INTERNIST-I, AN EXPERIMENTAL COMPUTER-BASED DIAGNOSTIC CONSULTANT FOR GENERAL INTERNAL MEDICINE
INTERNIST-I, AN EXPERIMENTAL COMPUTER-BASED DIAGNOSTIC CONSULTANT FOR GENERAL INTERNAL MEDICINE
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DOI：
10.1056/nejm198208193070803
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发表时间：
1982-01-01
影响因子：
158.5
通讯作者：
MYERS, JD
中科院分区：
文献类型：
--
作者：
MILLER, RA;POPLE, HE;MYERS, JD
INTERNIST-I是一个实验性的计算机程序，能够在内科进行多种复杂的诊断。它不同于大多数其他程序的计算机辅助诊断的一般性，其方法和规模和多样性的知识库。为了记录该计划的优点和缺点，对INTERNIST-I的能力进行了系统的评估。它在一系列19个[人类]临床病理学练习中的表现似乎与医院临床医生的表现在质量上相似，但不如病例讨论者的表现。目前的程序形式对于临床应用来说不够可靠。必须克服的具体缺陷包括程序无法从解剖学或时间上进行推理，无法构建跨越多个问题领域的鉴别诊断，偶尔将发现归因于不适当的原因，以及无法解释其思维。
INTERNIST-I is an experimental computer program capable of making multiple and complex diagnoses in internal medicine. It differs from most other programs for computer-assisted diagnosis in the generality of its approach and the size and diversity of its knowledge base. To document the strengths and weaknesses of the program, a systematic evaluation of the capabilities of INTERNIST-I was performed. Its performance on a series of 19 [human] clinicopathological exercises appeared to be qualitatively similar to that of the hospital clinicians but inferior to that of the case dicussants. The present form of the program is not sufficiently reliable for clinical applications. Specific deficiencies that must be overcome include the program''s inability to reason anatomically or temporally, its inability to construct differential diagnoses spanning multiple problem areas, its occasional attribution of findings to improper causes and its inability to explain its thinking.