Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-24T15:04:26.204Z Has data issue: false hasContentIssue false

A Desktop Expert System for the Differential Diagnosis of Dementia: An Evaluation Study

Published online by Cambridge University Press:  10 March 2009

Leonard A. Plugge
Affiliation:
State University of Limburg
Frans R. J. Verhey
Affiliation:
State University of Limburg
Jellemer Jolles
Affiliation:
State University of Limburg

Extract

Evince-I is a desktop expert system for the differential diagnosis of dementia, implemented on a personal computer. It is intended to assess the effectiveness of this new technology in modeling a psychiatrist who uses international guidelines for diagnosing dementia. EVINCE-I was tested in diagnosing 19 patients with varying stages of dementia and 10 patients showing other disorders except dementia. EVINCE-I and the human expert were in perfect agreement on the diagnosis of dementia and correlated highly on the diagnosis of dementia of the Alzheimer type and multiple infarct dementia. EVINCE-I thus offers important possibilities as a tool in investigating the data and procedures used by the human expert.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

ACQUAINT: User's manual for Acquaint and Acquaint-Light. Manual. Purmerend, Lithp Systems BV, 1987.Google Scholar
Buchanan, B. G., & Shortliffe, E. H. (eds.). Rule-based expert systems: The MYCIN experiments of the Stanford Heuristic Programming Project. Reading, PA: Addison-Wesley, 1984.Google Scholar
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd Edition, Revised. Washington, DC: American Psychiatric Association, 1987.Google Scholar
Gurstein, M. Social impacts of selected artificial intelligence applications – the Canadian context. Futures, 1985, 652–71.CrossRefGoogle Scholar
Haase, G. R. Diseases presenting as dementia. In Wells, C. E. (ed.), Dementia. 2nd ed.Philadelphia, PA: Davis Co., 1971, 2767.Google ScholarPubMed
Hamilton, M.Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 1967, 6, 278–96.CrossRefGoogle ScholarPubMed
Hayes-Roth, F., Waterman, D. A., & Lenat, D.Building expert systems, Reading, PA: Addison-Wesley, 1983, 210–12.Google Scholar
Jolles, J. Cognitive, emotional and behavioral dysfunctions in aging and dementia. In Swaab, D. F., Fliers, E., Mirmiran, M. et al. , (eds.), Progress in brain research. Amsterdam: Elsevier Science Publishers BV, 1986, 70, 1539.Google Scholar
Marsden, C. D. Neurological Causes of Dementia other than Alzheimer's Disease. In Kay, & Burrows, (eds.), Handbook of studies on psychiatry and old age, Amsterdam: Elsevier Science Publishers BV, 1984, 145–67.Google Scholar
Marsden, C. D. Assessment of dementia. In Frederiks, J. A. M. (ed.), Handbook of clinical neurology, vol. 2. Neurobehavioural disorders. Amsterdam: Elsevier Science Publishers BV, 1985, 46.Google Scholar
Maxmen, J. S. Long-term trends in health care: The post-physician era reconsidered. In Schwefel, D. (ed.), Indicators and trends in health and health care, Berlin: Springer Verlag, 1987.Google Scholar
McKhann, G., Drachman, D., Folstein, M. et al. , Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 1984, 34, 939–44.CrossRefGoogle ScholarPubMed
Potthoff, P., Rothemund, M.Schwefel, D. et al. , Expert Systems in Medicine. International Journal of Technology Assessment in Health Care, 1988, 4, 121–33.CrossRefGoogle Scholar
Schouten, J. A. Statistical measurement of interobserver agreement. Unpublished doctoral thesis, Utrecht: 1985.Google Scholar
Schwartz, W. B.Medicine and the computer: The promise and problems of change. New England Journal of Medicine, 1970, 283, 1257–64.CrossRefGoogle ScholarPubMed
Tello, E. R. ACQUAINT. In Lemmons, P. (ed.), BYTE, Peterborough, NH: McGraw-Hill Inc., 1987, 7, 265–72.Google Scholar
Waterman, D. A.A guide to expert systems. Reading, PA: Addison-Wesley, 1986, 272–88.Google Scholar
Winston, P. H.Artificial intelligence, 2nd ed.Reading, PA: Addison-Wesley, 1984.Google Scholar