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سیستم پشتیبان تصمیمگیری هوشمند پزشکی جهت تشخیص بیماری پسوریازیس | ||
| مطالعات مدیریت کسب و کار هوشمند | ||
| مقاله 6، دوره 4، شماره 14، اسفند 1394، صفحه 117-150 اصل مقاله (1.07 M) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22054/ims.2016.4114 | ||
| نویسندگان | ||
| فریناز صناعی1؛ حسین احمدی2؛ محمدعلی افشار کاظمی3 | ||
| 1کارشناسی ارشد مدیریت فناوری اطلاعات، دانشکده مدیریت، واحد الکترونیک، دانشگاه آزاد اسلامی ا، تهران. ایران | ||
| 2استادیار، دانشکده پزشکی دانشگاه آزاد شاهرود، بورد تخصصی از دانشگاه شهید بهشتی بیماریهای پوست و مو، ایران، تهران | ||
| 3دانشیار، دانشکده مدیریت، دانشکده مدیریت، واحد تهران مرکز، دانشگاه آزاد اسلامی، ایران، تهران | ||
| چکیده | ||
| تشخیص افتراقی بیماری گروه اریتماتواسکوآموس مسئله بسیار مهمی در درماتولوژی است. بیماریهایی این گروه شامل درماتیت سبوره، لیکن پلان، پیتیریازیس روزه، التهاب پوستی مزمن و پیتیریازیس روبرا پیلاریس است. تشخیص افتراقی پسوریازیس نیاز بهصرف هزینه و زمان زیادی دارد و تشخیص نادرست و یا با تأخیر پیامدهای مخاطرهآمیزی برای بیمار به همراه خواهد داشت. در این راستا سیستم خبره فازی بهمنظور تشخیص بیماری پسوریازیس در هر زمان و در هر مکان ایجاد شد. این پژوهش، یک سیستم خبره بهمنظور تشخیص بیماری پسوریازیس بر اساس منطق فازی و پایگاه دانش مبتنی بر قوانین با استفاده از نرمافزار متلب ایجاد شده است. همچنین برای آزمون سیستم از دادههای 190 بیمار مبتلا به پسوریازیس استفاده شد که ازاینبین 126 نفر مبتلا به بیماری پسوریازیس بودند. صحت، حساسیت و دقت سیستم به ترتیب معادل 96%، 97% و 95% به دست آمد. سطح زیر منحنی ROC معادل 97/0 و آزمون کاپا میزان 92/0. (001/0>p ) به دست آمد. با توجه به اهمیت تشخیص بهموقع بیماری پسوریازیس، بهکارگیری سیستم پشتیبان تصمیمگیری و سیستم خبره مذکور میتواند در جلوگیری از پیشرفت بیماری، کاهش دردهای شدید و کاهش هزینهها نقش مهمی ایفا نماید. | ||
| کلیدواژهها | ||
| سیستم خبره مبتنی بر دانش؛ سیستم پشتیبان تصمیمگیری؛ تشخیص بیماری پسوریازیس؛ تشخیص بیماریهای گروه اریتماتواسکوآموس؛ پسوریازیس | ||
| مراجع | ||
|
Abbasi MM, Kashiyarndi S, Clinical decision support systems: a discussion on different methodologies used in health care.
Ahmadzadeh A, Introduction to expert system and application in medicine. Proceedings of the first congress of medical informaties; Mazandaran, Iran.
Andis JR,Koch GG. The measurement of observer agreement for categorical data Biometrics.1977:33(1):159-74.
Anitha B, Rajagopalan SP. Computer decision support systems for evidence-based medicine-an overview. European Journal of Scientific Research. 2011; 50(3):349-358.
Bakpo, Kabari.Diagnosing skin diseases using an artificial neural Notwork. Journal of Artificial Neural Networks – Methodological Advances and Biomedical Applications.2009:13:257- 270.
Barati E, Saraee M, Mohammadi A, Adibi N, Ahmadzadeh M, A survey on utilization of datamining approaches for dermatological (skin) diseases prediction. Journal of Selected Areas health informatics 2011.
Bezold GD, lange ME, Gall H, Peter RU. Detection of cutaneous varicella zoster virus infections by immunofluorescence versus PCR. Eur J Dermatol 2001; 11:108-11.
Castellano G,Castiello C,Fanelli AM,Leone C.Diagnosis of dermatological diseases. By a neuro-fuzzy system.Proceedings of EUSFLAT Conference.2003.
Chen TM, George S, Woodruff CA, Hsu S. Clinical manifestations of varicella zoster virus infection. Dermatol Clin 2002; 20:267-82.
Choo PW, Dunahue JG, Manson JE, et al. The epidemiology of varicella and its complications J Infect Dis 1995; 172(3):706-12.
Cohen JR, Brunnel PA, Strauss SE, et al. Recent advances in varicella-zoster virus infection. Ann Intern Med 1999; 130(11):922-32.
D. N. Joanes CAG.comparing measures of sample skewness and kurtosis. JOURNALOF the Royal statistical Socicty. 1998: 38(1):183-9.
Donahoo JG, Choo pw. The Incidence of Herpes Zoster. Arch of Internal Medicine 1995; 155(12): 16
elda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
England J.A, Balfoar J.R. Varicella and Herpes zoster Haprich PD, Jordan MJ. Infectious Diseases. 4th edition. Philadelphia: Lippincor Company; 1989. P: 938-953.
Fanaroff AA, Martin RA. Neonatal perinatal medicine. 5th ed. 2002. p. 764-7.
Fazel Zarandi MH,Zolnoori M,Moin M,Heidarnejad H.A fuzzy rule-based expet systemfor Diagnosing asthma.Transaction E:Industrial Engineering 2010:17(2):129-142
Ghann Jw, WhitWey. Herpes Zoster. The New England Journal of Medicine 2002 August; 374(11): 340- 334.
Gnann JW Jr, Clinical practice. Herpes zoster. NEngl J Med, 2002; 338:340-6.
Greenes R. Clinical Decision Support: The Road Ahead. Academic Press; 2011
Gudmundsson S, Helgason S, Sigurdsson JA. The clinical course of herpes zoster: a prospective study in primary care. Eur J Gen Pract 1996; 2: 12-6. Habif T. Clinical Dermatology. 5th ed. Elsevier Health Sciences; 2009
hazanfari M, Kazemi Z, Expert systems. Tehran: 2004. [Persian]
Elahi Sh, Rajabzade A, Expert Systems: Intelligent decision making pattern Tehran:Bazargani; 2004. [Persian]
Lau BH, Lin MI, Lin HC. Herpes zoster during varicella. Pediatr Infect Dis J2001; 20(9):915-6.
McLeod R. Management information systems. 7th Ed. New YorkPrentice Hall; 1998.23. TurbanNew Jersey: John wiley & Sons; 2005.
oali M,Aminnaseri M,Nasiri M.DESderma:An intelligent system to diagnose skin disease. Proceedings of the 10th computer socity of Iran conference: 1383 bahman 27-29: Tehran,Iran.
Petersson CL, Mascola L, Chao SL, et al. Children hospitalized for varicella: a prevaccine review.J Pediatr 1996;129(4):529-36.
Power D, Decision support system: concepts and resources for managers. Greenwood Publishing Group; 2002.
Sadoughi f, Sheikhtacheri A. Application of artificial intelligence in medicine: opportunitiesand challenges.Journal of Health Adminisreation. 2011; 8(3):350-355.
Sadoughi F, Sheikhtaheri A, Meidani Z, Shahmoradi L. Management information system (concepts,structure,development and evaluation): jafaripub; 1389:176-177
Sadoughi F. Decision Support system in health. Proceedings of the 3rd Health ManagementCongress: Fara Organization; 2009 Jan 18-19; Tehran, Iran; 2009.
Sauerbrei A, Eichhorn U, Schacke M, WutzlerP. Laboratory diagnosis of herpes zoster. J ClinVirol 1999; 14:31-6.
Sheikhtaheri A. Application of expert systems in clinical decisions, Proceedings of the 2nd Heaith Management ongress: Fara Organization; 2008 Oct 29-30; Tehran, Iran; 2008.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
Takayama N, Takayama M, Takita J. Herpes zoster in healthy children immunized with varicella
Toloie Ashlaqi A, Mohsen Taheri S. Designing an expert system for suggesting the blood cancer treatment. Journal of Health Administration. 2010; 13(40):32-50.
Torres A, Nieto JJ. Fuzzy logic in medicine and bioinformatics. Journal of Biomedicine and biotechnology. 2006.
Tunsuriyawong S, Puavilai S. Herpes Zoster, Clinical Course and Associated Diseases: A 5-year retrospective study at Ramthibodi hospital. J Med Assoc Thai, 2005; 88(5):678-81.
Turban E, Aronson JE, Liang Tp. Decision Support systems and intelligent systems7thed. New York: Prentice Hall; 2005.
Velda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
William D.James et al. Andrews "Disease of the skin clinical Dermatology" 2011; 372.
.
Abbasi MM, Kashiyarndi S, Clinical decision support systems: a discussion on different methodologies used in health care.
Ahmadzadeh A, Introduction to expert system and application in medicine. Proceedings of the first congress of medical informaties; Mazandaran, Iran.
Andis JR,Koch GG. The measurement of observer agreement for categorical data Biometrics.1977:33(1):159-74.
Anitha B, Rajagopalan SP. Computer decision support systems for evidence-based medicine-an overview. European Journal of Scientific Research. 2011; 50(3):349-358.
Bakpo, Kabari.Diagnosing skin diseases using an artificial neural Notwork. Journal of Artificial Neural Networks – Methodological Advances and Biomedical Applications.2009:13:257- 270.
Barati E, Saraee M, Mohammadi A, Adibi N, Ahmadzadeh M, A survey on utilization of datamining approaches for dermatological (skin) diseases prediction. Journal of Selected Areas health informatics 2011.
Bezold GD, lange ME, Gall H, Peter RU. Detection of cutaneous varicella zoster virus infections by immunofluorescence versus PCR. Eur J Dermatol 2001; 11:108-11.
Castellano G,Castiello C,Fanelli AM,Leone C.Diagnosis of dermatological diseases. By a neuro-fuzzy system.Proceedings of EUSFLAT Conference.2003.
Chen TM, George S, Woodruff CA, Hsu S. Clinical manifestations of varicella zoster virus infection. Dermatol Clin 2002; 20:267-82.
Choo PW, Dunahue JG, Manson JE, et al. The epidemiology of varicella and its complications J Infect Dis 1995; 172(3):706-12.
Cohen JR, Brunnel PA, Strauss SE, et al. Recent advances in varicella-zoster virus infection. Ann Intern Med 1999; 130(11):922-32.
D. N. Joanes CAG.comparing measures of sample skewness and kurtosis. JOURNALOF the Royal statistical Socicty. 1998: 38(1):183-9.
Donahoo JG, Choo pw. The Incidence of Herpes Zoster. Arch of Internal Medicine 1995; 155(12): 16
elda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
England J.A, Balfoar J.R. Varicella and Herpes zoster Haprich PD, Jordan MJ. Infectious Diseases. 4th edition. Philadelphia: Lippincor Company; 1989. P: 938-953.
Fanaroff AA, Martin RA. Neonatal perinatal medicine. 5th ed. 2002. p. 764-7.
Fazel Zarandi MH,Zolnoori M,Moin M,Heidarnejad H.A fuzzy rule-based expet systemfor Diagnosing asthma.Transaction E:Industrial Engineering 2010:17(2):129-142
Ghann Jw, WhitWey. Herpes Zoster. The New England Journal of Medicine 2002 August; 374(11): 340- 334.
Gnann JW Jr, Clinical practice. Herpes zoster. NEngl J Med, 2002; 338:340-6.
Greenes R. Clinical Decision Support: The Road Ahead. Academic Press; 2011
Gudmundsson S, Helgason S, Sigurdsson JA. The clinical course of herpes zoster: a prospective study in primary care. Eur J Gen Pract 1996; 2: 12-6. Habif T. Clinical Dermatology. 5th ed. Elsevier Health Sciences; 2009
hazanfari M, Kazemi Z, Expert systems. Tehran: 2004. [Persian]
Elahi Sh, Rajabzade A, Expert Systems: Intelligent decision making pattern Tehran:Bazargani; 2004. [Persian]
Lau BH, Lin MI, Lin HC. Herpes zoster during varicella. Pediatr Infect Dis J2001; 20(9):915-6.
McLeod R. Management information systems. 7th Ed. New YorkPrentice Hall; 1998.23. TurbanNew Jersey: John wiley & Sons; 2005.
oali M,Aminnaseri M,Nasiri M.DESderma:An intelligent system to diagnose skin disease. Proceedings of the 10th computer socity of Iran conference: 1383 bahman 27-29: Tehran,Iran.
Petersson CL, Mascola L, Chao SL, et al. Children hospitalized for varicella: a prevaccine review.J Pediatr 1996;129(4):529-36.
Power D, Decision support system: concepts and resources for managers. Greenwood Publishing Group; 2002.
Sadoughi f, Sheikhtacheri A. Application of artificial intelligence in medicine: opportunitiesand challenges.Journal of Health Adminisreation. 2011; 8(3):350-355.
Sadoughi F, Sheikhtaheri A, Meidani Z, Shahmoradi L. Management information system (concepts,structure,development and evaluation): jafaripub; 1389:176-177
Sadoughi F. Decision Support system in health. Proceedings of the 3rd Health ManagementCongress: Fara Organization; 2009 Jan 18-19; Tehran, Iran; 2009.
Sauerbrei A, Eichhorn U, Schacke M, WutzlerP. Laboratory diagnosis of herpes zoster. J ClinVirol 1999; 14:31-6.
Sheikhtaheri A. Application of expert systems in clinical decisions, Proceedings of the 2nd Heaith Management ongress: Fara Organization; 2008 Oct 29-30; Tehran, Iran; 2008.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
Takayama N, Takayama M, Takita J. Herpes zoster in healthy children immunized with varicella
Toloie Ashlaqi A, Mohsen Taheri S. Designing an expert system for suggesting the blood cancer treatment. Journal of Health Administration. 2010; 13(40):32-50.
Torres A, Nieto JJ. Fuzzy logic in medicine and bioinformatics. Journal of Biomedicine and biotechnology. 2006.
Tunsuriyawong S, Puavilai S. Herpes Zoster, Clinical Course and Associated Diseases: A 5-year retrospective study at Ramthibodi hospital. J Med Assoc Thai, 2005; 88(5):678-81.
Turban E, Aronson JE, Liang Tp. Decision Support systems and intelligent systems7thed. New York: Prentice Hall; 2005.
Velda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
William D.James et al. Andrews "Disease of the skin clinical Dermatology" 2011; 372.
.
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