Abstract
We distinguish axiomatically-based expert systems, whose design and implementation are guided by one or more axiomatically-base theories of decision-making (e.g., decision theory, Bayesian probability theory, maximum entropy theory), from traditional expert systems. An analysis of the knowledge acquisition and computational needs of axiomatically-based expert systems is presented. An explicit quantitative comparison is made between the actual knowledge acquisition effort required to build an existing expert system, and the effort that would be required to build an analogous axiomatically-based advice system. The costs and benefits of the axiomatic approach are discussed. The results suggest that the additional initial costs of knowledge acquisition for the axiomatic approach are outweighed by the long-term benefits this approach provides.
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Selected References
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- Beck J. R., Pauker S. G., Gottlieb J. E., Klein K., Kassirer J. P. A convenient approximation of life expectancy (the "DEALE"). II. Use in medical decision-making. Am J Med. 1982 Dec;73(6):889–897. doi: 10.1016/0002-9343(82)90787-2. [DOI] [PubMed] [Google Scholar]
- Dunn V. H., Pauker S. G. An ambiguous renal cyst in a patient with a prior nephrectomy: what to do when there is only one more to lose. Med Decis Making. 1986 Jan-Mar;6(1):49–62. doi: 10.1177/0272989X8600600109. [DOI] [PubMed] [Google Scholar]
- Gorry G. A., Kassirer J. P., Essig A., Schwartz W. B. Decision analysis as the basis for computer-aided management of acute renal failure. Am J Med. 1973 Oct;55(3):473–484. doi: 10.1016/0002-9343(73)90204-0. [DOI] [PubMed] [Google Scholar]
- Langlotz C. P., Fagan L. M., Tu S. W., Sikic B. I., Shortliffe E. H. A therapy planning architecture that combines decision theory and artificial intelligence techniques. Comput Biomed Res. 1987 Jun;20(3):279–303. doi: 10.1016/0010-4809(87)90059-0. [DOI] [PubMed] [Google Scholar]
- Lincoln T. L., Aroesty J., Meier G., Gross J. F. Computer simulation in the service of chemotherapy. Biomedicine. 1974 Jan;20(1):9–16. [PubMed] [Google Scholar]
- Miller R. A., Pople H. E., Jr, Myers J. D. Internist-1, an experimental computer-based diagnostic consultant for general internal medicine. N Engl J Med. 1982 Aug 19;307(8):468–476. doi: 10.1056/NEJM198208193070803. [DOI] [PubMed] [Google Scholar]
- Pauker S. G. Coronary artery surgery: the use of decision analysis. Ann Intern Med. 1976 Jul;85(1):8–18. doi: 10.7326/0003-4819-85-1-8. [DOI] [PubMed] [Google Scholar]
- Pauker S. P., Pauker S. G. Prenatal diagnosis: a directive approach to genetic counseling using decision analysis. Yale J Biol Med. 1977 May-Jun;50(3):275–289. [PMC free article] [PubMed] [Google Scholar]
- Rennels G. D., Shortliffe E. H., Miller P. L. Choice and explanation in medical management: a multiattribute model of artificial intelligence approaches. Med Decis Making. 1987 Jan-Mar;7(1):22–31. doi: 10.1177/0272989X8700700107. [DOI] [PubMed] [Google Scholar]
- Sackett D. L., Torrance G. W. The utility of different health states as perceived by the general public. J Chronic Dis. 1978;31(11):697–704. doi: 10.1016/0021-9681(78)90072-3. [DOI] [PubMed] [Google Scholar]
- Yu V. L., Fagan L. M., Wraith S. M., Clancey W. J., Scott A. C., Hannigan J., Blum R. L., Buchanan B. G., Cohen S. N. Antimicrobial selection by a computer. A blinded evaluation by infectious diseases experts. JAMA. 1979 Sep 21;242(12):1279–1282. [PubMed] [Google Scholar]
