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A logic-based decision support system for the diagnosis of headache disorders according to the ICHD-3 international classification
Theory and Practice of Logic Programming ( IF 1.4 ) Pub Date : 2020-09-22 , DOI: 10.1017/s1471068420000290
ROBERTA COSTABILE , GELSOMINA CATALANO , BERNARDO CUTERI , MARIA CONCETTA MORELLI , NICOLA LEONE , MARCO MANNA

Decision support systems play an important role in medical fields as they can augment clinicians to deal more efficiently and effectively with complex decision-making processes. In the diagnosis of headache disorders, however, existing approaches and tools are still not optimal. On the one hand, to support the diagnosis of this complex and vast spectrum of disorders, the International Headache Society released in 1988 the International Classification of Headache Disorders (ICHD), now in its 3rd edition: a 200 pages document classifying more than 300 different kinds of headaches, where each is identified via a collection of specific nontrivial diagnostic criteria. On the other hand, the high number of headache disorders and their complex criteria make the medical history process inaccurate and not exhaustive both for clinicians and existing automatic tools. To fill this gap, we present head-asp, a novel decision support system for the diagnosis of headache disorders. Through a REST Web Service, head-asp implements a dynamic questionnaire that complies with ICHD-3 by exploiting two logical modules to reach a complete diagnosis while trying to minimize the total number of questions being posed to patients. Finally, head-asp is freely available on-line and it is receiving very positive feedback from the group of neurologists that is testing it.

中文翻译:

根据 ICHD-3 国际分类诊断头痛疾病的基于逻辑的决策支持系统

决策支持系统在医疗领域发挥着重要作用,因为它们可以增强临床医生更有效地处理复杂的决策过程。然而,在头痛疾病的诊断中,现有的方法和工具仍然不是最佳的。一方面,为了支持对这种复杂而广泛的疾病的诊断,国际头痛协会于 1988 年发布了国际头痛疾病分类 (ICHD),现在是第 3 版:一份 200 页的文件,对 300 多种不同的疾病进行了分类。各种头痛,其中每一种都是通过一组特定的非平凡诊断标准来识别的。另一方面,大量的头痛疾病及其复杂的标准使临床医生和现有自动工具的病史过程不准确且不详尽。为了填补这一空白,我们提出了 head-asp,一种用于诊断头痛疾病的新型决策支持系统。通过 REST Web 服务,head-asp 实现了一个动态问卷,该问卷符合ICHD-3通过利用两个逻辑模块来获得完整的诊断,同时尽量减少向患者提出的问题总数。最后,head-asp 可以在线免费获得,并且从正在测试它的神经学家小组那里得到了非常积极的反馈。
更新日期:2020-09-22
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