Document Detail

An assessment of the radiological module of NEONATE as an aid in interpreting chest X-ray findings by nonradiologists.
MedLine Citation:
PMID:  1800599     Owner:  NLM     Status:  MEDLINE    
NEONATE is a prototype of an expert system for the Newborn Intensive Care Unit developed at the Primary Children's Medical Center in Salt Lake City, Utah. A pilot study was undertaken to see if the addition of radiological frames to the NEONATE software could aid attending Neonatologists to interpret chest X-ray films. A set of radiological frames was created from rules generated by a radiologist. The performance of these radiological frames was compared to the performance of other radiologists using the Kappa statistic to measure agreement. There is a good agreement between the computer's decisions and the radiologists' decisions. The radiological frames were also tested to see if they help physicians who are not trained in radiology. A system that compares the residents' interpretation and the computer's interpretation to a gold standard interpretation was developed. It shows that the computer helps the first and second year residents, but not the third year residents. This article suggests that NEONATE's interpretation of chest X-ray findings are close to the radiologists' interpretations. While NEONATE's radiological frames help novice physicians in reaching better chest X-ray interpretation, the current study suggests that they are not likely to help a Neonatologist.
A Franco; J D King; F L Farr; J S Clark; P J Haug
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of medical systems     Volume:  15     ISSN:  0148-5598     ISO Abbreviation:  J Med Syst     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1992-04-23     Completed Date:  1992-04-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7806056     Medline TA:  J Med Syst     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  277-86     Citation Subset:  IM    
Department of Information Systems, Primary Children's Medical Center, Salt Lake City, UT.
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MeSH Terms
Evaluation Studies as Topic
Expert Systems*
Hospital Information Systems
Intensive Care Units, Neonatal
Internship and Residency
Neonatology / standards*
Observer Variation
Pilot Projects
Radiography, Thoracic / standards*
Radiology Information Systems / standards*
Software Validation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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