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1.
J Med Syst ; 24(1): 43-52, 2000 Feb.
Article in English | MEDLINE | ID: mdl-10782443

ABSTRACT

Decision support systems that help physicians are becoming a very important part of medical decision making. They are based on different models and the best of them are providing an explanation together with an accurate, reliable, and quick response. One of the most viable among models are decision trees, already successfully used for many medical decision-making purposes. Although effective and reliable, the traditional decision tree construction approach still contains several deficiencies. Therefore we decided to develop and compare several decision support models using four different approaches. We took statistical analysis, a MtDeciT, in our laboratory developed tool for building decision trees with a classical method, the well-known C5.0 tool and a self-adapting evolutionary decision support model that uses evolutionary principles for the induction of decision trees. Several solutions were evolved for the classification of metabolic and respiratory acidosis (MRA). A comparison between developed models and obtained results has shown that our approach can be considered as a good choice for different kinds of real-world medical decision making.


Subject(s)
Decision Support Systems, Clinical , Decision Trees , Acidosis, Respiratory/blood , Acidosis, Respiratory/diagnosis , Acidosis, Respiratory/etiology , Algorithms , Child , Decision Support Systems, Clinical/organization & administration , Humans , Reproducibility of Results , Sensitivity and Specificity
2.
Stud Health Technol Inform ; 68: 676-81, 1999.
Article in English | MEDLINE | ID: mdl-10724976

ABSTRACT

Decision support systems that help physicians are becoming very important part of medical decision making. They are based on different models and the best of them are providing an explanation together with an accurate, reliable and quick response. One of the most viable among decision-making models is the concept of decision trees, already successfully used for many medical decision making purposes. Although effective and reliable, the traditional decision tree construction approach still contains several deficiencies. Therefore we decided to develop and compare several decision supporting models, each of them built with different discretization of attributes and decision classes. For the construction of decision trees we used MtDeciT, in our laboratory developed tool for building decision trees using the classical induction method. All solutions were evolved for determining the influence of basic properties of child and his/her parents to length of successful breastfeeding. A comparison between developed models and obtained results has shown that the way of discretization obviously plays a great role in the reliable and accurate real-world medical decision making.


Subject(s)
Decision Support Systems, Clinical , Decision Support Techniques , Decision Trees , Adult , Breast Feeding , Child Development , Female , Humans , Infant , Male , Prognosis
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