Neuromyelitis optica: Application of computer diagnostics to historical case reports.
Neuromyelitis optica: Application of computer diagnostics to historical case reports.
复制标题
视神经脊髓炎：计算机诊断在历史病例报告中的应用。
DOI：
10.1080/0964704x.2016.1277885
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发表时间：
2017
影响因子：
0.5
通讯作者：
Garcia Reitboeck P
中科院分区：
文献类型：
--
作者：
Garcia Reitboeck P
医学历史学家对疾病的回顾性诊断往往很困难，而且容易产生偏见，尽管了解历史人物的医学疾病是理解他们的行为和反应的关键。最近应用计算机诊断历史人物允许客观的鉴别诊断来完成。以临床神经病学为例，我们分析了最早报道的Devic病（视神经脊髓炎）病例，该疾病通常影响视神经和脊髓，以前经常与多发性硬化症混淆。我们的结论是，在大多数确定的情况下，该软件与当代医生的解释一致，但一些声称的情况下，要么没有足够的数据提供诊断或其他可能的诊断建议，没有考虑。因此，计算方法可以帮助历史学家更客观地诊断历史人物的疾病。
The retrospective diagnosis of illnesses by medical historians can often be difficult and prone to bias, although knowledge of the medical disorders of historical figures is key to the understanding of their behavior and reactions. The recent application of computer diagnostics to historical figures allows an objective differential diagnosis to be accomplished. Taking an example from clinical neurology, we analyzed the earliest reported cases of Devic’s disease (neuromyelitis optica) that commonly affects the optic nerve and spinal cord and was previously often confused with multiple sclerosis. We conclude that in most identified cases the software concurred with the contemporary physicians’ interpretation, but some claimed cases either had insufficient data to provide a diagnosis or other possible diagnoses were suggested that had not been considered. Computational methods may, therefore, help historians to diagnose the ailments of historical figures with greater objectivity.