A Medical Record and a Computer Program for Diagnosis of Thyroid Diseases

A program for computer-aided diagnosis of thyroid diseases is presented. The program is mainly oriented to an analysis of the current criteria of classification of thyroid diseases. The problem of rare diseases has been considered.

A computer-oriented medical record for thyroid diseases is presented and discussed. The computer program is dimensioned for diagnosis of 30 different diseases with a maximum of 200 symptoms freely chosen from the medical record. The main features of the program are discussed. Results were obtained on a group of rather infrequent thyroid diseases (thyroiditis).

Ein Programm für die Computer-unterstützte Diagnose von Schilddrüsenkrankheiten wird vorgestellt. Das Programm ist in der Hauptsache auf die Analyse der üblichen Klassifikationskriterien für Schilddrüsenerkrankungen ausgerichtet. Die Problematik seltener Krankheiten findet Berücksichtigung.

Ein dokumentationsgerechtes Krankenblatt für Schilddrüsenkrankheiten wird dargestellt und erörtert. Das Computerprogramm ist dimensioniert für die Diagnose von 30 verschiedenen Krankheiten, wobei maximal 200 Symptome aus dem Krankenblatt frei gewählt werden. Die Hauptcharakteristika des Programms werden erörtert. Die Ergebnisse wurden bei einer Gruppe von recht seltenen Schild-drüsenkrankheiten (Thyroiditis) erzielt.

Keywords

Medical Record - Computer-aided Diagnosis - Thyroid Diseases - Rare Diseases

Schlüsselwörter

Krankenblatt - Computer-unterstützte Diagnose - Schilddrüsenkrankheiten - seltene Krankheiten

^* Requests for reprints should be addressed to the second author.

• References

• 1 Beeson p. B, McDermott W. Cecil Loeb Textbook of Medicine. W. B. Saunders Co.; Philadelphia: 1971
• 2 Bouckaert A, Beckers C. Computer-aided differential diagnosis of goitres in internal medicine. Intern. J. biomed. Comput 4 1973; 1-17.
• 3 Boyle J. A, Greig W. R, Franklin D. A, Harden R. M, Buchanan W. W, McGirr E. Construction of a model for computer-assisted diagnosis: application to the problem of nontoxic goitre. Quart. J. Med 35 1966; 565-588.
• 4 Cobelli C, Salvan A. Computer-assisted diagnosis of thyroid diseases. Proceed. 26th Ann. Conf. Engineer. Med. Biol. Minneapolis (Minnesota): 30th September—4th October 1973
• 5 Cobelli C, Salvan A. Computer-aided diagnosis of thyroid diseases. Internal Report 74—08, LADSEB-CNR. July 1974
• 6 Djem K, Lentner C. Tables Scientifiques. Bale: 1972
• 7 Fitzgerald L. T, Williams C. M. Modified program for computer diagnosis of thyroid disease. Forty-ninth Ann. Meet. Radiol. Soc. North Amer. Chicago/Ill.: 17th—22nd November 1963
• 8 Fitzgerald L. T, Overall J. E, Williams C. M. A computer program for diagnosis of thyroid disease. Amer. J-. Roentgenol 97 1966; 901-905.
• 9 Nordike R. A, Kulikowsici C. A, Kulikowski C. W. A comparison of methods for the automated diagnosis of thyroid dysfunction. Comput. biomed. Res 4 1971; 374-389.
• 10 Oddie T. H. Computer diagnosis from tests of thyroid function. J. clin. Endocr 32 1971; 160-172.
• 11 Oveball J. E, Williams C. M. Conditional probability program for diagnosis of thyroid function. J. Amer. med. Ass 183 1963; 307-313.
• 12 Reichertz P. Computer-Diagnostik von Schilddrüsenerkran-kungen. Dtsch. med. Wschr 90 1065; 2317-2321.
• 13 Roitt I. M, Doniach D. Immunofluorescent test for the detection of autoantibodies. W.H.O. Manual for Autoimmune Serology 1. Geneva: 1969