Rogers W, Ryack B, Moeller G
Int J Biomed Comput. 1979 Aug;10(4):267-89. doi: 10.1016/0020-7101(79)90001-1.
The difficulty of the medical diagnostic task and the advantages of the computer as an aid in this task are discussed. The general strategy and structure of any computer-aided system is presented, and the relationship of diagnostic accuracy to key variables involved in the development, test and use of a computer-aided diagnostic system is examined. These variables include: the computer algorithm, the source of the information used to develop the data base, the number and type of diseases under investigation, the number and type of indicants used, the source of the test sample, and the source of the validated diagnosis. A table of 58 empirically tested computer-aided medical diagnostic systems is presented; each system is summarised in relation to the variables mentioned above and diagnostic accuracy.
讨论了医学诊断任务的难度以及计算机在该任务中作为辅助工具的优势。介绍了任何计算机辅助系统的一般策略和结构，并研究了诊断准确性与计算机辅助诊断系统开发、测试和使用中涉及的关键变量之间的关系。这些变量包括：计算机算法、用于开发数据库的信息来源、所研究疾病的数量和类型、所用指标的数量和类型、测试样本的来源以及经过验证的诊断的来源。给出了一个包含58个经过实证测试的计算机辅助医学诊断系统的表格；每个系统都根据上述变量和诊断准确性进行了总结。
