Biomedicine is an area in which computers have long been expected to play a significant
role. Although many of the early claims have proved unrealistic, computers are gradually
becoming accepted in the biomedical, clinical and research environment. Within these
application areas, expert systems appear to have met with the most resistance, especially
when applied to image interpretation.In order to improve the acceptance of computerised decision support systems it is
necessary to provide the information needed to make rational judgements concerning
the inferences the system has made. This entails an explanation of what inferences
were made, how the inferences were made and how the results of the inference are to
be interpreted. Furthermore there must be a consistent approach to the combining of
information from low level computational processes through to high level expert analyses.nformation from low level computational processes through to high level expert analyses.
Until recently ad hoc formalisms were seen as the only tractable approach to reasoning
under uncertainty. A review of some of these formalisms suggests that they are less
than ideal for the purposes of decision making. Belief networks provide a tractable way
of utilising probability theory as an inference formalism by combining the theoretical
consistency of probability for inference and decision making, with the ability to use the
knowledge of domain experts.nowledge of domain experts.
The potential of belief networks in biomedical applications has already been recog¬
nised and there has been substantial research into the use of belief networks for medical
diagnosis and methods for handling large, interconnected networks. In this thesis the use
of belief networks is extended to include detailed image model matching to show how,
in principle, feature measurement can be undertaken in a fully probabilistic way. The
belief networks employed are usually cyclic and have strong influences between adjacent
nodes, so new techniques for probabilistic updating based on a model of the matching
process have been developed.An object-orientated inference shell called FLAPNet has been implemented and used
to apply the belief network formalism to two application domains. The first application is
model-based matching in fetal ultrasound images. The imaging modality and biological
variation in the subject make model matching a highly uncertain process. A dynamic,
deformable model, similar to active contour models, is used. A belief network combines
constraints derived from local evidence in the image, with global constraints derived from
trained models, to control the iterative refinement of an initial model cue.In the second application a belief network is used for the incremental aggregation of
evidence occurring during the classification of objects on a cervical smear slide as part of
an automated pre-screening system. A belief network provides both an explicit domain
model and a mechanism for the incremental aggregation of evidence, two attributes
important in pre-screening systems.Overall it is argued that belief networks combine the necessary quantitative features
required of a decision support system with desirable qualitative features that will lead
to improved acceptability of expert systems in the biomedical domain
