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PubMed1999

A prognostic computer model to individually predict post-procedural complications in interventional cardiology: the INTERVENT Project.

AIMS: The purpose of this part of the INTERVENT project was (1) to redefine and individually predict post-procedural complications associated with coronary interventions, including alternative/adjunctive techniques to PTCA and (2) to employ the prognostic INTERVENT computer model to clarify the structural relationship between (pre)-procedural risk factors and post-procedural outcome. METHODS AND RESULTS: In a multicentre study, 2500 data items of 455 consecutive patients (mean age: 61.1+/-8.3 years: 33-84 years) undergoing coronary interventions at three university centres were analysed. 80.4% of the patients were male, 16.7% had unstable angina, and 5.1%/10.1% acute/subacute myocardial infarction. There were multiple or multivessel stenoses in 16.0%, vessel bending >90 degrees in 14.5%, irregular vessel contours in 65.0%, moderate calcifications in 20.9%, moderate/severe vessel tortuosity in 53.2% and a diameter stenosis of 90%-99% in 44.4% of cases. The in-lab (out-of-lab) complications were: 0.4% (0.9%) death, 1.8% (0.2%) abrupt vessel closure with myocardial infarction and 5.5% (4.0) haemodynamic disorders. CONCLUSION: Computer algorithms derived from artificial intelligence were able to predict the individual risk of these post-procedural complications with an accuracy of >95% and to explain the structural relationship between risk factors and post-procedural complications. The most important prognostic factors were: heart failure (NYHA class), use of adjunctive/alternative techniques (rotablation, atherectomy, laser), acute coronary ischaemia, pre-existent cardiac medication, stenosis length, stenosis morphology (calcification), gender, age, amount of contrast agent and smoker status. Pre-medication with aspirin or other cardiac medication had a beneficial effect. Techniques, such as laser angioplasty or atherectomy were predictors for post-procedural complications. Single predictors alone were not able to describe the individual outcome completely.

Adult↗
PubMed1984

Computer-assisted decision making in medicine.

This article reviews the strengths and limitations of five major paradigms of medical computer-assisted decision making (CADM): (1) clinical algorithms, (2) statistical analysis of collections of patient data, (3) mathematical models of physical processes, (4) decision analysis, and (5) symbolic reasoning or artificial intelligence (AI). No one technique is best for all applications, and there is recent promising work which combines two or more established techniques. We emphasize both the inherent power of symbolic reasoning and the promise of artificial intelligence and the other techniques to complement each other.

Computers↗
PubMed2004

Computerized tongue diagnosis based on Bayesian networks.

Tongue diagnosis is an important diagnostic method in traditional Chinese medicine (TCM). However, due to its qualitative, subjective and experience-based nature, traditional tongue diagnosis has a very limited-application in clinical medicine. Moreover, traditional tongue diagnosis is always concerned with the identification of syndromes rather than with the connection between tongue abnormal appearances and diseases. This is not well understood in Western medicine, thus greatly obstruct its wider use in the world. In this paper, we present a novel computerized tongue inspection method aiming to address these problems. First, two kinds of quantitative features, chromatic and textural measures, are extracted from tongue images by using popular digital image processing techniques. Then, Bayesian networks are employed to model the relationship between these quantitative features and diseases. The effectiveness of the method is tested on a group of 455 patients affected by 13 common diseases as well as other 70 healthy volunteers, and the diagnostic results predicted by the previously trained Bayesian network classifiers are reported.

Artificial Intelligence↗
PubMed2006

A new way for multidimensional medical data management: volume of interest (VOI)-based retrieval of medical images with visual and functional features.

The advances in digital medical imaging and storage in integrated databases are resulting in growing demands for efficient image retrieval and management. Content-based image retrieval (CBIR) refers to the retrieval of images from a database, using the visual features derived from the information in the image, and has become an attractive approach to managing large medical image archives. In conventional CBIR systems for medical images, images are often segmented into regions which are used to derive two-dimensional visual features for region-based queries. Although such approach has the advantage of including only relevant regions in the formulation of a query, medical images that are inherently multidimensional can potentially benefit from the multidimensional feature extraction which could open up new opportunities in visual feature extraction and retrieval. In this study, we present a volume of interest (VOI) based content-based retrieval of four-dimensional (three spatial and one temporal) dynamic PET images. By segmenting the images into VOIs consisting of functionally similar voxels (e.g., a tumor structure), multidimensional visual and functional features were extracted and used as region-based query features. A prototype VOI-based functional image retrieval system (VOI-FIRS) has been designed to demonstrate the proposed multidimensional feature extraction and retrieval. Experimental results show that the proposed system allows for the retrieval of related images that constitute similar visual and functional VOI features, and can find potential applications in medical data management, such as to aid in education, diagnosis, and statistical analysis.

Algorithms↗
PubMed2004

Adaptive hybrid control for linear piezoelectric ceramic motor drive using diagonal recurrent CMAC network.

This paper presents an adaptive hybrid control system using a diagonal recurrent cerebellar-model-articulation-computer (DRCMAC) network to control a linear piezoelectric ceramic motor (LPCM) driven by a two-inductance two-capacitance (LLCC) resonant inverter. Since the dynamic characteristics and motor parameters of the LPCM are highly nonlinear and time varying, an adaptive hybrid control system is therefore designed based on a hypothetical dynamic model to achieve high-precision position control. The architecture of DRCMAC network is a modified model of a cerebellar-model-articulation-computer (CMAC) network to attain a small number of receptive-fields. The novel idea of this study is that it employs the concept of diagonal recurrent neural network (DRNN) in order to capture the system dynamics and convert the static CMAC into a dynamic one. This adaptive hybrid control system is composed of two parts. One is a DRCMAC network controller that is used to mimic a conventional computed torque control law due to unknown system dynamics, and the other is a compensated controller with bound estimation algorithm that is utilized to recover the residual approximation error for guaranteeing the stable characteristic. The effectiveness of the proposed driving circuit and control system is verified with hardware experiments under the occurrence of uncertainties. In addition, the advantages of the proposed control scheme are indicated in comparison with a traditional integral-proportional (IP) position control system.

Algorithms↗
PubMed2006

A softmin-based neural model for causal reasoning.

This paper extends a neural model for causal reasoning to mechanize the monotonic class. Hence, the resulting model is able to solve multiple, varied causal problems in the open, independent, incompatibility and monotonic classes. First, additivity between causes is formalized as a fuzzy AND-ing process. Second, an activation mechanism called the "softmin" is developed to solve additive interactions. Third, the softmin is implemented within a neural architecture. Experimental results on real-world and artificial problems reveal a good performance of the model and should stimulate future research.

Algorithms↗
PubMed2006

Learning tactical human behavior through observation of human performance.

It is widely accepted that the difficulty and expense involved in acquiring the knowledge behind tactical behaviors has been one limiting factor in the development of simulated agents representing adversaries and teammates in military and game simulations. Several researchers have addressed this problem with varying degrees of success. The problem mostly lies in the fact that tactical knowledge is difficult to elicit and represent through interactive sessions between the model developer and the subject matter expert. This paper describes a novel approach that employs genetic programming in conjunction with context-based reasoning to evolve tactical agents based upon automatic observation of a human performing a mission on a simulator. In this paper, we describe the process used to carry out the learning. A prototype was built to demonstrate feasibility and it is described herein. The prototype was rigorously and extensively tested. The evolved agents exhibited good fidelity to the observed human performance, as well as the capacity to generalize from it.

Algorithms↗
PubMed2006

Balancing search and target response in cooperative unmanned aerial vehicle (UAV) teams.

This paper considers a heterogeneous team of cooperating unmanned aerial vehicles (UAVs) drawn from several distinct classes and engaged in a search and action mission over a spatially extended battlefield with targets of several types. During the mission, the UAVs seek to confirm and verifiably destroy suspected targets and discover, confirm, and verifiably destroy unknown targets. The locations of some (or all) targets are unknown a priori, requiring them to be located using cooperative search. In addition, the tasks to be performed at each target location by the team of cooperative UAVs need to be coordinated. The tasks must, therefore, be allocated to UAVs in real time as they arise, while ensuring that appropriate vehicles are assigned to each task. Each class of UAVs has its own sensing and attack capabilities, so the need for appropriate assignment is paramount. In this paper, an extensive dynamic model that captures the stochastic nature of the cooperative search and task assignment problems is developed, and algorithms for achieving a high level of performance are designed. The paper focuses on investigating the value of predictive task assignment as a function of the number of unknown targets and number of UAVs. In particular, it is shown that there is a tradeoff between search and task response in the context of prediction. Based on the results, a hybrid algorithm for switching the use of prediction is proposed, which balances the search and task response. The performance of the proposed algorithms is evaluated through Monte Carlo simulations.

Aircraft↗
PubMed2006

Robustly stable adaptive control of a tandem of master-slave robotic manipulators with force reflection by using a multiestimation scheme.

The problem of controlling a tandem of robotic manipulators composing a teleoperation system with force reflection is addressed in this paper. The final objective of this paper is twofold: 1) to design a robust control law capable of ensuring closed-loop stability for robots with uncertainties and 2) to use the so-obtained control law to improve the tracking of each robot to its corresponding reference model in comparison with previously existing controllers when the slave is interacting with the obstacle. In this way, a multiestimation-based adaptive controller is proposed. Thus, the master robot is able to follow more accurately the constrained motion defined by the slave when interacting with an obstacle than when a single-estimation-based controller is used, improving the transparency property of the teleoperation scheme. The closed-loop stability is guaranteed if a minimum residence time, which might be updated online when unknown, between different controller parameterizations is respected. Furthermore, the analysis of the teleoperation and stability capabilities of the overall scheme is carried out. Finally, some simulation examples showing the working of the multiestimation scheme complete this paper.

Algorithms↗
PubMed2003

Accuracy-based learning classifier systems: models, analysis and applications to classification tasks.

Recently, Learning Classifier Systems (LCS) and particularly XCS have arisen as promising methods for classification tasks and data mining. This paper investigates two models of accuracy-based learning classifier systems on different types of classification problems. Departing from XCS, we analyze the evolution of a complete action map as a knowledge representation. We propose an alternative, UCS, which evolves a best action map more efficiently. We also investigate how the fitness pressure guides the search towards accurate classifiers. While XCS bases fitness on a reinforcement learning scheme, UCS defines fitness from a supervised learning scheme. We find significant differences in how the fitness pressure leads towards accuracy, and suggest the use of a supervised approach specially for multi-class problems and problems with unbalanced classes. We also investigate the complexity factors which arise in each type of accuracy-based LCS. We provide a model on the learning complexity of LCS which is based on the representative examples given to the system. The results and observations are also extended to a set of real world classification problems, where accuracy-based LCS are shown to perform competitively with respect to other learning algorithms. The work presents an extended analysis of accuracy-based LCS, gives insight into the understanding of the LCS dynamics, and suggests open issues for further improvement of LCS on classification tasks.

Algorithms↗
PubMed2006

Does ADHD in adults affect the relative accuracy of metamemory judgments?

OBJECTIVE: Prior research suggests that individuals with ADHD overestimate their performance across domains despite performing more poorly in these domains. The authors introduce measures of accuracy from the larger realm of judgment and decision making--namely, relative accuracy and calibration--to the study of self-evaluative judgment accuracy in adults with ADHD. METHOD: Twenty-eight adults with ADHD and 28 matched controls participate in a computer-administered paired-associate learning task and predict their future recall using immediate and delayed judgments of learning (JOLs). Retrospective confidence judgments are also collected. RESULTS: Groups perform equally in terms of judgment magnitude and absolute judgment accuracy as measured by discrepancy scores and calibration curves. Both groups benefit equally from making their JOL at a delay, and the group with ADHD show higher relative accuracy for delayed judgments. CONCLUSION: Results suggest that under certain circumstances, adults with ADHD can make accurate judgments about their future memory.

Adolescent↗
PubMed1999

Digital dentistry in the computer age.

BACKGROUND AND OVERVIEW: Computers are becoming an integral part of the practice of dentistry. Smaller, smarter and more ergonomic computing devices will support an increasing proportion of dental practice activities. Technology will make practice management more efficient, mainly by reducing transactional overhead. Educational software and intelligent assistants will increasingly support the needs for decision making in clinical practice. Research will benefit from automated tools for data acquisition, management and analysis. CONCLUSIONS: Dentistry must actively shape the application of technology. It can do this by developing a cadre of experts in dental informatics, relying on sound research principles, effectively disseminating best practices and developing strategic objectives for the implementation of technology. CLINICAL IMPLICATIONS: Computer technology is an essential ingredient for state-of-the-art patient care. Dentists must stay current with this rapidly developing field to make appropriate choices in their use of technology.

Computer Communication Networks↗
PubMed2002

Decisions, decisions: analysis of age, cohort, and time of testing on framing of risky decision options.

Decision making in uncertain environments is a daily challenge faced by adults of all ages. Framing decision options as either gains or losses is a common method of altering decision-making behavior. In the experiment reported here, benchmark decision-making data collected in the 1970s by Tversky and Kahneman (1981, 1988) were compared with data collected from current samples of young and older adults to determine whether behavior was consistent across time. Although differences did emerge between the benchmark and the present samples, the effect of framing on decision behavior was relatively stable. The present findings suggest that adults of all ages are susceptible to framing effects. Results also indicated that apparent age differences might be better explained by an analysis of cohort and time-of-testing effects. Actual or potential applications of this research include an understanding of how framing might influence the decision-making behavior of people of all ages in a number of applied contexts, such as product warning interactions and medical decision scenarios.

Adult↗
PubMedDate not supplied

Converting a rule-based expert system into a belief network.

The theory of belief networks offers a relatively new approach for dealing with uncertain information in knowledge-based (expert) systems. In contrast with the heuristic techniques for reasoning with uncertainty employed in many rule-based expert systems, the theory of belief networks is mathematically sound, based on techniques from probability theory. It therefore seems attractive to convert existing rule-based expert systems into belief networks. In this article we discuss the design of a belief network reformulation of the diagnostic rule-based expert system HEPAR. For the purpose of this experiment we have studied several typical pieces of medical knowledge represented in the HEPAR system. It turned out that, due to the differences in the type of knowledge represented and in the formalism used to represent uncertainty, much of the medical knowledge required for building the belief network concerned could not be extracted from HEPAR. As a consequence, significant additional knowledge acquisition was required. However, the objects and attributes defined in the HEPAR system, as well as the conditions in production rules mentioning these objects and attributes, were useful for guiding the selection of the statistical variables for building the belief network. The mapping of objects and attributes in HEPAR to statistical variables is discussed in detail.

Artificial Intelligence↗
PubMed1996

Research takes on a second life. Interview by John McCornack.

The health care industry is embracing the artificial intelligence concepts that Edward H. Shortliffe, M.D., developed in the 1970s. His current work on Web-based information dissemination may yield applications for the next century.

Artificial Intelligence↗