Enhancing Medical Decision Making: A Semantic Technology-Based Framework for Efficient Diagnosis Inference

Abstract

In the dynamic landscape of healthcare, decision support systems (DSS) confront continuous challenges, especially in the era of big data. Background: This study extends a Q&A-based medical DSS framework that utilizes semantic technologies for disease inference based on a patient’s symptoms. The framework inputs “evidential symptoms” (symptoms experienced by the patient) and outputs a ranked list of hypotheses, comprising an ordered pair of a disease and a characteristic symptom. Our focus is on advancing the framework by introducing ontology integration to semantically enrich its knowledgebase and refine its outcomes, offering three key advantages: Propagation, Hierarchy, and Range Expansion of symptoms. Additionally, we assessed the performance of the fully implemented framework in Python. During the evaluation, we inspected the framework’s ability to infer the patient’s disease from a subset of reported symptoms and evaluated its effectiveness in ranking it prominently among hypothesized diseases. Methods: We conducted the expansion using dedicated algorithms. For the evaluation process, we defined various metrics and applied them across our knowledge base, encompassing 410 patient records and 41 different diseases. Results: We presented the outcomes of the expansion on a toy problem, highlighting the three expansion advantages. Furthermore, the evaluation process yielded promising results: With a third of patient symptoms as evidence, the framework successfully identified the disease in 94% of cases, achieving a top-ranking accuracy of 73%. Conclusions: These results underscore the robust capabilities of the framework, and the enrichment enhances the efficiency of medical experts, enabling them to provide more precise and informed diagnostics.