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医学决策中的决策理论细化规划:急性深静脉血栓形成的管理

Decision-theoretic refinement planning in medical decision making: management of acute deep venous thrombosis.

作者信息

Haddawy P, Doan A, Kahn C E

机构信息

Department of Electrical Engineering and Computer Science, University of Wisconsin, Milwaukee 53201, USA.

出版信息

Med Decis Making. 1996 Oct-Dec;16(4):315-25. doi: 10.1177/0272989X9601600402.

DOI:10.1177/0272989X9601600402
PMID:8912293
Abstract

Decision-theoretic refinement planning is a new technique for finding optimal courses of action. The authors sought to determine whether this technique could identify optimal strategies for medical diagnosis and therapy. An existing model of acute deep venous thrombosis of the lower extremities was encoded for analysis by the decision-theoretic refinement planning system (DRIPS). The encoding represented 6,206 possible plans. The DRIPS planner used artificial intelligence techniques to eliminate 5,150 plans (83%) from consideration without examining them explicitly. The DRIPS system identified the five strategies that minimized cost and mortality. The authors conclude that decision-theoretic planning is useful for examining large medical-decision problems.

摘要

决策理论细化规划是一种用于寻找最优行动方案的新技术。作者试图确定该技术是否能够识别出医学诊断和治疗的最优策略。通过决策理论细化规划系统(DRIPS)对现有的下肢急性深静脉血栓形成模型进行编码以进行分析。该编码代表了6206种可能的方案。DRIPS规划器使用人工智能技术,在未明确检查的情况下,从考虑范围中排除了5150种方案(83%)。DRIPS系统确定了使成本和死亡率最小化的五种策略。作者得出结论,决策理论规划对于研究大型医学决策问题是有用的。

相似文献

1
Decision-theoretic refinement planning in medical decision making: management of acute deep venous thrombosis.医学决策中的决策理论细化规划:急性深静脉血栓形成的管理
Med Decis Making. 1996 Oct-Dec;16(4):315-25. doi: 10.1177/0272989X9601600402.
2
Optimizing, diagnostic, and therapeutic strategies using decision-theoretic planning: principles and applications.使用决策理论规划优化诊断和治疗策略:原理与应用
Medinfo. 1995;8 Pt 2:894-8.
3
Decision-theoretic refinement planning: a new method for clinical decision analysis.决策理论细化规划:一种临床决策分析的新方法。
Proc Annu Symp Comput Appl Med Care. 1995:299-303.
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Decision-theoretic refinement planning.决策理论细化规划
Med Decis Making. 1996 Oct-Dec;16(4):419-20. doi: 10.1177/0272989X9601600414.
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A therapy planning architecture that combines decision theory and artificial intelligence techniques.一种将决策理论与人工智能技术相结合的治疗计划架构。
Comput Biomed Res. 1987 Jun;20(3):279-303. doi: 10.1016/0010-4809(87)90059-0.
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[Computer-assisted medical decision].[计算机辅助医疗决策]
Rev Prat. 1996 Feb 1;46(3):298-305.
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A knowledge-based model construction approach to medical decision making.一种基于知识的医学决策模型构建方法。
Proc AMIA Annu Fall Symp. 1996:254-8.
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A methodology for generating computer-based explanations of decision-theoretic advice.
Med Decis Making. 1988 Oct-Dec;8(4):290-303. doi: 10.1177/0272989X8800800410.
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Supporting medical decisions with vector decision trees.使用向量决策树辅助医疗决策。
Stud Health Technol Inform. 2001;84(Pt 1):552-6.
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Management of suspected lower-extremity deep venous thrombosis.疑似下肢深静脉血栓形成的管理
Arch Intern Med. 1995 Feb 27;155(4):426.

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