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Methods Inf Med 1994; 33(02): 220-226
DOI: 10.1055/s-0038-1635012
Original Article
Schattauer GmbH

Parameters for a Knowledge Base for Acute Appendicitis

E. Pesonen
1   Department of Computer Science and Applied Mathematics, University of Kuopio, Finland
,
J. Ikonen
2   Department of Surgery, Savonlinna Central Hospital, Finland
,
M. Juhola
1   Department of Computer Science and Applied Mathematics, University of Kuopio, Finland
,
M. Eskelinen
3   Department of Surgery, University of Kuopio, Finland
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
08. Februar 2018 (online)

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Abstract:

Acute appendicitis is the most common cause of acute abdomen requiring surgical intervention. The clinical diagnosis of acute appendicitis is not always easy due to variable symptomatology, particularly at the onset. The contributions of history-taking and physical examination in the diagnosis of acute appendicitis was studied in connection with the Research Committee of the World Organization of Gastroenterology (OMGE) survey of acute abdominal pain. Especially the suitability of diagnostic parameters in the construction of an expert system for automatic decision making was studied. The results clearly show that it is possible to construct an expert system for automatic decision making in the diagnosis of acute appendicitis.

Keywords

Acute Appendicitis - Abdominal Pain - Diagnosis - Knowledge Bases - Expert Systems
 

  • REFERENCES

  • 1 Eskelinen M, Ikonen J, Lipponen P. Clinical diagnosis of acute appendicitis. A prospective study of patients with acute abdominal pain. Theor Surg 1992; 07: 81-5.
    PubMedGoogle Scholar
  • 2 Adams I, Chan M, Clifford P. et al. Computer-aided diagnosis of acute abdominal pain: a multicentre study. BMJ 1986; 293: 800-4.
    CrossrefPubMedGoogle Scholar
  • 3 Arnbjornsson E. Scoring system for computer-aided diagnosis of acute appendicitis. The value of prospective versus retrospective studies. Ann Chir Gynaecol 1985; 74: 159-66.
    PubMedGoogle Scholar
  • 4 De Dombal FT, Leaper D, Horrocks J, Staniland J, McCann A. Computer-aided diagnosis of abdominal pain. BMJ 1972; 02: 9-13.
    PubMedGoogle Scholar
  • 5 Ikonen J, Rokkanen P, Grönfors P. et al. Presentation and diagnosis of acute abdominal pain in Finland: a computer-aided study. Ann Chir Gynaecol 1983; 72: 332-6.
    PubMedGoogle Scholar
  • 6 Teicher I, Landa B, Cohen M, Kabnick L, Wise L. Scoring system to aid in diagnosis of appendicitis. Ann Surg 1983; 198: 753-9.
    CrossrefPubMedGoogle Scholar
  • 7 Van Way III C, Murphy J, Dunn E, Elerding S. A feasibility study of computer-aided diagnosis in appendicitis. Surg Gynecol Obstet 1982; 155: 685-8.
    PubMedGoogle Scholar
  • 8 Eskelinen M, Ikonen J, Lipponen P. A computer-based diagnostic score to aid in diagnosis of acute appendicitis. Theor Surg 1992; 07: 86-90.
    PubMedGoogle Scholar
  • 9 Fee H, Jones P, Kadell B, O’Conell T. Radiologic diagnosis of appendicitis. Arch Surg 1977; 112: 742-4.
    CrossrefPubMedGoogle Scholar
  • 10 Deutch A, Zelikovsky A, Reiss T. Laparoscopy in the prevention of unnecessary appendicectomies: a prospective study. Br J Surg 1982; 69: 336-7.
    CrossrefPubMedGoogle Scholar
  • 11 Paterson-Brown S, Eckersley J, Sim A, Dudley H. Laparoscopy as an adjunct to decision making in the ‘acute abdomen’. Br J Surg 1986; 73: 1022-4.
    CrossrefPubMedGoogle Scholar
  • 12 Nordback I, Harju E. Inflammation parameters in the diagnosis of acute appendicitis. Acta Chir Scand 1988; 154: 43-8.
    PubMedGoogle Scholar
  • 13 Amland P, Skaane P, Ronningen H, Nordshus T, Solheim K. Ultrasonography and parameters of inflammation in acute appendicitis. Acta Chir Scand 1989; 155: 185-9.
    PubMedGoogle Scholar
  • 14 Puylaert J, Rutgers P, Lalisang R. et al. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med 1987; 317: 666-9.
    CrossrefPubMedGoogle Scholar
  • 15 Eberhart R, Dobbins R, Hutton L. Neural network paradigm comparisons for appendicitis diagnoses. In: Bankman I, Tsitlik J. eds. Proc. Fourth Ann. IEEE Symp. on Computer-Based Medical Systems. Los Alamitos Cal: IEEE Computer Society Press; 1991: 298-304.
    Google Scholar
  • 16 De Dombal FT. Acute abdominal pain – an OMGE survey. Scand J Gastroenterol 1979; 14: 29-43.
    PubMedGoogle Scholar
  • 17 De Dombal FT. The OMGE acute abdominal pain survey. Progress report 1986. Scand J Gastroenterol 1988; 23: 35-42.
    PubMedGoogle Scholar
  • 18 De Dombal FT. Diagnosis of Acute Abdominal Pain. Edinburgh: Churchill Livingstone; 1991
    Google Scholar
  • 19 Eskelinen M, Ikonen J, Lipponen P. Sex-specific diagnostic scores for acute appendicitis. Scand J Gastroenterol 1993; 29: 59-66.
    PubMedGoogle Scholar