{"title":"Building the domain-expert for a cardiovascular physiology tutor","authors":"Ramzan Khuwaja, M. Evens, A. Rovick, J. Michael","doi":"10.1109/CBMS.1993.262982","DOIUrl":"https://doi.org/10.1109/CBMS.1993.262982","url":null,"abstract":"This paper describes the building of the domain-expert for a cardiovascular physiology tutor called CIRCSIM-Tutor using a systematic development methodology. The domain-expert is a functional component of CIRCSIM-Tutor and provides the domain intelligence to the rest of the system. The authors have developed a multi-dimensional knowledge representation technique to capture expertise in the domain, which led them to the construction of a conceptual model of the domain-expert of CIRCSIM-Tutor. The authors describe how this conceptual model is transformed via an object-oriented methodology to yield the architecture of the domain-expert of CIRCSIM-Tutor. The conceptual model is at the epistemological level and has a real-world-orientation, whereas the architecture of domain-expert emphasizes system-orientation. The resulting architecture is query-driven and provides a fully transparent access to each chunk of domain knowledge, of different types, with optimal flexibility.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122509134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Thursz, M. Fowler, Thomas Cairns, M. Thick, G. Gold
{"title":"Clinical systems design","authors":"M. Thursz, M. Fowler, Thomas Cairns, M. Thick, G. Gold","doi":"10.1109/CBMS.1993.262977","DOIUrl":"https://doi.org/10.1109/CBMS.1993.262977","url":null,"abstract":"The development of good clinical systems has been impeded by the complexities of clinical medicine. The authors have described a strategy of clinical system development which exploits the benefits of the object-orientated paradigm notably the ability to represent a complex domain. Moreover, clinicians can easily assimilate OO analysis and then apply these techniques to their own domain. They have created a generic data model which is designed to allow representation of all areas of clinical practice and using this model as a common basis for system development will facilitate communication between disparate systems.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120843656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sukthankar, K. Ramachandran, M. Evens, A. Rovick, J. Michael
{"title":"Graphical user interfacing with domain visualization for an intelligent medical tutoring system","authors":"S. Sukthankar, K. Ramachandran, M. Evens, A. Rovick, J. Michael","doi":"10.1109/CBMS.1993.262968","DOIUrl":"https://doi.org/10.1109/CBMS.1993.262968","url":null,"abstract":"Computers have proved to be an effective teaching tool for science education. Developments in the field of computer graphics have made it possible to communicate information visually and expedite the process of learning abstract concepts. This paper presents the design of a graphical user interface to an intelligent tutoring system and discusses its use, not only as a user-friendly screen manager but also as a visualization tool to convey information about the domain of learning. The authors also propose some experiments with different versions of the interface, to answer questions about how domain visualization may affect learning.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122401870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Automatic examination for vestibulo-ocular reflex function test","authors":"Tainsong Chen, T. Tsai, Ming-Chi Shieh","doi":"10.1109/CBMS.1993.263018","DOIUrl":"https://doi.org/10.1109/CBMS.1993.263018","url":null,"abstract":"The authors present an automatic vestibulo-ocular reflex (VOR) function test system which includes the following parts: a PC-controlled rotation chair provides the sinusoidal stimuli pattern (0.1 Hz approximately 2.0 Hz) for semicircular canal acceleration input; an electronic circuit amplifies the DC electro-oculography (EOG) signals for recording the eye movement; an efficient algorithm removes the fast phase of nystagmus to reconstruct the slow phase. From the observation of magnitude gain and phase shift between the semicircular canal sinusoidal acceleration input and the eye movement, we can test the vestibular function for clinical purposes. For normal people, the unity gain and 180 degree phase shift. This system will allow the clinician to diagnose patients with vertigo, dizziness and disequilibrium.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114283448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of neural network based hybrid system for lung nodule detection","authors":"Y. Chiou, Y. Lure, M. Freedman, S. Fritz","doi":"10.1109/CBMS.1993.263017","DOIUrl":"https://doi.org/10.1109/CBMS.1993.263017","url":null,"abstract":"A hybrid lung nodule detection (HLND) system based on artificial neural network architectures is developed for improving diagnostic accuracy and speed for lung cancerous pulmonary radiology. The configuration of the HLND system includes the following processing phases: data acquisition and pre-processing, in order to reduce and to enhance the figure-background contrast; quick selection of nodule suspects based upon the most prominent feature of nodules, the disc shape; and complete feature space determination and neural classification of nodules. Nodule suspects are captured and stored in 32*32 images after first two processing phases. Eight categories including true nodule, rib-crossing, rib-vessel crossing, end vessel, vessel cluster, bone, rib edge, and vessel are identified for further neural analysis and classification. Extraction of shape features is performed through the edge enhancement self-organized Kohenen feature map, histogram equalization, and evaluation of marginal distribution curves. A supervised back-propagation-trained neural network is developed for recognition of the derived feature curve, a normalized marginal distibution curve.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130735289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rapid validation of a medical expert system using precedence logic","authors":"J. Sorace, G. Moore","doi":"10.1109/CBMS.1993.262981","DOIUrl":"https://doi.org/10.1109/CBMS.1993.262981","url":null,"abstract":"The food and drug administration has noted that computer deficiencies and inadequate validation have contributed to errors in blood collection centers. The authors have developed a precedence-logic expert system which permits the software developer to write statements which can never be changed by subsequent programming actions. This allows for linear growth in the validation test set required to assure that donor units with positive test results are not released for transfusion.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130791461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of an effective user interface for a computerized laboratory alerting system","authors":"K. E. Tate, R. Gardner","doi":"10.1109/CBMS.1993.262969","DOIUrl":"https://doi.org/10.1109/CBMS.1993.262969","url":null,"abstract":"A computerized medical decision-aid (CMDA) must have a good user interface. The quality of the user interface impacts directly on the effectiveness of the CMDA. At LDS Hospital, the authors have developed a computerized laboratory alerting system (CLAS) to monitor hospital patients for life-threatening conditions indicated by patient laboratory test data. One of the challenges faced in developing CLAS was designing an effective user interface. Though designed in close cooperation with users, evaluation of CLAS' user interface pointed out problem areas.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134464552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DANIEL: a dynamic acquisition & numerical information environment & language and RIVKA: robust intelligent vector crunching application (virtual instrument)","authors":"A. Spitzer, F. Bearden","doi":"10.1109/CBMS.1993.262991","DOIUrl":"https://doi.org/10.1109/CBMS.1993.262991","url":null,"abstract":"Standard hard-wired instruments are being replaced with digital systems for data acquisition and signal processing. Traditional operating system and software design principles are not suited to the design of high-performance real-time systems such as virtual instruments. The authors have developed such a system to serve as a neurophysiologic instrument. Classical principles such as the separation of the operating system and the application, error checking, the assignment of operations to the system or application, low level configuration control and machine-independent design, have all been substantially revised. The result is an operating system and virtual instrument uniquely suited to real-world instrument design, yet capable of co-existing with other operating systems.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134549124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extraction of diagnostic rules using neural networks","authors":"I. Sethi, J. Yoo, C. Brickman","doi":"10.1109/CBMS.1993.263016","DOIUrl":"https://doi.org/10.1109/CBMS.1993.263016","url":null,"abstract":"A neural learning methodology is presented that is capable of providing rules from learned weights. An application of this methodology to systematic lupus erythematosus is demonstrated. It is shown that the proposed approach can disregard irrelevant features in the data and can generate different criteria combinations indicating the presence of systemic lupus erythematosus in a patient.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122359928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integration of intermittent clinical data with continuous data from bedside monitors","authors":"J. Fackler, I. Kohane","doi":"10.1109/CBMS.1993.263004","DOIUrl":"https://doi.org/10.1109/CBMS.1993.263004","url":null,"abstract":"Intermittent data from hospital information systems and continuous data from beside monitors are rarely integrated. This integration is crucial to providing physicians with comprehensive views of their patients' clinical state. It also can provide a broader clinical context for intelligent monitoring programs and thereby increase the sensitivity and specificity of their alarms. We describe an implemented application programming interface (API) that provides an abstracted query interface to the hospital's central, relational database and to data extracted from the monitors. The API also provides several data-reduction operators to help manage the large volume of data generated. We describe an electronic flowsheet that was built using the API.<<ETX>>","PeriodicalId":250310,"journal":{"name":"[1993] Computer-Based Medical Systems-Proceedings of the Sixth Annual IEEE Symposium","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1993-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117053838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}