欧盟官方语言的计算机辅助临床诊断

Jolanta Mizera-Pietraszko
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引用次数: 0

摘要

电子健康服务根据患者报告的可能症状范围,为医疗保健专业人员集成了Web信息检索和智能医疗决策支持。然而,许多症状,如高温、发烧或头痛,在向全科医生提示各种可能的患者病情方面是含糊不清的,而其他症状是相互依赖的,这再次可能误导做出准确的诊断。另一方面,医生对药物、药物、活性药物的最新知识,与所报告的症状有关的预期疾病范围,以及最可靠的药品制造商,对于成功治愈疾病至关重要。这项研究提出了一种方法来支持所谓的标准医疗程序或临床指导方针,通过向医生提供这些知识,并根据患者的具体需求个性化选择药物,以避免潜在的药物相互作用。我们评估了医疗多语言决策支持系统诊断的效率,基于对此类知识的可访问性,这取决于欧盟语言,我们使用贝叶斯推理来生成达到特定诊断准确性的最佳决策。我们的方法是根据美国服务处方检查和其他一些国家认可的基于知识的医疗资源的真实数据进行检验的。我们的研究结果表明,这种方法不仅优于传统的治疗一些常见病的标准程序,而且优于许多商业计算机辅助医疗支持诊断系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Computer-assisted clinical diagnosis in the official European union languages
eHealth services integrate Web Information Retrieval and Intelligent Medical Decision Support for health care professionals based on the range of possible symptoms which a patient reports. However, many symptoms like high temperature, fever, or headache, are ambiguous in terms of suggesting wide variety of possible patient's conditions to the GP, while other symptoms are mutually dependant, which again can be misleading to make an accurate diagnosis. On the other hand, doctor's up-to-date knowledge on the medicaments, drugs, active medical substances included, anticipated range of diseases relating to the symptoms reported, and the most reliable pharmaceutical manufacturers, are of the greatest importance to cure the illness successfully. This study proposes an approach to support so called standard medical procedure or clinical guidelines in treatment of each of the diseases by delivering such a knowledge to the physician and by individualizing the selection of drugs in respect to the patient's specific needs in order to avoid a potential drug interaction. We evaluate efficiency of a medical multilingual decision support system Diagnosia on the grounds of accessibility to such a knowledge depending on the EU language and we use Bayesian inference for generating the optimal decision on reaching a particular diagnosis accuracy. Our methodology is examined on the real data taken from the American service Prescriber Checkup and some other knowledge-based medical resources of nationally recognized rank. Our findings indicate that this approach outperforms not only traditional standard procedure of curing some commonly occurring illnesses, but also many commercial computer-assisted medical support diagnostic systems.
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