Tuberculosis–Diagnostic Expert System: An architecture for translating patients information from the web for use in tuberculosis diagnosis

Abstract Over 1.5–2 million tuberculosis deaths occur annually. Medical professionals are faced with a lot of challenges in delivering good health-care with unassisted automation in hospitals where there are several patients who need the doctor’s attention. To automate the pre-laboratory screening process against tuberculosis infection to aid diagnosis and make it fast and accessible to the public via the Internet. The expert system we have built is designed to also take care of people who do not have access to medical experts, but would want to check their medical status. A rule-based approach has been used, and unified modeling language and the client–server architecture technique were applied to model the system and to develop it as a web-based expert system for tuberculosis diagnosis. Algorithmic rules in the Tuberculosis–Diagnosis Expert System necessitate decision coverage where tuberculosis is either suspected or not suspected. The architecture consists of a rule base, knowledge base, and patient database. These units interact with the inference engine, which receives patient’ data through the Internet via a user interface. We present the architecture of the Tuberculosis–Diagnosis Expert System and its implementation. We evaluated it for usability to determine the level of effectiveness, efficiency and user satisfaction. The result of the usability evaluation reveals that the system has a usability of 4.08 out of a scale of 5. This is an indication of a more-than-average system performance. Several existing expert systems have been developed for the purpose of supporting different medical diagnoses, but none is designed to translate tuberculosis patients’ symptomatic data for online pre-laboratory screening. Our Tuberculosis–Diagnosis Expert System is an effective solution for the implementation of the needed web-based expert system diagnosis

Implementation of XpertMalTyph: An Expert System for Medical Diagnosis of the Complications of Malaria and Typhoid

The dearth of medical experts in the developing world has subjected a large percentage of its populace to preventable ailments and deaths. Also, because of the predominant rural communities, the few medical experts that are available always opt for practice in the few urban cities. This consequently puts the rural communities at a disadvantage with respect to access to quality health care services. In this work, we designed and implemented XpertMalTyph; a novel medical diagnostic expert system for the various kinds of malaria and typhoid complications. A medical diagnostic expert system uses computer(s) to simulate medical doctor skills in diagnosis of ailments and prescription of treatments, hence can be used to provide the same service in the absence of the experts. XpertMalTyph is based on JESS (Java Expert System Shell) programming because of its robust inference engine and rules for implementing expert system

Revolutionizing Healthcare: The Role of AI-Based Medical Expert Systems in Building a Better Future

Modern society has an increasing need for better architecture and medical care. However, this difficulty is not sufficiently addressed by present medical architecture. The Medicinal Expert technique can be used to help persons in need in order to address this issue. A tremendous amount of medical data, including patient medical histories, records, and new medications, can be managed and maintained using this technology. It can help with decision-making and fill in for specialists when they are not present. The Medicinal Expert approach is a complex computer software system that generates forecasts using empirical data and expert knowledge. Based on the available training data and knowledge base, these systems function intelligently. Additionally, there are numerous Medical Expert System tools that support clinicians, help with diagnosis, and are crucial for instructing medical students. In this study, we introduce an AI-based Medical Expert System, its features, and its potential to help patients and medical students. We also go through some key findings from recent and prior research on expert systems, as well as how these systems can make the world a better place

End-to-End Knowledge-Routed Relational Dialogue System for Automatic Diagnosis

Beyond current conversational chatbots or task-oriented dialogue systems that have attracted increasing attention, we move forward to develop a dialogue system for automatic medical diagnosis that converses with patients to collect additional symptoms beyond their self-reports and automatically makes a diagnosis. Besides the challenges for conversational dialogue systems (e.g. topic transition coherency and question understanding), automatic medical diagnosis further poses more critical requirements for the dialogue rationality in the context of medical knowledge and symptom-disease relations. Existing dialogue systems (Madotto, Wu, and Fung 2018; Wei et al. 2018; Li et al. 2017) mostly rely on data-driven learning and cannot be able to encode extra expert knowledge graph. In this work, we propose an End-to-End Knowledge-routed Relational Dialogue System (KR-DS) that seamlessly incorporates rich medical knowledge graph into the topic transition in dialogue management, and makes it cooperative with natural language understanding and natural language generation. A novel Knowledge-routed Deep Q-network (KR-DQN) is introduced to manage topic transitions, which integrates a relational refinement branch for encoding relations among different symptoms and symptom-disease pairs, and a knowledge-routed graph branch for topic decision-making. Extensive experiments on a public medical dialogue dataset show our KR-DS significantly beats state-of-the-art methods (by more than 8% in diagnosis accuracy). We further show the superiority of our KR-DS on a newly collected medical dialogue system dataset, which is more challenging retaining original self-reports and conversational data between patients and doctors.Comment: 8 pages, 5 figues, AAA

Developing An Expert System Framework for Supporting Diagnosis and Treatment of Dyspepsia and Gastric Cancer Disease Using Local Language

Dyspepsia is a pain of the upper abdominal and it has the problem of impaired digestion like abdominal disease or other abdominal disease, which has the symptoms of heartburn, nausea, and belching, upper abdominal fullness [1]. It also related to the problem of indigestion for a group of symptoms that cause pain in the abdomen, which affects at least 25% of the world population every year [2].  From related disease of dyspepsia, Gastric cancer is the stomach cancer that develops from the lining of the stomach that affects the cell of digestive system and it is the third leading cause of death worldwide [3]. Both dyspepsia and gastric cancer is diseases that affect gastrointestinal part of human body. Therefore, this type of disease requires timely diagnosis and treatment; otherwise it can cause death and other chronic diseases. In developing countries like Ethiopia, treatment option for dyspepsia and gastric cancer is not readily available which support medical professional and also there is a scarcity of medical professional, to address such medical problems a medical expert system can play a significant role, consequently, the main objective of this research study is to develop an expert system framework for supporting diagnosis and treatment of dyspepsia and gastric cancer using local language (Amharic language). To develop this medical expert system, knowledge was acquired using both structured and unstructured interview from domain expert which are selected using purposive sampling techniques from Arba Minch General Hospital, and from document analysis. Domain knowledge is modeled using decision tree and rule-based knowledge representation was used. This medical expert system is developed by using backward chaining to infer the rule and provide an appropriate diagnosis. Finally, the performance of the system was evaluated by preparing 15 test cases by provided to domain experts and for user acceptance test, users evaluate the system through nine criteria prepared by the researcher and the system has scored 80% system performance and 85.2% user acceptance this result shows that the study has a promising result that achieves the objective of the study. The researchers recommended that to apply data mining techniques and to extract the hidden knowledge. Keywords: Expert System, Dyspepsia and Gastric Cancer, Diagnosis, and Treatment. DOI: 10.7176/CEIS/12-1-03 Publication date: January 31st 202

Comparison of Expert System Building Tools: A Case Study of OPM and OpenRules Dialog

For designing an expert medicinal prescription system, rule base generation is required for storing the knowledge and implementing it for appropriate decision making. Such a rule base system can prove to be of significant help as ready reckoner to the medical practitioners� community to make the correct diagnosis. There are several tools available for building Rule Base knowledge system. In this paper, medical prescription system is designed by using two expert system building tools. The selection of the tools and their comparison is made by using certain criteria, so that it will facilitate the choice of the appropriate system

Virtual Medical Board: A Distributed Bayesian Agent Based Approach

Distributed Decision Making has become of increasing importance to get solution of different real life problems, where decision makers are in geographically dispersed locations. Application of agent and multi agent system in this Distributed Decision Support System is an evolving paradigm. One of such real life problem is medical diagnosis. For critical medical diagnosis, medical board is formed which is a coordinative discussion mechanism between a group of expert physicians to diagnose a patient. But always forming a medical board with a group of expert physicians may not be possible due to lack of infrastructure, availability, time etc. In that situation the role of multi agent based distributed decision making can comes into play. In this paper we develop a Virtual Medical Board System in which a number of software agents (expert agents) act as a group of expert physician with knowledge base(KB), reasoning capability. They coordinatively discuss with each other to diagnose a patieh each other to diagnose a patient. We represent the discussion module of the system in the form of Bayesian Network of Bayesian Agent (BNBA). In BNBA each BA is the expert software agent whose Knowledge Base (KB) is represented in the form of Bayesian Network (BN). Also the BDI (Belief, Desire, Intention) model of each BA is represented in this paper

Fuzzy Set Theory in Medicine

Fuzzy set theory has a number of properties that make it suitable for formalizing the uncertain information upon which medical diagnosis and treatment is usually based. Firstly, it allows us to define inexact medical entities as fuzzy sets. Secondly, it provides a linguistic approach with an excellent approximation to texts. Finally, fuzzy logic offers powerful reasoning methods capable of drawing approximate inferences. These facts suggest that fuzzy set theory might be a suitable basis for the development of a computerized diagnosis and treatment-recommendation system. This is borne out by trials performed with the medical expert system CADIAG-2, which uses fuzzy set theory to formalize medical relationships