Abstract
Artificial neural networks are established analytical methods in bio-medical research. They have repeatedly outperformed traditional tools for pattern recognition and clinical outcome prediction while assuring continued adaptation and learning. However, successful experimental neural networks systems seldom reach a production state. That is, they are not incorporated into clinical information systems. It could be speculated that neural networks simply must undergo a lengthy acceptance process before they become part of the day to day operations of health care systems. However, our experience trying to incorporate experimental neural networks into information systems lead us to believe that there are technical and operational barriers that greatly difficult neural network implementation. A solution for these problems may be the delineation of policies and procedures for neural network implementation and the development a new class of neural network client/server applications that fit the needs of current clinical information systems.
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Selected References
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- Becker R. L., Jr Applications of neural networks in histopathology. Pathologica. 1995 Jun;87(3):246–254. [PubMed] [Google Scholar]
- Florio T., Einfeld S., Levy F. Neural networks and psychiatry: candidate applications in clinical decision making. Aust N Z J Psychiatry. 1994 Dec;28(4):651–666. doi: 10.1080/00048679409080789. [DOI] [PubMed] [Google Scholar]
- Forsström J. J., Dalton K. J. Artificial neural networks for decision support in clinical medicine. Ann Med. 1995 Oct;27(5):509–517. doi: 10.3109/07853899509002462. [DOI] [PubMed] [Google Scholar]
- Galletly C. A., Clark C. R., McFarlane A. C. Artificial neural networks: a prospective tool for the analysis of psychiatric disorders. J Psychiatry Neurosci. 1996 Jul;21(4):239–247. [PMC free article] [PubMed] [Google Scholar]
- Itchhaporia D., Snow P. B., Almassy R. J., Oetgen W. J. Artificial neural networks: current status in cardiovascular medicine. J Am Coll Cardiol. 1996 Aug;28(2):515–521. doi: 10.1016/0735-1097(96)00174-X. [DOI] [PubMed] [Google Scholar]
- León M. A., Räsänen J., Mangar D. Neural network-based detection of esophageal intubation. Anesth Analg. 1994 Mar;78(3):548–553. [PubMed] [Google Scholar]
- León M. A., Räsänen J. Neural network-based detection of esophageal intubation in anesthetized patients. J Clin Monit. 1996 Mar;12(2):165–169. doi: 10.1007/BF02078138. [DOI] [PubMed] [Google Scholar]
- Montague G., Morris J. Neural-network contributions in biotechnology. Trends Biotechnol. 1994 Aug;12(8):312–324. doi: 10.1016/0167-7799(94)90048-5. [DOI] [PubMed] [Google Scholar]
- Reggia J. A. Neural computation in medicine. Artif Intell Med. 1993 Apr;5(2):143–157. doi: 10.1016/0933-3657(93)90014-t. [DOI] [PubMed] [Google Scholar]
