Skip to main content
SpringerLink
Log in

Evaluating a Multi-modal Reasoning System in Diabetes Care

  • Conference paper
  • First Online:
Advances in Case-Based Reasoning (EWCBR 2000)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 1898))

Included in the following conference series:

Abstract

In the context of Insulin Dependent Diabetes Mellitus care, we developed a decision support system that relies on a tight integration of Case Based Reasoning and Rule Based Reasoning methodologies. In this paper, we aim at presenting the evaluation strategy we have defined to test the system accuracy, safety and reliability, and the first results obtained both on simulated and on real patients data. Reliability was positively judged by a group of expert diabetologists; an increase in the performances of the system is foreseen as new knowledge will be acquired, through its usage in clinical practice.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. The Diabetes Control and Complication Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The New England Journal of Medicine 329 (1993) 977–986.

    Article  Google Scholar 

  2. Aha, D. W., Munoz-Avila, H. (eds.): Proc. AAAI 99 Workshop on Exploring Synergies of Knowledge Management and CBR (1999).

    Google Scholar 

  3. Schmidt, S., Vollrath, I. (eds.): Proc. ICCBR 99 Workshop on Challanges for case-Based reasoning (1999).

    Google Scholar 

  4. Bellazzi, R., Montani, S., Portinale, L., Riva, A.: Integrating Rule-Based and Case-Based Decision Making in Diabetic Patient Management. In: Proceedings of IC-CBR’ 99, Monastery Seeon, Munich, Germany (1999).

    Google Scholar 

  5. Montani, S., Bellazzi, R.: Integrating Case Based and Rule Based Reasoning in a Decision Support System: Evaluation with Simulated Patients. JAMIA Symposium supplement (1999) 887–891.

    Google Scholar 

  6. Russell, S., Norvig, P.: Artificial Intelligence, a modern approach. Prentice Hall (1995).

    Google Scholar 

  7. Bellazzi, R., Cobelli, C., Gomez, E. and Stefanelli, M.: The T-IDDM Project: Telematic management of Insulin Dependent Diabetes Mellitus. In Bracale M. and Denoth F. (eds.): Health Telematics 95 (1995) 271–276.

    Google Scholar 

  8. Bellazzi, R., Montani, S., Portinale, L.: Retrieval in a Prototype-Based Case Library: a Case Study in Diabetes Therapy Revision. In: Proceedings of EWCBR’ 98, Dublin, Ireland (1998).

    Google Scholar 

  9. Montani, S., Bellazzi, R., Portinale, L., d’Annunzio, G., Fiocchi, S., Stefanelli, M.: Diabetic Patients Management Exploiting Case-Based Reasoning Techniques. Computer Methods and Programs in Biomedicine (to appear).

    Google Scholar 

  10. Kononenko, I.: Inductive and Bayesian learning in medical diagnosis. Applied Artificial Intelligence 7 (1993) 317–337.

    Article  Google Scholar 

  11. Zelic, I., Kononenko, I., Lavrac, N., Vuga, V.: Induction of decision trees and Bayesian classification applied to diagnosis of sport injuries. In: Proceedings of IDAMAP’ 97 workshop, IJCAI 97, Nagoya (1997) 61–67.

    Google Scholar 

  12. Montani, S., Bellazzi, R., Portinale, L., Fiocchi, S., Stefanelli, M.: A case-based retrieval system for diabetic patients therapy. In: Proceedings of IDAMAP’ 98 workshop, ECAI 98, Brighton (1998) 64–70.

    Google Scholar 

  13. Wilson, D. R., Martinez, T.R.: Improved heterogeneous distance functions. Journal of Artificial Intelligence Research 6 (1997) 1–34.

    MATH  MathSciNet  Google Scholar 

  14. Portinale, L., Torasso, P., Magro, D.: Selecting most adaptable diagnostic solutions through Pivoting-Based Retrieval. In LNAI 1266, Springer Verlag (1997) 393–402.

    Google Scholar 

  15. Larizza, C., Bellazzi, R., Riva, a.: Temporal abstractions for diabetic patients management. In LNAI 1211, Springer Verlag (1997) 319–330.

    Google Scholar 

  16. Cobelli C., Nucci, G., Del Prato, S.: A physiological simulation model in type I Diabetes. Diabetes nutrition and Metabolism 11 (1998) 78.

    Google Scholar 

  17. Montani, S., et al.: Demonstration Phase and Demonstration of the Extensions Final Report. T-IDDM Deliverable 11.1, http://aim.unipv.it/projects/tiddm (1999).

  18. Shortliffe, E.H.: Clinical decision-support systems. In: Shortliffe, E. H., Perreault, L. E., Wiederhold, G., Fagan, L. M. (eds.): Medical Informatics, Addison-Wesley (1990).

    Google Scholar 

  19. Upton, G. J.G.: The analysis of cross-tabulated data. Wiley, New York (1978).

    Google Scholar 

  20. Montani, S., et al.: Protocol-based reasoning in diabetic patient management. International Journal of Medical Informatics 53 (1999) 61–77.

    Article  Google Scholar 

  21. Schlichtkrull, J., Munck, O., Jerslid, M.: The M-value, an index of blood glucose control in diabetics. Acta Med. Scand. 177 (1965) 95–102.

    Article  Google Scholar 

  22. Heatefield, H. A., Wyatt, J.: Philosophies for the design and development of clinical decision-support systems. Methods of Information in Medicine 32 (1993) 1–8.

    Google Scholar 

  23. Musen, M.: Architectures for architects. Methods of Information in Medicine 32 (1993) 12–13.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dipartimento di Informatica e Sistemistica, Università di Pavia, Pavia, Italy

    Stefania Montani, Riccardo Bellazzi & Mario Stefanelli

  2. Dipartimento di Scienze e Tecnologie Avanzate, Università del Piemonte Orientale “A. Avogadro”, Alessandria, Italy

    Luigi Portinale

Authors
  1. Stefania Montani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Riccardo Bellazzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luigi Portinale
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mario Stefanelli
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Centre for Scientific and Technological Research (ITC-irst), Istituto Trention di Cultura, via Sommarive 18, 38050, Povo (Trento), Italy

    Enrico Blanzieri

  2. DISTA, University of Eastern Piedmont “Amedeo Avogadro”, C.so Borsalino 54, 15100, Alessandria, Italy

    Luigi Portinale

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Montani, S., Bellazzi, R., Portinale, L., Stefanelli, M. (2000). Evaluating a Multi-modal Reasoning System in Diabetes Care. In: Blanzieri, E., Portinale, L. (eds) Advances in Case-Based Reasoning. EWCBR 2000. Lecture Notes in Computer Science, vol 1898. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-44527-7_40

Download citation

  • DOI: https://doi.org/10.1007/3-540-44527-7_40

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-67933-2

  • Online ISBN: 978-3-540-44527-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation