Computer-aided diagnosis of lower abdominal pain in women

Author:

Walmsley G L12,Wilson D H12,Gunn A A12,Jenkins D12,Horrocks Jane C12,de Dombal F T12

Affiliation:

1. The General Infirmary and St James's (University) Hospital, Leeds

2. Bangour General Hospital, Broxburn, Edinburgh

Abstract

Abstract This paper describes the use of a system of computeraided diagnosis in an unselected, prospective survey of 393 women suffering from lower abdominal pain of less than 1 week's duration. An accurate diagnosis was made by clinicians at first patient contact in 68·5 per cent of the group of patients. The computer's diagnostic prediction (based on the same data) matched the final diagnosis in 81·6 per cent of the patients. During this survey a marked improvement in diagnostic accuracy was observed amongst the junior clinicians. It is suggested that this is because of the discipline of data collection imposed and the intermittent feedback received, and also that this educational aspect of computer usage may be of wider benefit.

Funder

Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. Human and computer-aided diagnosis of abdominal pain; a further report with emphasis on performance of clinicians;De Dombal;Br. Med. J.,1974

2. The diagnosis of acute abdominal pain with computer analysis;Gunn;J. R. Coll. Surg. Edin.,1976

3. A computer-aided diagnostic system using a small desk-top computer-calculator;Horrocks;Methods Inf. Med.,1974

4. Design of a computer system to assist in differential preoperative diagnosis for pelvic surgery;Neurath;N. Engl. J. Med.,1969

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