Methods of Information in Medicine · 1992 · 158 citations · 10 references
ComputingPathologyClinical Decision SupportDiagnostic ReasoningKnowledge RepresentationClinical Knowledge RepresentationComputer-aided DiagnosisDiagnostic Decision SupportDifferential DiagnosisExpert SystemsUncertainty RepresentationBelief NetworksDiagnostic Expert SystemsDiagnostic Knowledge RepresentationGraphical Data RepresentationGraphical Models For DiagnosisGraphical Representation Of DataMedical Expert SystemsNormative Systems
We address practical issues concerning the construction and use of decision-theoretic or normative expert systems for diagnosis. In particular, we examine Pathfinder, a normative expert system that assists surgical pathologists with the diagnosis of lymph-node diseases, and discuss the representation of dependencies among pieces of evidence within this system. We describe the belief network, a graphical representation of probabilistic dependencies. We see how Pathfinder uses a belief network to construct differential diagnosis efficiently, even when there are dependencies among pieces of evidence. In addition, we introduce an extension of the belief-network representation called a similarity network, a tool for constructing large and complex belief networks. The representation allows a user to construct independent belief networks for subsets of a given domain. A valid belief network for the entire domain can then be constructed from the individual belief networks. We also introduce the partition, a graphical representation that facilitates the assessment of probabilities associated with a belief network. We show that the similarity-network and partition representations made practical the construction of Pathfinder.
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