Gough I R
Royal Brisbane Hospital, Herston, Queensland, Australia.
Aust N Z J Surg. 1993 Sep;63(9):699-702. doi: 10.1111/j.1445-2197.1993.tb00494.x.
Computer assisted diagnosis (CAD) has been claimed to improve the accuracy of assessment of the acute abdomen. Alternative techniques that may improve decision making are briefly reviewed and CAD is examined critically. The structured collection of complete clinical data with performance feedback, results in improvements comparable to CAD. Computer systems are costly and when installed are used selectively and variably by clinicians. Their place in surgical practice remains to be established.
计算机辅助诊断(CAD)据称可提高急腹症评估的准确性。本文简要回顾了可能改善决策的其他技术,并对CAD进行了批判性审视。通过带有性能反馈的完整临床数据的结构化收集,可产生与CAD相当的改善效果。计算机系统成本高昂,安装后临床医生使用时具有选择性且差异较大。它们在外科实践中的地位仍有待确定。