Artif Intell Med - An approach for Ewing test selection to support the clinical assessment of cardiac autonomic neuropathy.

Tópicos

{ case(1353) use(1143) diagnosi(1136) }
{ perform(1367) use(1326) method(1137) }
{ method(1219) similar(1157) match(930) }
{ sequenc(1873) structur(1644) protein(1328) }
{ result(1111) use(1088) new(759) }
{ time(1939) patient(1703) rate(768) }
{ featur(3375) classif(2383) classifi(1994) }
{ studi(2440) review(1878) systemat(933) }
{ use(1733) differ(960) four(931) }
{ studi(1119) effect(1106) posit(819) }
{ state(1844) use(1261) util(961) }
{ sampl(1606) size(1419) use(1276) }
{ imag(2675) segment(2577) method(1081) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ blood(1257) pressur(1144) flow(957) }
{ model(2656) set(1616) predict(1553) }
{ take(945) account(800) differ(722) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ cost(1906) reduc(1198) effect(832) }
{ structur(1116) can(940) graph(676) }
{ use(976) code(926) identifi(902) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
{ can(774) often(719) complex(702) }
{ data(1737) use(1416) pattern(1282) }
{ patient(2315) diseas(1263) diabet(1191) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ search(2224) databas(1162) retriev(909) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ medic(1828) order(1363) alert(1069) }
{ survey(1388) particip(1329) question(1065) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: This article addresses the problem of determining optimal sequences of tests for the clinical assessment of cardiac autonomic neuropathy (CAN). We investigate the accuracy of using only one of the recommended Ewing tests to classify CAN and the additional accuracy obtained by adding the remaining tests of the Ewing battery. This is important as not all five Ewing tests can always be applied in each situation in practice.METHODS AND MATERIAL: We used new and unique database of the diabetes screening research initiative project, which is more than ten times larger than the data set used by Ewing in his original investigation of CAN. We utilized decision trees and the optimal decision path finder (ODPF) procedure for identifying optimal sequences of tests.RESULTS: We present experimental results on the accuracy of using each one of the recommended Ewing tests to classify CAN and the additional accuracy that can be achieved by adding the remaining tests of the Ewing battery. We found the best sequences of tests for cost-function equal to the number of tests. The accuracies achieved by the initial segments of the optimal sequences for 2, 3 and 4 categories of CAN are 80.80, 91.33, 93.97 and 94.14, and respectively, 79.86, 89.29, 91.16 and 91.76, and 78.90, 86.21, 88.15 and 88.93. They show significant improvement compared to the sequence considered previously in the literature and the mathematical expectations of the accuracies of a random sequence of tests. The complete outcomes obtained for all subsets of the Ewing features are required for determining optimal sequences of tests for any cost-function with the use of the ODPF procedure. We have also found two most significant additional features that can increase the accuracy when some of the Ewing attributes cannot be obtained.CONCLUSIONS: The outcomes obtained can be used to determine the optimal sequences of tests for each individual cost-function by following the ODPF procedure. The results show that the best single Ewing test for diagnosing CAN is the deep breathing heart rate variation test. Optimal sequences found for the cost-function equal to the number of tests guarantee that the best accuracy is achieved after any number of tests and provide an improvement in comparison with the previous ordering of tests or a random sequence.

Resumo Limpo

jectiv articl address problem determin optim sequenc test clinic assess cardiac autonom neuropathi can investig accuraci use one recommend ewe test classifi can addit accuraci obtain ad remain test ewe batteri import five ewe test can alway appli situat practicemethod materi use new uniqu databas diabet screen research initi project ten time larger data set use ewe origin investig can util decis tree optim decis path finder odpf procedur identifi optim sequenc testsresult present experiment result accuraci use one recommend ewe test classifi can addit accuraci can achiev ad remain test ewe batteri found best sequenc test costfunct equal number test accuraci achiev initi segment optim sequenc categori can respect show signific improv compar sequenc consid previous literatur mathemat expect accuraci random sequenc test complet outcom obtain subset ewe featur requir determin optim sequenc test costfunct use odpf procedur also found two signific addit featur can increas accuraci ewe attribut obtainedconclus outcom obtain can use determin optim sequenc test individu costfunct follow odpf procedur result show best singl ewe test diagnos can deep breath heart rate variat test optim sequenc found costfunct equal number test guarante best accuraci achiev number test provid improv comparison previous order test random sequenc

Resumos Similares

Artif Intell Med - Modern parameterization and explanation techniques in diagnostic decision support system: a case study in diagnostics of coronary artery disease. ( 0,707928083649619 )
Artif Intell Med - Biomedical visual data analysis to build an intelligent diagnostic decision support system in medical genetics. ( 0,663245912126911 )
Telemed J E Health - Help is in your pocket: the potential accuracy of smartphone- and laptop-based remotely guided resuscitative telesonography. ( 0,661502765889759 )
J Telemed Telecare - The accuracy of mobile teleradiology in the evaluation of chest X-rays. ( 0,648870954452204 )
Int J Comput Assist Radiol Surg - Toward a clinical lumbar CAD: herniation diagnosis. ( 0,647228937297769 )
J Med Syst - An improved medical decision support system to identify the breast cancer using mammogram. ( 0,645733532089033 )
J Telemed Telecare - A preliminary study of the contribution of telemicroscopy to the diagnosis and management of skin tumours in teledermatology. ( 0,642815336921464 )
Artif Intell Med - A decision support system for cost-effective diagnosis. ( 0,642074158203757 )
Int J Comput Assist Radiol Surg - Content-based image-retrieval system in chest computed tomography for a solitary pulmonary nodule: method and preliminary experiments. ( 0,627562881884661 )
Comput. Biol. Med. - Integration testing through reusing representative unit test cases for high-confidence medical software. ( 0,626353408701145 )
Comput. Biol. Med. - Automatic differential diagnosis of pancreatic serous and mucinous cystadenomas based on morphological features. ( 0,625538301489248 )
J Telemed Telecare - Telecytology in East Africa: a feasibility study of forty cases using a static imaging system. ( 0,622902206829158 )
Telemed J E Health - Diagnostic accuracy and image quality using a USB digital eyepiece camera for telecytology-Georgian experience. ( 0,61705755363887 )
Comput. Biol. Med. - Computational diagnosis and risk evaluation for canine lymphoma. ( 0,61688019603793 )
J Telemed Telecare - Telemedicine for corneal disease in rural Nepal. ( 0,616055200518979 )
J Med Syst - A novel mathematical approach to diagnose premenstrual syndrome. ( 0,611880802639201 )
J Telemed Telecare - Dynamic telecytopathology for on-site preliminary diagnosis of endoscopic ultrasound-guided fine needle aspiration of pancreatic masses. ( 0,597407342274336 )
J Med Syst - Decision support algorithm for diagnosis of ADHD using electroencephalograms. ( 0,59660141673007 )
Appl Clin Inform - Diagnostic performance of electronic syndromic surveillance systems in acute care: a systematic review. ( 0,596198870060963 )
Int J Med Inform - Variations in faculty assessment of NICU flowsheet data: implications for electronic data display. ( 0,595661221148557 )
J Telemed Telecare - Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. ( 0,594187484823486 )
Telemed J E Health - Assessment of static telecytological diagnoses' reproducibility in cervical smears prepared by means of liquid-based cytology. ( 0,59344365648411 )
J Telemed Telecare - Telemedicine for retinal care in developing nations: the ORBIS Cyber-Sight programme, 2003-2011. ( 0,591648679457505 )
Artif Intell Med - Case-based reasoning support for liver disease diagnosis. ( 0,591035417030436 )
J Telemed Telecare - A prospective study of mobile phones for dermatology in a clinical setting. ( 0,586055365563243 )
AMIA Annu Symp Proc - Development and Evaluation of Reference Standards for Image-based Telemedicine Diagnosis and Clinical Research Studies in Ophthalmology. ( 0,582613076851691 )
Comput Methods Programs Biomed - Computer-aided diagnosis system: a Bayesian hybrid classification method. ( 0,580513492587701 )
Telemed J E Health - Teledentistry: distant diagnosis of oral disease using e-mails. ( 0,579413521674995 )
Comput Math Methods Med - Differentiating small (=1cm) focal liver lesions as metastases or cysts by means of computed tomography: a case-study to illustrate a fuzzy logic-based method to assess the impact of diagnostic confidence on radiological diagnosis. ( 0,577978863088265 )
Methods Inf Med - Long-term impact of physician encoding on detail and number of recorded diagnoses. Support by a speciality specific list of diseases. ( 0,577741606088447 )
Methods Inf Med - Analysis of underlying causes of inter-expert disagreement in retinopathy of prematurity diagnosis. Application of machine learning principles. ( 0,576715893627278 )
Comput Methods Programs Biomed - A model for diagnosis of pulmonary infections in solid-organ transplant recipients. ( 0,575679767430712 )
Artif Intell Med - Instance-based classifiers applied to medical databases: diagnosis and knowledge extraction. ( 0,574732300359741 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing multiple exposures. ( 0,574313919045152 )
J Telemed Telecare - Feasibility and diagnostic accuracy of Internet-based dynamic telepathology between Uganda and Germany. ( 0,571784811351156 )
Comput. Biol. Med. - Fuzzy-based framework for diagnosis of acid-base disorders. ( 0,569521658054864 )
Int J Med Inform - Artificial intelligence techniques applied to the development of a decision-support system for diagnosing celiac disease. ( 0,56942906728221 )
Telemed J E Health - Telecytopathology for rapid preliminary diagnosis of ultrasound-guided fine-needle aspiration of thyroid nodules. ( 0,566504573235325 )
Comput Methods Programs Biomed - Application of clustering analyses to the diagnosis of Huntington disease in mice and other diseases with well-defined group boundaries. ( 0,566487122287275 )
J Telemed Telecare - Telecytology for rapid assessment of cytological specimens. ( 0,565998726441723 )
Comput Math Methods Med - Deep learning based syndrome diagnosis of chronic gastritis. ( 0,565714288659487 )
Int J Comput Assist Radiol Surg - CTPA as the gold standard for the diagnosis of pulmonary embolism. ( 0,564983564553771 )
J Telemed Telecare - Agreement on diagnoses of mental health problems between an online clinical assignment and a routine clinical assignment. ( 0,563092506371473 )
Int J Med Inform - Fuzzy cognitive map in differential diagnosis of alterations in urinary elimination: a nursing approach. ( 0,561423242364719 )
Comput Methods Programs Biomed - A new sensitivity-preferred strategy to build prediction rules for therapy response of cancer patients using gene expression data. ( 0,560405724622194 )
Comput. Biol. Med. - A Bayesian network decision model for supporting the diagnosis of dementia, Alzheimers disease and mild cognitive impairment. ( 0,557927417178251 )
BMC Med Inform Decis Mak - Concordance between decision analysis and matching systematic review of randomized controlled trials in assessment of treatment comparisons: a systematic review. ( 0,553512964528937 )
Int J Comput Assist Radiol Surg - Fast spectroscopic multiple analysis (FASMA) for brain tumor classification: a clinical decision support system utilizing multi-parametric 3T MR data. ( 0,552996448526193 )
Telemed J E Health - Enhancing patient engagement and blood pressure management for renal transplant recipients via home electronic monitoring and web-enabled collaborative care. ( 0,552150704051836 )
Med Decis Making - Bivariate random-effects meta-analysis of sensitivity and specificity with the Bayesian SAS PROC MCMC: methodology and empirical evaluation in 50 meta-analyses. ( 0,54902122547265 )
J Med Syst - Prediction of similarities among rheumatic diseases. ( 0,54762228194706 )
Comput. Biol. Med. - Randomized pilot study and qualitative evaluation of a clinical decision support system for brain tumour diagnosis based on SV ?H MRS: evaluation as an additional information procedure for novice radiologists. ( 0,541798890644238 )
Int J Comput Assist Radiol Surg - Disc herniation diagnosis in MRI using a CAD framework and a two-level classifier. ( 0,539648915736639 )
Artif Intell Med - A knowledge-based clinical toxicology consultant for diagnosing single exposures. ( 0,537341924790531 )
AMIA Annu Symp Proc - Text Classification towards Detecting Misdiagnosis of an Epilepsy Syndrome in a Pediatric Population. ( 0,529997556406456 )
J Biomed Inform - Developing an expert panel process to refine health outcome definitions in observational data. ( 0,529883816754614 )
J Telemed Telecare - Development and evaluation of a PDA-based teleradiology terminal in thyroid nodule diagnosis. ( 0,529818998957523 )
J Telemed Telecare - Video-otoscopy recordings for diagnosis of childhood ear disease using telehealth at primary health care level. ( 0,524706881140124 )
J Med Syst - The quantification of the QT-RR interaction in ECG signal using the detrended fluctuationanalysis and ARARX modelling. ( 0,524384472832676 )
Comput Math Methods Med - Computerized neuropsychological assessment in aging: testing efficacy and clinical ecology of different interfaces. ( 0,524296444834136 )
Comput. Biol. Med. - RFS: efficient feature selection method based on R-value. ( 0,524057226091117 )
Int J Comput Assist Radiol Surg - Evaluation of novice reader diagnostic performance in coronary CT angiography using an advanced cardiac software package. ( 0,52295759632418 )
Telemed J E Health - Asynchronous video-otoscopy with a telehealth facilitator. ( 0,522717878318574 )
IEEE J Biomed Health Inform - Automated detection of sleep apnea and hypopnea events based on robust airflow envelope tracking in the presence of breathing artifacts. ( 0,518940763300779 )
Telemed J E Health - Comparison of low-light nonmydriatic digital imaging with 35-mm ETDRS seven-standard field stereo color fundus photographs and clinical examination. ( 0,516821124325929 )
Int J Comput Assist Radiol Surg - Color-encoded distance visualization of cranial nerve-vessel contacts. ( 0,516788834220255 )
Artif Intell Med - Acute leukemia classification by ensemble particle swarm model selection. ( 0,515753886530967 )
Artif Intell Med - Classification of infectious diseases based on chemiluminescent signatures of phagocytes in whole blood. ( 0,514312049739939 )
Int J Comput Assist Radiol Surg - Computer-aided simple triage. ( 0,513844651940102 )
J Med Syst - Quantitative grading using Grey Relational Analysis on ultrasonographic images of a fatty liver. ( 0,513123807796293 )
Int J Comput Assist Radiol Surg - Comprehensive visualization of multimodal cardiac imaging data for assessment of coronary artery disease: first clinical results of the SMARTVis tool. ( 0,510735421590779 )
BMC Med Inform Decis Mak - Supporting meningitis diagnosis amongst infants and children through the use of fuzzy cognitive mapping. ( 0,510231044818558 )
Med Decis Making - Quantitative benefit-risk assessment using only qualitative information on utilities. ( 0,509342640148206 )
Int J Comput Assist Radiol Surg - Cognition Network Technology prototype of a CAD system for mammography to assist radiologists by finding similar cases in a reference database. ( 0,507270429630065 )
Int J Med Inform - Application of a model based on fuzzy logic for evaluating nursing diagnostic accuracy of students. ( 0,506719799997255 )
Comput Methods Programs Biomed - Improved biliary detection and diagnosis through intelligent machine analysis. ( 0,503886721591365 )
J Telemed Telecare - A low cost method of digitizing radiographs using a photo light box. ( 0,503230290836155 )
Med Decis Making - Continuously rethinking the definition of influenza for surveillance systems: a Dependent Bayesian Expert System. ( 0,498658237474876 )
J Telemed Telecare - Mobile teledermatology--patient satisfaction, diagnostic and management concordance, and factors affecting patient refusal to participate in Saudi Arabia. ( 0,498449817416239 )
Comput Biol Chem - On K-peptide length in composition vector phylogeny of prokaryotes. ( 0,496941867336809 )
IEEE Trans Image Process - The segmentation of the left ventricle of the heart from ultrasound data using deep learning architectures and derivative-based search methods. ( 0,49642535587845 )
AMIA Annu Symp Proc - An efficient bayesian method for predicting clinical outcomes from genome-wide data. ( 0,496098917427873 )
J Telemed Telecare - A hybrid approach to telepathology in Cambodia. ( 0,494211026940717 )
Comput. Biol. Med. - Exploring medical diagnostic performance using interactive, multi-parameter sourced receiver operating characteristic scatter plots. ( 0,493806018435061 )
BMC Med Inform Decis Mak - A hybrid decision support model to discover informative knowledge in diagnosing acute appendicitis. ( 0,489441125643601 )
Int J Med Inform - Accurate telemonitoring of Parkinson's disease diagnosis using robust inference system. ( 0,488801911311036 )
J Telemed Telecare - Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy. ( 0,488588979481861 )
Brief. Bioinformatics - Class-imbalanced classifiers for high-dimensional data. ( 0,487460944728883 )
J Med Syst - A neuro-fuzzy identification of ECG beats. ( 0,486521789326617 )
Comput. Biol. Med. - Aortic root 3D parametric morphological model from 2D-echo images. ( 0,486206790162874 )
Methods Inf Med - Automated volumes-of-interest identification for classical and atypical Parkinsonian syndrome differentiation using T2' MR imaging. ( 0,484617410908248 )
Artif Intell Med - Intelligent quotient estimation of mental retarded people from different psychometric instruments using artificial neural networks. ( 0,483938406612938 )
J Med Syst - A computer aided diagnosis system for thyroid disease using extreme learning machine. ( 0,483070920779881 )
Int J Med Inform - The introduction of a diagnostic decision support system (DXplain?) into the workflow of a teaching hospital service can decrease the cost of service for diagnostically challenging Diagnostic Related Groups (DRGs). ( 0,483057362097716 )
J Med Syst - Chinese Acupuncture Expert System (CAES)-a useful tool to practice and learn medical acupuncture. ( 0,48279718970372 )
Med Decis Making - Effect of background case characteristics on decisions in the delivery room. ( 0,482513474394941 )
J Chem Inf Model - Three-dimensional structure database of natural metabolites (3DMET): a novel database of curated 3D structures. ( 0,482249179977179 )
J Telemed Telecare - Validation of the 3-lead tele-ECG versus the 12-lead tele-ECG and the conventional 12-lead ECG method in older people. ( 0,482155502973554 )
Med Biol Eng Comput - Shoulder impingement revisited: evolution of diagnostic understanding in orthopedic surgery and physical therapy. ( 0,4819646712082 )
Comput Methods Programs Biomed - Segmentation and detection of breast cancer in mammograms combining wavelet analysis and genetic algorithm. ( 0,480662613487994 )