[Contribution of expert systems in clinical practice: apropos of the Penelope experience, an expert system in assisted diagnosis and therapy of ovarian adenocarcinoma].
An expert system (ES) for Diagnosis and Therapy of ovarian adenocarcinoma has been developed at the Institut Gustave-Roussy. From surgical and histological results, clinical examination and additional investigative reports, the system presents a synthesis and then determines the stage of the disease. The system than proposes therapeutic indications adapted to the characteristics of the illness and of the patient, and edits a report at the end of the ES consultation. This experience allowed us to specify the field of ES applications in oncology. As tools for diagnosis and therapy, they cannot act as a substitute for the know-how of the physician, as too many medical decisions remain difficult to formalize in the ES. On the other hand the use of artificial intelligence techniques appears to be useful for establishing coherent data bases, which are necessary pre-requisites for clinical research in oncology. The integration of the system in the Hospital Information System is the guarantee of its use in current clinical practice.
Lhommé
C
C
Institut Gustave-Roussy, Villejuif, France.
Giron
A
A
Jan
P
P
Wartelle
M
M
Michel
G
G
Prade
M
M
Duvillard
P
P
Castaigne
D
D
Rochard
F
F
Haie-Meder
C
C
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D003936:Diagnosis, Computer-Assisted; D005103:Expert Systems; D005260:Female; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D013813:Therapy, Computer-Assisted
Apport des systèmes experts dans la pratique clinique: à propos de l'expérience Pénélope, système expert d'aide au diagnostic et à la thérapeutique des adénocarcinomes de l'ovaire.