Le concept de maladie sous-jacent aux tentatives d'informatisation du diagnostic médical

History and Philosophy of the Life Sciences 10:89 - 110 (1988)
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Abstract

The following topics are considered: - 1) Computer-based medical consultation: good doctors have the capacity to make right guesses. - 2) Elementary diagnostic logic: illness as a boolean combination of signs or symptoms, diagnosis as a deductive process. - 3) Clinical decision under uncertainty: partial and/or elusive evidence, overlapping types. - 4) Local heuristic strategies: (1) statistical methods, (2) probabilistic (bayesian) methods, (3) fuzzy methods and Mycin-type expert systems. - 5) General heuristic strategies: representing medical knowledge (rules, nets, frames), simulating expert behavior. - 6) Diagnostic inference and pattern recognition: natural species vs. expert judgement

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Anne Fagot-Largeault
Centre National de la Recherche Scientifique

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