Mining Medical Data: A Case Study of Endometriosis

被引:9
作者
Wang, Yi-Fan [1 ]
Chang, Ming-Yang [2 ]
Chiang, Rui-Dong [3 ]
Hwang, Lain-Jinn [3 ]
Lee, Cho-Ming [3 ]
Wang, Yi-Hsin [4 ]
机构
[1] Natl Taipei Coll Business, Inst Informat & Decis Sci, Taipei, Taiwan
[2] Chang Gung Mem Hosp, Dept Obstet & Gynecol, Taipei 10591, Taiwan
[3] Tamkang Univ, Dept Comp Sci & Informat Engn, Taipei, Taiwan
[4] Chang Gung Univ Sci & Technol, Dept Informat Management, Tao Yuan, Taiwan
关键词
Endometriosis; Data mining; Decision tree; Medical data; KNOWLEDGE DISCOVERY; GUIDED ASPIRATION; CYSTS; INDUCTION;
D O I
10.1007/s10916-012-9899-y
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
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.
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页数:7
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