Fuzzy diagnosis

Starting from the pioneering publication of Lotfi Zadeh in 1965 [55], fuzzy sets have been applied to many fields in which uncertainty plays a key role. Medicine, often on the borderline between science and art, is an excellent exponent: vagueness, linguistic uncertainty, hesitation, measurement imprecision, natural diversity, subjectivity—all these are prominently present in medical diagnosis. While statistical uncertainty can be handled in a rigorous way, the treatment of non-statistical uncertainty is still a challenge [22]. For example, the non-statistical uncertainty in ‘high’, attributed to the blood pressure of a patient, is at least threefold: “ The patient. For a normally hypotonic patient ‘high’ blood pressure is something quite different from what it is for a normally hypertonic patient. “ The expert. Different experts have different opinions about what values of the variable blood pressure should be called ‘high’. “ The diagnostic problem. Definitions depend on the medical context. During anaesthesia for example, what is labelled ‘high’ blood pressure may well be ‘normal’ in another context.

[1]  M A Musen,et al.  Knowledge Engineering for Clinical Consultation Programs: Modeling the Application Area , 1989, Methods of Information in Medicine.

[2]  L. Duckstein,et al.  Fuzzy classification of patient state with application to electrodiagnosis of peripheral polyneuropathy , 1995, IEEE Transactions on Biomedical Engineering.

[3]  J M Goldman,et al.  Advanced clinical monitoring: considerations for real-time hemodynamic diagnostics. , 1994, Proceedings. Symposium on Computer Applications in Medical Care.

[4]  E S Gelsema Pattern recognition and artificial intelligence in medical research and clinical practice. , 1989, Methods of information in medicine.

[5]  J.W. Huang,et al.  Multiple-drug hemodynamic control using fuzzy decision theory , 1998, IEEE Transactions on Biomedical Engineering.

[6]  Jörg Petersen,et al.  Similarity of fuzzy data in a case-based fuzzy system in anaesthesia , 1997, Fuzzy Sets Syst..

[7]  C Hughes The representation of uncertainty in medical expert systems. , 1989, Medical informatics = Medecine et informatique.

[8]  Adolf Grauel,et al.  ECG Diagnostics by Fuzzy Decision Making , 1998, Int. J. Uncertain. Fuzziness Knowl. Based Syst..

[9]  Manfred Glesner,et al.  Determination of target volumes for three-dimensional radiotherapy of cancer patients with a fuzzy system , 1997, Fuzzy Sets Syst..

[10]  R. Biswas,et al.  I-v fuzzy relations and Sanchez's approach for medical diagnosis , 1992 .

[11]  Robert Ivor John,et al.  Application of the fuzzy ART/MAP and MinMax/MAP neural network models to radiographic image classification , 1997, Artif. Intell. Medicine.

[12]  Mahantapas Kundu,et al.  A knowledge-based approach to ECG interpretation using fuzzy logic , 1998, IEEE Trans. Syst. Man Cybern. Part B.

[13]  M. Fathi-Torbaghan,et al.  MEDUSA: A Fuzzy Expert System for Medical Diagnosis of Acute Abdominal Pain , 1994, Methods of Information in Medicine.

[14]  C. Frei,et al.  Fuzzy Logic Control of Mechanical Ventilation during Anesthesia , 1997 .

[15]  Didier Dubois,et al.  The three semantics of fuzzy sets , 1997, Fuzzy Sets Syst..

[16]  F.M. Ham,et al.  Classification of cardiac arrhythmias using fuzzy ARTMAP , 1996, IEEE Transactions on Biomedical Engineering.

[17]  A. Esogbue,et al.  Measurement and valuation of a fuzzy mathematical model for medical diagnosis , 1983 .

[18]  Jerald E. Maiers Fuzzy Set Theory and Medicine: The First Twenty Years and Beyond. , 1985 .

[19]  K S Cheng,et al.  Segmentation of multispectral magnetic resonance image using penalized fuzzy competitive learning network. , 1996, Computers and biomedical research, an international journal.

[20]  Andrea Schenone,et al.  A fuzzy clustering based segmentation system as support to diagnosis in medical imaging , 1999, Artif. Intell. Medicine.

[21]  Klaus-Peter Adlassnig,et al.  Fuzzy Set Theory in Medical Diagnosis , 1986, IEEE Transactions on Systems, Man, and Cybernetics.

[22]  R. J. Guo Fuzzy Match and Floating Threshold Strategy for Expert System in Traditional Chinese Medicine , 1983 .

[23]  A J Asbury,et al.  Fuzzy logic: new ways of thinking for anaesthesia. , 1995, British journal of anaesthesia.

[24]  Petr Hájek,et al.  CADIAG-2 and MYCIN-like systems , 1997, Artif. Intell. Medicine.

[25]  Nicolino J. Pizzi,et al.  Fuzzy pre-processing of gold standards as applied to biomedical spectra classification , 1999, Artif. Intell. Medicine.

[26]  Wei Qian,et al.  Wavelet-based neural network with fuzzy-logic adaptivity for nuclear image restoration , 1996 .

[27]  Derek A. Linkens,et al.  Self-Learning Fuzzy Logic Control in Medicine , 1997, AIME.

[28]  L O Hall,et al.  Review of MR image segmentation techniques using pattern recognition. , 1993, Medical physics.

[29]  J. Sau,et al.  Automated detection of the left ventricular region in gated nuclear cardiac imaging , 1996, IEEE Transactions on Biomedical Engineering.

[30]  M. Vila,et al.  On medical diagnosis using possibility measures , 1983 .

[31]  Pietro Torasso,et al.  Fuzzy characterization of coronary disease , 1981 .

[32]  T Sugiura,et al.  A self-tuning effect of membership functions in a fuzzy-logic-based cardiac pacing system. , 1998, Journal of medical engineering & technology.

[33]  L M Sztandera,et al.  A neuro-fuzzy algorithm for diagnosis of coronary artery stenosis. , 1996, Computers in biology and medicine.

[34]  James F. Baldwin,et al.  Medical diagnosis from patient records—a method using fuzzy discrimination and connectivity analyses , 1987 .

[35]  S. Kanda,et al.  Application of fuzzy reasoning in an expert system for ultrasonography. , 1997, Dento maxillo facial radiology.

[36]  Robert F. Harrison,et al.  Application of the fuzzy ARTMAP neural network model to medical pattern classification tasks , 1996, Artif. Intell. Medicine.

[37]  James C. Bezdek,et al.  A comparison of neural network and fuzzy clustering techniques in segmenting magnetic resonance images of the brain , 1992, IEEE Trans. Neural Networks.

[38]  Jens Strackeljan,et al.  Fuzzy-pattern recognition for automatic detection of different teeth substances , 1997, Fuzzy Sets Syst..

[39]  Richard W. Jones,et al.  Diagnostic monitoring in anaesthesia using fuzzy trend templates for matching temporal patterns , 1999, Artif. Intell. Medicine.

[40]  Marie-Christine Jaulent,et al.  An algorithm for the segmentation of grey-level medical images , 1995 .

[41]  K. Adlassnig,et al.  Development and evaluation of fuzzy criteria for the diagnosis of rheumatoid arthritis. , 1996, Methods of information in medicine.

[42]  R.J. Roy,et al.  Multiple drug hemodynamic control by means of a supervisory-fuzzy rule-based adaptive control system: validation on a model , 1995, IEEE Transactions on Biomedical Engineering.

[43]  E. Sanchez,et al.  Inverses of fuzzy relations: Application to possibility distributions and medical diagnosis , 1977, 1977 IEEE Conference on Decision and Control including the 16th Symposium on Adaptive Processes and A Special Symposium on Fuzzy Set Theory and Applications.

[44]  A Nebot,et al.  Mixed quantitative/qualitative modeling and simulation of the cardiovascular system. , 1998, Computer methods and programs in biomedicine.

[45]  Tardi Tjahjadi,et al.  Cadosa: A fuzzy expert system for differential diagnosis of obstructive sleep apnoea and related conditions , 1997 .