How to Combine CBR and RBR for Diagnosing Multiple Medical Disorder Cases

Multiple disorders are a daily problem in medical diagnosis and treatment, but most expert systems make an implicit assumption that only single disorder occurs in a single patient. We show the need for performing multiple disorder diagnosing, then inspired by the common idea of combining CBR with Rule-based Reasoning, we present a hybrid approach for diagnosing multiple faults. We applied our hybrid reasoning approach to two medical casebases taken from real world applications demonstrating the promise of the approach. The method could also be applied to other multiple fault domains, e.g. car failure diagnosis.

[1]  Ralph Bergmann,et al.  Techniques and Knowledge Used for Adaptation During Case-Based Problem Solving , 1998, IEA/AIE.

[2]  Edward H. Shortliffe,et al.  Rule Based Expert Systems: The Mycin Experiments of the Stanford Heuristic Programming Project (The Addison-Wesley series in artificial intelligence) , 1984 .

[3]  Yeona Jang,et al.  HYDI: a hybrid system with feedback for diagnosing multiple disorders , 1993 .

[4]  Luc Lamontagne,et al.  Case-Based Reasoning Research and Development , 1997, Lecture Notes in Computer Science.

[5]  David J. Israel,et al.  Tuning Rules by Cases , 1993, EWCBR.

[6]  Wai Yat Wong,et al.  A knowledge-based framework for clinical incident management , 1999 .

[7]  Frank Puppe,et al.  Case-Based Approaches for Diagnosing Multiple Disorders , 2004, FLAIRS.

[8]  J. Reggia,et al.  Abductive Inference Models for Diagnostic Problem-Solving , 1990, Symbolic Computation.

[9]  Koton Phyllis,et al.  Using experience in learning and problem solving , 1988 .

[10]  H. Hamilton,et al.  The Nature and Characteristics of Psychiatric Comorbidity in Incarcerated Adolescents , 1998, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[11]  Leon Sterling,et al.  Integrating Case‐Based and Rule‐Based Reasoning to Meet Multiple Design Constraints , 1999, Comput. Intell..

[12]  H. E. Pople,et al.  Internist-I, an Experimental Computer-Based Diagnostic Consultant for General Internal Medicine , 1982 .

[13]  David Leake,et al.  Combining Rules and Cases to Learn Case Adaptation , 1995 .

[14]  Hanna Wasyluk,et al.  Extension of the HEPAR II Model to Multiple-Disorder Diagnosis , 2000, Intelligent Information Systems.

[15]  Lucila Ohno-Machado,et al.  A genetic algorithm approach to multi-disorder diagnosis , 2000, Artif. Intell. Medicine.

[16]  Tony R. Martinez,et al.  Improved Heterogeneous Distance Functions , 1996, J. Artif. Intell. Res..

[17]  Koen Vanhoof,et al.  Integration Rules and Cases for the Classification Task , 1995, ICCBR.

[18]  Barry Smyth,et al.  Advances in Case-Based Reasoning , 1996, Lecture Notes in Computer Science.

[19]  Paul S. Rosenbloom,et al.  Improving Rule-Based Systems Through Case-Based Reasoning , 1991, AAAI.

[20]  Frank Puppe,et al.  A Diagnostic Expert System for Structured Reports, Quality Assessment, and Training of Residents in Sonography , 2004, Medizinische Klinik.

[21]  Frank Puppe,et al.  Inductive Learning for Case-Based Diagnosis with Multiple Faults , 2002, ECCBR.

[22]  Frank Puppe,et al.  Evaluation of two Strategies for Case-Based Diagnosis handling Multiple Faults , 2003, Wissensmanagement.

[23]  L. Karl Branting,et al.  Integrating Cases and Models Through Approximate-Model-Based Adaptation 1 , 1998 .

[24]  Upendra Dave,et al.  Probabilistic Reasoning and Bayesian Belief Networks , 1996 .

[25]  Stefan Wess,et al.  Topics in Case-Based Reasoning , 1994 .

[26]  Raymond J. Mooney,et al.  Inductive Learning For Abductive Diagnosis , 1994, AAAI.

[27]  Frank Puppe,et al.  Quality Measures for Semi-Automatic Learning of Simple Diagnostic Rule Bases , 2004 .

[28]  Frank Puppe,et al.  Quality Measures and Semi-automatic Mining of Diagnostic Rule Bases , 2004, INAP/WLP.

[29]  Rainer Schmidt,et al.  CBR in Medicine , 1998, Case-Based Reasoning Technology.

[30]  Bruce G. Buchanan,et al.  The MYCIN Experiments of the Stanford Heuristic Programming Project , 1985 .