title: Using ILIAD system shell to create an expert system for differential diagnosis of renal masses.
abstract: Differential diagnosis of renal masses is an important and difficult process. A renal mass diagnostic system (RMDS) developed by using the ILIAD expert system shell has been created for diagnostic consultations and patient simulations. Seventy-two cases of renal mass have been tested on this system and the diagnostic accuracy was compared to that of residents. The overall diagnostic accuracy (75%) for renal masses is significantly better than second-year urological residents (60%) and not worse than urological chief residents (71%). The expert system also displays the cost of the diagnostic procedures so that the user can choose the most cost-effective diagnostic process. We conclude that this powerful renal mass diagnosis system developed by using ILIAD system shell can be used as a teaching, self-training and clinical tool for urological residents.
authors.affiliation: Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan, Republic of China.
authors.forename: P L
authors.initials: PL
authors.lastname: Chang
authors.forename: Y C
authors.initials: YC
authors.lastname: Li
authors.forename: C J
authors.initials: CJ
authors.lastname: Wu
authors.forename: M H
authors.initials: MH
authors.lastname: Huang
mesh_terms: D001185:Artificial Intelligence; D016001:Confidence Intervals; D003362:Cost-Benefit Analysis; D003937:Diagnosis, Differential; D006801:Humans; D007396:Internship and Residency; D052177:Kidney Diseases, Cystic / Q000175:diagnosis*; D007680:Kidney Neoplasms / Q000175:diagnosis*; D015233:Models, Statistical; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity