Modeling Medical Diagnosis Using a Comprehensive Cognitive Architecture

被引:3
作者
Strain, Stephen [1 ]
Franklin, Stan [2 ]
机构
[1] Univ Memphis, Dept Biomed Engn, Memphis, TN 38152 USA
[2] Univ Memphis, Dept Comp Sci, Memphis, TN 38152 USA
关键词
medical diagnosis; artificial intelligence in medicine; cognitive architecture; clinical decision support system; SYSTEMS; MEMORY;
D O I
10.1260/2040-2295.2.2.241
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
Medical diagnosis is accomplished by a set of complex cognitive processes requiring the iterative application of abduction, deduction, and induction. Previous research in computational modeling of medical diagnosis has had only limited success by defining sub-domains that offer a computationally tractable problem. However, the aspect of diagnostic reasoning requiring intelligence lies in the extraction of a well-structured problem from an ill-structured one. We propose an agent, based on the Learning Intelligent Distribution Agent ( LIDA) model of cognition, which utilizes deliberation, learning, and a neurologically inspired cognitive cycle. The proposed agent, MAX (for "Medical Agent X") will be equipped to comprehend clinical data in the context of its perceptual ontology and learned associations, and to construct, evaluate, and refine by investigation a differential diagnosis that progressively reduces the dimensionality of its search space with each iteration. Furthermore, the agent will appropriately modify its own ontology with experience and supervised instruction.
引用
收藏
页码:241 / 257
页数:17
相关论文
共 34 条
[1]  
[Anonymous], 2002, MODELING MED DECISIO
[2]  
[Anonymous], 1997, THEATER CONSCIOUSNES
[3]   How conscious experience and working memory interact [J].
Baars, BJ ;
Franklin, S .
TRENDS IN COGNITIVE SCIENCES, 2003, 7 (04) :166-172
[4]   Integrating evidence into clinical information systems for nursing decision support [J].
Bakken, Suzanne ;
Currie, Leanne M. ;
Lee, Nam-Ju ;
Roberts, W. Dan ;
Collins, Sarah A. ;
Cimino, James J. .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2008, 77 (06) :413-420
[5]  
Buchanan BG, 1984, RULE BASED EXPERT SY
[6]   Sensory-perceptual episodic memory and its context: autobiographical memory [J].
Conway, MA .
PHILOSOPHICAL TRANSACTIONS OF THE ROYAL SOCIETY B-BIOLOGICAL SCIENCES, 2001, 356 (1413) :1375-1384
[7]  
Drescher Gary L., 1991, MADE MINDS CONSTRUCT
[8]   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) [J].
Elkin, Peter L. ;
Liebow, Mark ;
Bauer, Brent A. ;
Chaliki, Swarna ;
Wahner-Roedler, Dietlind ;
Bundrick, John ;
Lee, Mark ;
Brown, Steven H. ;
Froehling, David ;
Bailey, Kent ;
Famiglietti, Kathleen ;
Kim, Richard ;
Hoffer, Ed ;
Feldman, Mitchell ;
Barnett, G. Octo .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2010, 79 (11) :772-777
[9]   Thinking about diagnostic thinking: a 30-year perspective [J].
Elstein, Arthur S. .
ADVANCES IN HEALTH SCIENCES EDUCATION, 2009, 14 :7-18
[10]   Evidence base of clinical diagnosis - Clinical problem solving and diagnostic decision making: selective review of the cognitive literature [J].
Elstein, AS ;
Schwarz, A .
BRITISH MEDICAL JOURNAL, 2002, 324 (7339) :729-732