A protocol for testing expert-system reliability

作者: P. François , C. Robert , G. Weil , J. Demongeot

DOI: 10.3233/THC-1994-2102

关键词:

摘要: We set out a protocol for giving computerised medical decision system the label of expert-system meaning that its responses are same standard as those an expert. apply it to validation expert-system, MENINGE, which is applied diagnosis meningitis in children. The proposed can be widely used since doesn't refer existence correct therapy or diagnosis, and involves simple statistical computations. First this rests on comparison agreement among experts physicians new practice. Secondly, with compared In order perform we recommend measure, choice important issue paper.

参考文章(15)
Ole Winding, Susan Clamp, Christian Ohmann, Quality and its evaluation. Technology and Health Care. ,vol. 1, pp. 101- 105 ,(1993) , 10.3233/THC-1993-1114
Richard A Olshen, Charles J Stone, Leo Breiman, Jerome H Friedman, Classification and regression trees ,(1983)
Edward L. Spitznagel, A Proposed Solution to the Base Rate Problem in the Kappa Statistic Archives of General Psychiatry. ,vol. 42, pp. 725- 728 ,(1985) , 10.1001/ARCHPSYC.1985.01790300093012
Rebecca Zwick, Another look at interrater agreement. Psychological Bulletin. ,vol. 103, pp. 374- 378 ,(1988) , 10.1037/0033-2909.103.3.374
Joseph L. Fleiss, Jacob Cohen, B. S. Everitt, Large sample standard errors of kappa and weighted kappa. Psychological Bulletin. ,vol. 72, pp. 323- 327 ,(1969) , 10.1037/H0028106
Daniel A. Bloch, Helena Chmura Kraemer, 2 x 2 Kappa Coefficients: Measures of Agreement or Association Biometrics. ,vol. 45, pp. 269- 287 ,(1989) , 10.2307/2532052
Patrice François, Bruno Cremilleux, Claudine Robert, Jacques Demongeot, MENINGE: A medical consulting system for child's meningitis. Study on a series of consecutive cases Artificial Intelligence in Medicine. ,vol. 4, pp. 281- 292 ,(1992) , 10.1016/0933-3657(92)90042-N
Henry P. Lundsgaarde, Evaluating medical expert systems Social Science & Medicine. ,vol. 24, pp. 805- 819 ,(1987) , 10.1016/0277-9536(87)90182-1
P. François, C. Robert, B. Cremilleux, C. Bucharles, J. Demongeot, Variables processing in expert system building: Application to the aetiological diagnosis of infantile meningitis Journal of Medical Informatics. ,vol. 15, pp. 115- 124 ,(1990) , 10.3109/14639239008997663
Kerr L. White, Jane H. Murnaghan, Clifton R. Gaus, Technology and Health Care New England Journal of Medicine. ,vol. 287, pp. 1223- 1227 ,(1972) , 10.1056/NEJM197212142872404