Skip to main content
Proceedings of the Annual Symposium on Computer Application in Medical Care logoLink to Proceedings of the Annual Symposium on Computer Application in Medical Care
. 1977 Oct 5:204–210.

Computer-Aided and Computer-Simulated Medical Diagnosis

G Bordage, A Elstein, J Vinsonhaler, C Wagner
PMCID: PMC2464560

Abstract

Computer technology can benefit medical diagnosis in two respects: i) as a diagnostic aid for the physician, i.e., computer-aided diagnosis, or ii) as a simulation device for the study of diagnostic reasoning, i.e., computer-simulated medical diagnosis. This presentation clarifies the distinction between these two applications and their relationship to a number of research paradigms in the study of human thinking, namely decision-making, judgment, and problem solving. It is argued that research aimed at improving medical diagnosis by means of computer-aided computations may not necessarily reproduce the steps in the reasoning process of the physician, which is the proper study of computer-simulated diagnosis.

Full text

PDF
204

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Goldberg L. R. Simple models or simple processes? Some research on clinical judgments. Am Psychol. 1968 Jul;23(7):483–496. doi: 10.1037/h0026206. [DOI] [PubMed] [Google Scholar]
  2. 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]
  3. Hoffman P. J., Slovic P., Rorer L. G. An analysis-of-variance model for the assessment of configural cue utilization in clinical judgment. Psychol Bull. 1968 May;69(5):338–349. doi: 10.1037/h0025665. [DOI] [PubMed] [Google Scholar]
  4. Lipkin M., Engle l J. R., Flehinger B. J., Gerstman L. J., Atamer M. A. Computer-aided differential diagnosis of hematologic diseases. Ann N Y Acad Sci. 1969 Sep 30;161(2):670–679. doi: 10.1111/j.1749-6632.1969.tb34098.x. [DOI] [PubMed] [Google Scholar]
  5. OVERALL J. E., WILLIAMS J. M. Conditional probability program for diagnosis of thyroid function. JAMA. 1963 Feb 2;183:307–313. doi: 10.1001/jama.1963.03700050039009. [DOI] [PubMed] [Google Scholar]
  6. Pliskin J. S., Beck C. H. Decision analysis in individual clinical decision making: a real-world application in treatment of renal disease. Methods Inf Med. 1976 Jan;15(1):43–46. [PubMed] [Google Scholar]
  7. Safran C., Desforges J. F., Tsichlis P. N., Bluming A. Z. Decision analysis to evaluate lymphangiography in the management of patients with Hodgkin's disease. N Engl J Med. 1977 May 12;296(19):1088–1092. doi: 10.1056/NEJM197705122961904. [DOI] [PubMed] [Google Scholar]
  8. Schwartz W. B., Gorry G. A., Kassirer J. P., Essig A. Decision analysis and clinical judgment. Am J Med. 1973 Oct;55(3):459–472. doi: 10.1016/0002-9343(73)90203-9. [DOI] [PubMed] [Google Scholar]
  9. WARNER H. R., TORONTO A. F., VEASEY L. G., STEPHENSON R. A mathematical approach to medical diagnosis. Application to congenital heart disease. JAMA. 1961 Jul 22;177:177–183. doi: 10.1001/jama.1961.03040290005002. [DOI] [PubMed] [Google Scholar]

Articles from Proceedings of the Annual Symposium on Computer Application in Medical Care are provided here courtesy of American Medical Informatics Association

RESOURCES