Abstract
In this paper we report that it is important to train clinical decision support systems on as large a data set as possible. We describe how the diagnosis of heart disease, from 12-lead ECGs, may be improved by up to 32%, with respect to diagnosis using a small data set, by the use of data mining algorithms trained on a sufficiently large data set. We also describe how these suitably trained, and chosen, data mining algorithms appear to be capable of provision of clinical decision support by virtue of the short time, 1-3 seconds, required to perform patient state classification.
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References
Sittig DF, Stead WW. Computer-Based Physician Order Entry–The State of the Art. J. Amer. Med. Inform. Assoc. 1994; 1: 108–123.
Clayton PD, Hripcsack G. Decision Support in Health-Care. Int. J. Bio-Med Comp 1995; 39: 59–66.
Burn-Thornton KE, Edenbrandt L. Pinpointing the Key Indicators of 12-lead ECGs Using data mining Computers & Medicine 1998; 31; 293–303.
Burn-Thornton KE, Garibaldi J, Hamer P: data mining Algorithms: Applicability to DataSet Types. In: INC 98, Plymouth, U.K, 1998.
Mulholland G, Brewer B: Improving Your Skills in 12 Lead ECG Interpretation. Ems, New York, 1996.
Montgomery AA, Fahey TA. Systematic Review of the use of Computers in the Management of Hypertension. J. Epidemiology and Community Health 1998; 52: 520–525.
Similar Y, Musen MA. Knowledge-based Temporal Abstraction in Clinical Domains. Artif. Intell. In Med. 1996; 8: 267–298.
Knirsch CA, Jain NL, PablosMendez A, Friedman C, Hripcsak A. Respiratory Isolation of Tuberculosis Patients using Clinical guidelines and an Automated Clinical Decision Support System. Infection Control and Hospital Epidemiology 1998; 19: 94–100.
Pappas C, Mavromatis A, Maglaveras N, Tsikotis A, Pangalos G, Ambrosiadou V. Cardiological database management system as a mediator to clinical decision support. Meth. Inf. in Med. 1996; 35: 52–58.
Willems J, Abreu-Lima C, Arnaud P. The Diagnostic Performance of Computer Programs for Interpretation of Electrocardiograms. N. Engl. J. Med. 1991; 325: 1767–1773.
Heden B, Ohlin H, Rittner R, Edenbrandt L: Acute Myocardial Infarction Detected in the 12-lead ECG by Artificial Neural Networks. Circulation 1997; 96: 1798–1802.
Gordon C, Johnson P, Waite C, Veloso M: Algorithm and Care Pathway: Clinical Guidelines and Healthcare Processes. Lect Notes in A. I. 1997; 121: 66–69.
Petersen J: Business Applications of Statistics for data mining. In: Proc. UNICOM Seminar on data mining, London, July 1995, pp 157–165.
Leon M, Valamudi P. Data Warehouse vendors do data mining Info. World 1996; 18: pp. 38–42.
Bounds D, Lloyd P, Mathew B. A Comparison of Neural Networks and Other Pattern Recognition Approaches to the Diagnosis of Low Back Disorders. Neural Networks 1990; 3: 583–591.
Waddell G: A New Clinical Model for the Treatment of Lower Back-pain. Spine 1998; 12: 632–644.
McClean S, Scotney B, Shapcott M: Using background Knowledge with Attribute-Orientated data mining In: IEE Colloquium on Knowledge Discovery and data mining,, London, May 1998, pp 1:1–4.
McSherry D. Attribute-value Distribution as a Strategy for Increasing the Efficiency of data mining, In: IEE Colloquium on Knowledge Discovery and data mining, London, May 1998, pp 2:1–3.
Liu X. Strategies for Outlier Analysis. In: IEE Colloquium on Knowledge Discovery and data mining, London, May 1998, pp 3:1–3.
Chen X, Petrounias I: An Architecture for Temporal data mining. In: IEE Colloquium on Knowledge Discovery and data mining, In: WE Colloquium on Knowledge Discovery and data mining, London, May 1998, pp 4:1–4.
Liu X, Cheng G, Wu J: Noise and Uncertainty Management in Intelligent Data Modelling. In: Proc. 12th Nat. Conf. on Artificial Intelligence [AAAI-94], 1994, pp 263–268.
Barnet V. The Ordering of Multivariate Data. J. Roy. Statis. Soc. A. 1976; 39: 318–54.
Huber P: Robust Statistics. 1st edition, John Wiley, London, 1981.
Barnet V, Lewis T: Outliers in Statistical Data 1st edition, John Wiley, London, 1994.
Hawkins D: Identification of Outliers, Chapman & Hall, 1st edition, London, 1980.
Chen A, Tseng F: Evaluating Aggregate Operation over Imprecise Data: In: IEE Trans. On Knowledge Discovery and Data Engineering, 1996; 8: 273–284.
McSherry D. Knowledge Discovery by Inspection. Decision Support Systems 1997; 21: 43–47.
Quinlan J: Bagging and Boosting and C4.5. In: Proc. Of 13th Nat. Conf. On AI, AAI Press, 1996, pp 725–730.
Kohavi R, John G: Wrappers for Feature Subset Selection. All special issue on relevance, 1997.
Imielinski T, Manila H: A Database Perspective on Knowledge Discovery. CACM, 1996, 39: 58–64.
Saraee M, Theodoulidis B: Knowledge Discovery in Temporal Databases. In: Proc. In: IEE Colloqium on Knowledge Discovery in Databases, London, May, 1995, pp 1:1–4.
Chen X, Petrounias L Heathfield H: Discovering Temporal Association Rules in Temporal Databases. In: Proc. LADT, Berlin, Germany, 1998.
Enas G, Choi S. Choice of the Smoothing Parameter and Efficiency of the k-mi Neighbour Classification. Comput. Math. Applic. 1986; 12A: 235–244.
Friedman J: Regularised Discriminant Analysis, J. Amer. Statist. Assoc. 1989; 84: pp. 165–175.
Quinlan J. Simplifying decision trees, Int. J. Man-Machine Studies 1987; 27: 221–234.
Michie D, Spiegelhalter DJ, Taylor CC [Eds]: Machine Learning & Statistical Classification: Ellis Horwood, London, 1994.
Burn-Thornton KE, Thorpe SI, Edenbrandt L: Improving Clinical Decision Support Using data mining In Proc. SPIE ‘99, Orlando, April 1999, vol. 3495, pp 207–15.
Burn-Thornton KE, Thorpe SI, Singh H, Macleod N: A Methodology for Determining the Minimum Size of Data Set Required for Accurate Domain Analysis, in press.
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Burn-Thornton, K.E., Thorpe, S.I., Attenborough, J. (2000). Using data mining to Improve Clinical Decision Support. In: Ellis, R., Moulton, M., Coenen, F. (eds) Applications and Innovations in Intelligent Systems VII. Springer, London. https://doi.org/10.1007/978-1-4471-0465-0_13
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DOI: https://doi.org/10.1007/978-1-4471-0465-0_13
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