Abstract
This paper presents an enhanced version of the ST Algorithm, which has been published previously (Fernando and Henskens , Polibits 48:23–29, 2013 [17]). The enhancements include improved presentation of the knowledgebase, a special bipartite graph in which the relations between a clinical feature (e.g. a symptom) and a diagnosis represent two posterior probabilities (probability of the diagnosis given the symptom, and the probability of the symptom given the diagnosis). Also, the inference step, induction, which estimates the likelihood (i.e. how likely each diagnosis is) has been improved using an orthogonal vector projection method for calculating similarities. The algorithm has been described in a more mathematical form (e.g. using sets rather than the linked lists that were used in its earlier version) mostly as a manipulation of sets by adding and removing elements that are in the bipartite graphs. The algorithm was implemented in Java, and a small knowledge base has been used in this paper as an example for illustration purpose only. The focus of this paper is on the algorithm, which is intended to give a theoretical proof that medical expert systems are achievable; the design and implementation of a knowledgebase that can be practically useful for clinical work, was not within the scope of this work.
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References
Wolfram, D.A.: An appraisal of INTERNIST-I. Artif. Intell. Med. 7, 93–116 (1995)
Reggia, J.A., Peng, Y.: Modeling diagnostic reasoning: a summary of parsimonious covering theory. Comput. Methods Programs Biomed. 25, 125–134 (1987)
Wortman, P.M.: Medical diagnosis: an information-processing approach. Comput. Biomed. Res. 5, 315–328 (1972)
Stausberg, J.R., Person, M.: A process model of diagnostic reasoning in medicine. Int. J. Med. Informatics 54, 9–23 (1999)
Shortliffe, E.H., Buchanan, B.G.: A model of inexact reasoning in medicine. Math. Biosci. 23(4), 351–379 (1975)
Andreassen, S., Jensen, F.V., Olesen, K.G.: Medical expert systems based on causal probabilistic networks. Int. J. Bio-Med. Comput. 28(5), 1–30 (1991)
Chard, T., Rubenstein, E.M.: A model-based system to determine the relative value of different variables in a diagnostic system using Bayes theorem. Int. J. Bio-Med. Comput. 24(7), 133–142 (1989)
Todd, B.S., Stamper, R., Macpherson, P.: A probabilistic rule-based expert system. Int. J. Bio-Med. Comput. 33(9), 129–148 (1993)
Boegl, K., Adlassnig, K.-P., Hayashi, Y., Rothenfluh, T.E., Leitich, H.: Knowledge acquisition in the fuzzy knowledge representation framework of a medical consultation system. Artif. Intell. Med. 30(1), 1–26 (2004)
Godo, L.S., de Mántaras, R.L., Puyol-Gruart, J., Sierra, C.: Renoir, Pneumon-IA and Terap-IA: three medical applications based on fuzzy logic. Artif. Intell. Med. 21(1), 153–162 (2001)
Vetterlein, T., Ciabattoni, A.: On the (fuzzy) logical content of CADIAG-2. Fuzzy Sets Syst. 161, 1941–1958 2010
Mandin, H., Jones, A., Woloschuk, W., Harasym, P.: Helping students learn to think like experts when solving clinical problems. Acad. Med. 72, 173–179 (1997)
Elstein, A.S., Shulman, L.S., Sprafka, S.A.: Medical Problem-Solving: an Analysis of Clinical Reasoning. Harvard University Press, Cambridge, MA (1978)
Hunt, E.: Cognitive science: definition, status, and questions. Annu. Rev. Psychol. 40, 603–629 (1989)
Norman, G.R., Coblentz, C.L., Brooks, L.R., Babcook, C.J.: Expertise in visual—a review of the literature. Acad. Med. 66(suppl), s78–s83 (1992)
Ramoni, M., Stefanelli, M., Magnani, L., Barosi, G.: An epistemological framework for medical knowledge-based systems. IEEE Trans. Syst. Man Cybern. 22, 1361–1375 (1992)
Fernando, I., Henskens, F.: ST algorithm for diagnostic reasoning in psychiatry. Polibits 48, 23–29 (2013)
Fernando, I., Henskens, F.: A modified case-based reasoning approach for triaging psychiatric patients using a similarity measure derived from orthogonal vector projection. In: Chalup, S., Blair, A., Randall, M. (eds.) Artificial Life and Computational Intelligence, vol. 8955, pp. 360–372. Springer, Switzerland (2015)
Fernando, I., Henskens, F.: A case-based reasoning approach to mental state examination using a similarity measure based on orthogonal vector projection. In: MICAI 2014 (2014)
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Fernando, D.A.I.P., Henskens, F.A. (2016). Select and Test (ST) Algorithm for Medical Diagnostic Reasoning. In: Lee, R. (eds) Software Engineering, Artificial Intelligence, Networking and Parallel/Distributed Computing. Studies in Computational Intelligence, vol 653. Springer, Cham. https://doi.org/10.1007/978-3-319-33810-1_6
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