eXiTCDSS: A framework for a workflow-based CBR for interventional Clinical Decision Support Systems and its application to TAVI

Abstract

Clinical Decision Support Systems (CDSSs) should form an important part of the field of clinical knowledge management technologies through their capacity to support the clinical process and use of knowledge, including knowledge maintenance and continuous learning, from diagnosis and investigation through surgery, treatment and long-term care. The work presented shows a workflow-based CDSS designed to give case-specific assessment to clinicians during complex surgery or Minimally Invasive Surgerys (MISs). Following a perioperative workflow, the designed software will use a Case-Based Reasoning (CBR) methodology to retrieve similar past cases from a case base to provide support at any particular point of the process. The graphical user interface allows easy navigation through the whole support progress, from the initial configuration steps to the final results organized as sets of experiments easily visualized in a user-friendly way. The eXiTCDSS tool is presented giving support to a recent complex minimally invasive surgery

Generating project risk response strategies based on CBR: A case study

“…As is known to all, the case-based reasoning (CBR) technique is good at solving problems by retrieving and reusing information and knowledge of the similar historical cases (Aamodt & Plaza, 1994;Abelson & Schank, 1977;Hansen, Meservy, & Wood, 1994). Over the decades, CBR was widely applied in various areas such as medicine (El-Fakdi, Gamero, Meléndez, Auffret, & Haigron, 2014;Guessoum, Laskri, & Lieber, 2014;Ting, Wang, Kwok, Tsang, & Lee, 2010;Zhuang, Churilov, Burstein, & Sikaris, 2009), manufacturing industry (Kuo, 2010;Wu, Lo, & Hsu, 2008) and business (Carmona, Barbancho, Larios, & León, 2013;Li, Adeli, Sun, & Han, 2011), etc. It can been found that there are some studies on risk management based on CBR (Aarts, 1998;Bajo, Borrajo, De Paz, Corchado, & Pellicer, 2012;Chang, Ma, Song, & Gao, 2010;Dingwei & Xinping, 2011;Goh & Chua, 2009;Jung, Han, & Suh, 1999;Kumar & Viswanadham, 2007;Li, Yu, Zhou, & Cai, 2013;Lu, Li, & Xiao, 2013;Yao, Chen, & Yang, 2014).…”

Study of Similarity Measures for Case-Based Reasoning in Transcatheter Aortic Valve Implantation

“…In our study the CBR is aimed at the management of valvular heart disease and especially at the planning of Transcatheter Aortic Valve Implantation (TAVI). The feasibility of designing CBR for TAVI has been previously reported in El-Fakdi et al [4]. Their work concentrated on the overall framework and did not focus on investigating similarity functions.…”

An exploration study to find important factors influencing on decision support systems

“…Dong and Srinivasan (2013) presented an agent-enabled service-oriented DSS for managerial decision making. El-Fakdi et al (2013) presented an in-debt discussion on the implementation of DSS in clinical medications.…”