How accurate is computer-aided diagnosis?

A computer program for diagnosis of acute abdominal pain (CAD-A) was compared with an amended program (DIAG) and with clinical performance. The programs were tested at three Scottish hospitals, representing a range of practice, in 6962 cases. Accuracy of CAD-A lay in the range 48-59%, and of DIAG 56...

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Veröffentlicht in:The Lancet (British edition) Jg. 2; H. 8668; S. 905
1. Verfasser: Sutton, G C
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England 14.10.1989
Schlagworte:
Abdomen, Acute - diagnosis
Abdomen, Acute - epidemiology
Bayes Theorem
Clinical Competence - standards
Diagnosis, Computer-Assisted - methods
Diagnosis, Computer-Assisted - standards
Diagnosis, Differential
Evaluation Studies as Topic
Humans
Methods
Pain - etiology
Predictive Value of Tests
Prospective Studies
Retrospective Studies
Scotland - epidemiology
Software Design
Scotland
ISSN:0140-6736
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Zusammenfassung:A computer program for diagnosis of acute abdominal pain (CAD-A) was compared with an amended program (DIAG) and with clinical performance. The programs were tested at three Scottish hospitals, representing a range of practice, in 6962 cases. Accuracy of CAD-A lay in the range 48-59%, and of DIAG 56-62%. Clinical accuracy was constant at 65%. These figures suggest that computer systems based on Bayes' formula have no useful role in the diagnosis of acute abdominal pain.
Bibliographie:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
ISSN:0140-6736
DOI:10.1016/S0140-6736(89)91560-2