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Dynamic uncertain causality graph for computer-aided general clinical diagnoses with nasal obstruction as an illustration

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机构: [1]School of Computer Science and Engineering, Beihang University, Beijing 100191, China [2]Department of Computer Science and Technology, Tsinghua University, Beijing 100084, China [3]Otorhinolaryngology Head and Neck Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [4]Institute of Nuclear and New Energy Technology, Tsinghua University, Beijing 100084, China [5]Department of Medical Administration, Suining Central Hospital, Suining 629000, China
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关键词: Uncertainty Causality Probabilistic reasoning Clinical diagnosis Nasal obstruction

摘要:
Many AI systems have been developed for clinical diagnoses, in which most of them lack interpretability in both knowledge representation and inference results. The newly developed Dynamic Uncertain Causality Graph (DUCG) is a probabilistic graphical model with strong interpretability. However, existing DUCG is mainly for fault diagnoses of large, complex industrial systems. In this paper, we extend DUCG for better application in general clinical diagnoses. Four extensions are introduced: (1) special logic gate and zoom function event variables to represent and quantify the influences of various risk factors on the morbidities of diseases. (2) Reversal logic gate to model the case that some diseases/causes may result in at least two simultaneous symptoms/consequences. (3) Disease-specific manifestation variable for special inference and easy understanding to diagnose a specific disease. (4) Event attention importance to count contributions of isolated state-abnormal variables in inference. To illustrate and verify the extended DUCG methodology, we performed a case study for diagnosing 25 diseases causing nasal obstruction. We tested 171 cases randomly selected from total 471 cases of discharged patients in the hospital information system of Xuanwu Hospital. The diagnosis precision of the extended DUCG was 100%. The diagnosis precision of the third-party verification performed by Suining Central Hospital was 98.86%, which exhibited the strong generalization ability of the extended DUCG.

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出版当年[2020]版:
大类 | 2 区 工程技术
小类 | 2 区 计算机:人工智能
最新[2023]版
大类 | 2 区 计算机科学
小类 | 2 区 计算机:人工智能
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出版当年[2019]版:
Q1 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE
最新[2023]版:
Q1 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE

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第一作者机构: [1]School of Computer Science and Engineering, Beihang University, Beijing 100191, China [2]Department of Computer Science and Technology, Tsinghua University, Beijing 100084, China
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