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Using ILIAD system shell to create an expert system for differential diagnosis of renal masses

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Abstract

Differential diagnosis of renal masses is an important and difficult process. A renal mass diagnostic system (RMDS) developed by using the ILIAD expert system shell has been created for diagnostic consultations and patient simulations. Seventy-two cases of renal mass have been tested on this system and the diagnostic accuracy was compared to that of residents. The overall diagnostic accuracy (75%) for renal masses is significantly better than second-year urological residents (60%) and not worse than urological chief residents (71%). The expert system also displays the cost of the diagnostic procedures so that the user can choose the most cost-effective diagnostic process. We conclude that this powerful renal mass diagnosis system developed by using ILIAD system shell can be used as a teaching, self-training and clinical tool for urological residents.

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Authors and Affiliations

  1. From the Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China

    Phei Lang Chang, Yu-Chuan Li, Chi Ju Wu & Ming Hsiung Huang

  2. Department of Medical Informatics, University of Utah, Salt Lake City, Utah

    Yu-Chuan Li

Authors
  1. Phei Lang Chang
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  2. Yu-Chuan Li
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  3. Chi Ju Wu
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  4. Ming Hsiung Huang
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Chang, P.L., Li, YC., Wu, C.J. et al. Using ILIAD system shell to create an expert system for differential diagnosis of renal masses. J Med Syst 17, 289–297 (1993). https://doi.org/10.1007/BF01008530

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