明，在医学专业分支中成功使用一段时间后，出现了一个不太显著的成功阶段，然而，这为将更大范围的医学领域纳入计算机辅助诊断提供了条件。与以前的系统相比，这些系统可能更符合医生的需求。它们能否用于非医院实践在很大程度上取决于医生向系统提出的问题是否不会花费太多时间，以及答案是否能以简短、易于理解的形式给出。最佳答案类型以及信息传递方式可以通过经验来发现。根据目前的经验，计算机辅助诊断的鉴别诊断水平相当令人满意，但仍可进一步提高。计算器运算速度及其数据存储容量的不断提高对这一发展有很大帮助。
