J Med Syst - Mining medical data: a case study of endometriosis.

Tópicos

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{ perform(999) metric(946) measur(919) }
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{ data(2317) use(1299) case(1017) }
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{ patient(2837) hospit(1953) medic(668) }
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{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
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{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
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Resumo

Ultrasound guided aspiration of ovarian endometrioma had been tried as an alternative therapeutic modality in patients whose desire to avoid surgery or surgical approach is contraindicated since 1991. Cyst puncture can reduce tumor volume and destruct the cyst wall, alleviate sticking circumstances and enhance the chance of recovery. But simple aspiration without other treatments results in high recurrence rate (28.5 % to 100 %). In order to reduce recurrence after aspiration, ultrasound-guided aspiration with instillation of tetracycline, methotrexate, and recombinant interleukin-2 has been combined and proven to be effective with the recurrence rates of 46.9 %, 18.1 %, and 40 % respectively. Noma et al. (2001) reported that conduct of ethanol instillation for more than 10 min particularly for a case with a single endometrial cyst is considered most effective from the standpoint of recurrence (14.9 %). Our goal is to analyze patients with recurrent pelvic cyst who underwent surgical intervention. The research data are based on clinical diagnosis, symptoms and medical intervention classification, and the cyst numbers are defined as forecast project target. The decision tree, methodology of data mining technology, is used to find the meaningful characteristic as well as each other mutually connection. The experimental result can help the clinical faculty doctors to better diagnose and provide treatment reference for future patients.

Resumo Limpo

ultrasound guid aspir ovarian endometrioma tri altern therapeut modal patient whose desir avoid surgeri surgic approach contraind sinc cyst punctur can reduc tumor volum destruct cyst wall allevi stick circumst enhanc chanc recoveri simpl aspir without treatment result high recurr rate order reduc recurr aspir ultrasoundguid aspir instil tetracyclin methotrex recombin interleukin combin proven effect recurr rate respect noma et al report conduct ethanol instil min particular case singl endometri cyst consid effect standpoint recurr goal analyz patient recurr pelvic cyst underw surgic intervent research data base clinic diagnosi symptom medic intervent classif cyst number defin forecast project target decis tree methodolog data mine technolog use find meaning characterist well mutual connect experiment result can help clinic faculti doctor better diagnos provid treatment refer futur patient

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