论文标题

根据ICHD-3国际分类,用于诊断头痛疾病的基于逻辑的决策支持系统

A logic-based decision support system for the diagnosis of headache disorders according to the ICHD-3 international classification

论文作者

Costabile, Roberta, Catalano, Gelsomina, Cuteri, Bernardo, Morelli, Maria Concetta, Leone, Nicola, Manna, Marco

论文摘要

决策支持系统在医疗领域起着重要作用,因为它们可以增加临床医生,以更有效地处理复杂的决策过程。但是,在诊断头痛障碍时,现有的方法和工具仍然不是最佳的。一方面,为了支持这种复杂而广泛的疾病的诊断,国际头痛协会于1988年发布的国际头痛疾病分类(ICHD),现在是其第三版:200页的文档,对300多种不同类型的头痛进行分类,在此处通过特定的非特定非琐事诊断来识别每种文档。另一方面,头痛疾病的数量及其复杂的标准使病史过程不准确,并且对于临床医生和现有的自动工具而言并不详尽。为了填补这一空白,我们提出了Head-Asp,这是一种用于诊断头痛疾病的新型决策支持系统。通过REST Web服务,Head-Asp通过利用两个逻辑模块来实现完整诊断,同时试图最大程度地减少向患者提出的问题总数,从而实现了符合ICHD-3的动态问卷。最后,Head-Asp可以在线免费获得,并且它正在收到正在测试它的神经科医生组的非常积极的反馈。

Decision support systems play an important role in medical fields as they can augment clinicians to deal more efficiently and effectively with complex decision-making processes. In the diagnosis of headache disorders, however, existing approaches and tools are still not optimal. On the one hand, to support the diagnosis of this complex and vast spectrum of disorders, the International Headache Society released in 1988 the International Classification of Headache Disorders (ICHD), now in its 3rd edition: a 200 pages document classifying more than 300 different kinds of headaches, where each is identified via a collection of specific nontrivial diagnostic criteria. On the other hand, the high number of headache disorders and their complex criteria make the medical history process inaccurate and not exhaustive both for clinicians and existing automatic tools. To fill this gap, we present HEAD-ASP, a novel decision support system for the diagnosis of headache disorders. Through a REST Web Service, HEAD-ASP implements a dynamic questionnaire that complies with ICHD-3 by exploiting two logical modules to reach a complete diagnosis while trying to minimize the total number of questions being posed to patients. Finally, HEAD-ASP is freely available on-line and it is receiving very positive feedback from the group of neurologists that is testing it.

扫码加入交流群

加入微信交流群

微信交流群二维码

扫码加入学术交流群,获取更多资源