A computational model of reasoning from the clinical literature
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abstract: This article explores the premise that a formalized representation of empirical studies can play a central role in coputer-based decision support. The specific motivations underlying this research include the following propositions: (1) Reasoning from experimental evidence contained in the clinical literature is central to the decisions physicians make in patient care. (2) A computational model based on a declarative representation for published reports of clinical studies can drive a computer program that selectively tailors knowledge of the clinical literature as it is applied to a particular case. (3) The development of such a computational model is an important first step toward filling a void in computer-based decision support systems. Furthermore, the model can help us better understand the general principles of reasoning from experimental evidence both in medicine and other domains. Roundsman is a developmental computer system that draws on structured representations of the clinical literature to critique plans for the mangement of primary breast cancer. Roundsman is able to produce patient-specific analyses of breast cancer-management options based on the 24 clinical studies currently encoded in its knowledge base. The Roundsman system is a first step in exploring how the computer can help bring a critical analysis of the relevant literature, structured around a particular patient and treatment decision to the physician.
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| Abstract | This article explores the premise that a f … This article explores the premise that a formalized representation of empirical studies can play a central role in coputer-based decision support. The specific motivations underlying this research include the following propositions: (1) Reasoning from experimental evidence contained in the clinical literature is central to the decisions physicians make in patient care. (2) A computational model based on a declarative representation for published reports of clinical studies can drive a computer program that selectively tailors knowledge of the clinical literature as it is applied to a particular case. (3) The development of such a computational model is an important first step toward filling a void in computer-based decision support systems. Furthermore, the model can help us better understand the general principles of reasoning from experimental evidence both in medicine and other domains. Roundsman is a developmental computer system that draws on structured representations of the clinical literature to critique plans for the mangement of primary breast cancer. Roundsman is able to produce patient-specific analyses of breast cancer-management options based on the 24 clinical studies currently encoded in its knowledge base. The Roundsman system is a first step in exploring how the computer can help bring a critical analysis of the relevant literature, structured around a particular patient and treatment decision to the physician. t and treatment decision to the physician. |
| Author | Glenn D. Rennels +, Edward H. Shortliffe +, Frank E. Stockdale +, and Perry L. Miller + |
| Bibtype | techreport + |
| Institution | Knowledge Systems, AI Laboratory + |
| Key | KSL-87-06 + |
| Month | Spring + |
| Number | KSL-87-06 + |
| Tag | Computer science + |
| Title | A Computational Model of Reasoning from the Clinical Literature + |
| Tr id | KSL-87-06 + |
| Year | 1987 + |
