Methods Inf Med 1965; 04(02): 63-68
DOI: 10.1055/s-0038-1636332
Original Articles
Schattauer GmbH

Logic of the Diagnostic Process[*]

Die Logik Des Diagnostischen Prozesses
Lee B. Lusted
Further Information

Publication History

Publication Date:
16 February 2018 (online)

Research on the logic of the diagnostic process is proceeding in two main areas: (a) computer diagnosis and (b) studies of the human diagnostic judgment process. These two main areas of research are complementary because discovering functional relationships between signs, symptoms and diagnosis in a computer diagnoses study may give clues to better methods of human diagnosis. Greater understanding of the human diagnostic judgment process should enable the investigator to produce these processes more exactly on a computer.

Untersuchungen über die Logik des Vorganges der Diagnosebildung betreffen 2 Hauptgebiete: (a) die Computerdiagnose und (b) Studien über das Zustandekommen des diagnostischen Urteils beim Arzt. Diese beiden Forschungsgebiete ergänzen sich insofern, als einerseits das Auffinden funktioneller Beziehungen zwischen Krankheitszeichen, Symptomen und Diagnose bei der Computerdiagnose entscheidende Hinweise für bessere Methoden der menschlichen Diagnose liefern kann. Ein besseres Verständnis des diagnostischen Beurteilungsprozesses beim Menschen ermöglicht andererseits dem Forscher, diese Vorgänge genauer im Computer zu simulieren.

* Paper presented at the 9. Annual Meeting of the »Arbeitsausschuß Medizin« in der Deutschen Gesellschaft für Dokumentation, October 19-21, 1964, Bonn, Germany.


** The work for this report was supported by NIH Grant No. FR 0016305, National Institutes of Health, Belhesda, Maryland. Publication No. 41 from Oregon Regional Primate Research Center, Beaverton, Oregon.


 
  • References

  • 1 The Diagnostic Process.. Proceedings of Conference held at the University of Michigan. Ann Arbor; May 9-11 1963. John A. Jacquez, Editor.
  • 2 Computers in Biology and Medicine. Ann. N. Y. Acad. Sci. 115: 543-1140 July 31, 1964; Walter E. Tolles Editor.
  • 3 Pickering Sir George W. The Physician. Controlled Clinical Trials — A Symposium.; Blackwell, Oxford: p. 163 1960
  • 4 Ledlev R. S, and Lusted L. B. Reasoning Foundations of Medical Diagnosis. Science. 130: 9-21 1959;
  • 5 Ledley R. S, and Lusted L. B. The Role of Computers in Medical Diagnosis. Med. Dok. 5: 70-78 1961;
  • 6 Edwards W.H, Lindman and Savage L. J. Bayesian Statistical Inference for Psychological Research. Psych. Rev. 70: 193-242 1963;
  • 7 Wahner H. R, Toronto A. F, and Vaesey L. G. Experience with Bayes’ Theorem for Computer Diagnosis of Congenital Heart Disease. Ann. N. Y. Acad. Sci. 115: 558-567 1964;
  • 8 Woodbury M. A. Inapplicability of Bayes’ Theorem to Diagnosis. Presented at Fifth Internat. Conference on Medical Electronics; Liège, Belgium: July 1963. To be published in Proceedings of the Conference.
  • 9 Overall J. E, and Gohkam D. R. A Pattern Probability Model for the Classification of Psychiatric Patients. Behav. Sci. 8: 108-116 1963;
  • 10 Overall J. E, and Williams C. M. Conditional Probability Program for Diagnosis of Thyroid Function. J.A.M.A. 183: 307-313 1963;
  • 11 Overall J. E, and Williams C. M. Comparison of Alternative Computer Models for Thyroid Diagnosis. San Diego Symposium ol Biomedical Engineering. 3: 141-145 1963;
  • 12 Grosz H. J, and Grossman K. G. The Sources of Observer Variation and Bias in Clinical Judgments: 1 The Item of Psychiatric History. J. Nerv. Ment. Dis. 138: 105-113 1964;
  • 13 Garland L. H. Studies on the Accuracy of Diagnostic Procedures. Amer. J. Roentgen. 82: 25-38 1959;
  • 14 Lusted L. B. Logical Analysis in Roentgen Diagnosis. Radiology. 74: 178-193 1960;
  • 15 Kleinmuntz B. MMPI Decision Rules for the Identification of College Maladjustment: A Digital Computer Approach. Psycliol. Monogr. No. 14 1963
  • 16 Kleinmuntz B. Personal communication. Carnegie Institute of Technology; Pittsburgh, Pennsylvania: 1964
  • 17 Hoffman P. J. The Paramorphic Representation of Clinical Judgment. Psychol. Ball. 57: 116-131 1960;
  • 18 Hoffman P. J. Personal communication. Oregon Research Institute; Eugene: 1964
  • 19 Lusted L. B. Computer Techniques in Medical Diagnosis. In Computers in Biomedical Research. Stacy and Waxman, Editors. Academic Press; New York City.: p. 319 1965
  • 20 Coffin R. W, Goheen H. E, and Stahl W. R. Simulation of a Turing Machine on a Digital Computer. Proceedings oi AFIPS Fail Joint Computer Conlerence. 24: 35-43 1963;
  • 21 Stahl W. R, Coffin R. W, and Goheen H. E. Simulation of Biological Cells by Systems Composed of String-Processing Finite Automata. Proceedings oi AFIPS Spring Joint Computer Conlerence. 25: 89-102 1964;