Skip to main content

Case-Based Reasoning Approach, Integrating Deep Learning for Patient Diagnosis Combined X-Ray with Symptoms

  • Conference paper
  • First Online:
International Conference on Advanced Intelligent Systems for Sustainable Development (AI2SD 2022)

Abstract

Case based reasoning (CBR) is one of the most widely used reasoning approaches in expert knowledge-centered domains such as the medical sector, due to the risk that a false diagnosis may generate the requirement for models to be explainable. However, these models depend considerably on the user input (symptoms) and the input of the patient’s radiology image. Deep learning approaches based on convolutional neural networks have been proved in several papers to be relevant in imaging processing. This work proposes a hybrid framework of case-based reasoning and deep learning to be applied to a diagnostic support system. In the paper, we propose to couple the power of CNNs in radiology image analysis with the user-centered approach of case-based reasoning models. In addition, the framework on which we based is modular and adapts to a wide variety of tasks, data and uses, in fact, the system will receive as input the radiological image of the patient combined with the different symptoms, and will propose to the experts one or more predicted diagnoses with a probability score for each. The expert can validate or not a choice, his decisions will be taken in charge by the system to be added to the knowledge base in the case of validation or stored in another separate base in the case of non-validation. An implementation of the approach for diagnostic support is provided.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
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

References

  1. COVER, P. E. H. T.M.: Nearest neighbor pattern classfication, vol. I, pp. 1–28 (2012)

    Google Scholar 

  2. Jedwabny, M., Bisquert, P., Croitoru, M.: Probabilistic rule induction for transparent CBR under uncertainty. In: Bramer, M., Ellis, R. (eds.) SGAI-AI 2021. LNCS (LNAI), vol. 13101, pp. 117–130. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-91100-3_9

    Chapter  Google Scholar 

  3. Gao, L., Liu, C., Arefan, D., Panigrahy, A., Zuley, M.L., Wu, S.: Medical knowledge-guided deep learning for imbalanced medical image classification (2021). http://arxiv.org/abs/2111.10620

  4. Gonzalez-Ferrer, A., Seara, G., Cháfer, J., Mayol, J.: Generating big data sets from knowledge-based decision support systems to pursue value-based healthcare. Int. J. Interact. Multimed. Artif. Intell. 4(7), 42 (2018). https://doi.org/10.9781/ijimai.2017.03.006

    Article  Google Scholar 

  5. Amador-Domínguez, E., Serrano, E., Manrique, D., Bajo, J.: A case-based reasoning model powered by deep learning for radiology report recommendation. Int. J. Interact. Multimed. Artif. Intell. 7(2), 15–26 (2021). https://doi.org/10.9781/ijimai.2021.08.011

    Article  Google Scholar 

  6. Sutton, R.T., Pincock, D., Baumgart, D.C., Sadowski, D.C., Fedorak, R.N., Kroeker, K.I.: An overview of clinical decision support systems: benefits, risks, and strategies for success. npj Digit. ed. 3(1), 1 (2020). https://doi.org/10.1038/s41746-020-0221-y

    Article  Google Scholar 

  7. Sànchez-marrè, M.: Principles of case-based reasoning. In: Cycle, pp. 1–13 (1994)

    Google Scholar 

  8. Aamodt, A., Plaza, E.: Case-based reasoning: foundational issues, method ological variations, and system approaches. Artif. Intell. Commun. 7(1), 39–59 (1996). https://ibug.doc.ic.ac.uk/media/uploads/documents/courses/CBR-AamodtPlaza.pdf

  9. De Mántaras, R., McSherry, D., Bridge, D.: Retrieval, reuse, and retention in CBR, Iiia. Csic. Es pp. 1–32, November 2016. http://www.iiia.csic.es/~mantaras/RRR_paper_KER.pdf

  10. Hassan, B.A.R., Yusoff, Z.B.M., Othman, M.A.H., Bin, A.S.: Information is available at the end of the Chapter, https://doi.org/10.5772/55358, “We are IntechOpen , the world ’ s leading publisher of Open Access books Built by scientists , for scientists TOP 1 %,” Intech, p. 13, (2012). https://doi.org/10.1039/C7RA00172J%0A, https://www.intechopen.com/books/advanced-biometric-technologies/liveness-detection-in-biometrics%0A. https://doi.org/10.1016/j.colsurfa.2011.12.014

  11. Policastro, C.A., Carvalho, A.C.P.L.F., Delbem, A.C.B.: Automatic knowledge learning and case adaptation with a hybrid committee approach. J. Appl. Log. 4(1), 26–38 (2006). https://doi.org/10.1016/j.jal.2004.12.002

    Article  MATH  Google Scholar 

  12. El-Sappagh, S., Elmogy, M., Riad, A.M.: A fuzzy-ontology-oriented case-based reasoning framework for semantic diabetes diagnosis. Artif. Intell. Med. 65(3), 179–208 (2015). https://doi.org/10.1016/j.artmed.2015.08.003

    Article  Google Scholar 

  13. Pusztová, L., Babič, F., Paralič, J.: Semi-automatic adaptation of diagnostic rules in the case-based reasoning process. Appl. Sci. 11(1), 1–18 (2021). https://doi.org/10.3390/app11010292

    Article  Google Scholar 

  14. Lee, B., Ellahi, W., Choi, J.Y.: Using deep CNN with data permutation scheme for classification of Alzheimer’s disease in structural magnetic resonance imaging (SMRI). IEICE Trans. Inf. Syst. E102D(7), 1384–1395 (2019). https://doi.org/10.1587/transinf.2018EDP7393

    Article  Google Scholar 

  15. Chantamit-o-pas, P., Goyal, M.: A case based reasoning framework for prediction of stroke disease, no. Mi (2007)

    Google Scholar 

  16. Ikidid, A., El Fazziki, A., Sadgal, M.: A multi-agent framework for dynamic traffic management considering priority link. Int. J. Commun. Networks Inf. Secur. 13(2), 324–330 (2021). https://doi.org/10.54039/ijcnis.v13i2.4977

    Article  Google Scholar 

  17. Ikidid, A., Abdelaziz, E.F., Sadgal, M.: Multi-agent and fuzzy inference-based framework for traffic light optimization. Int. J. Interact. Multimed. Artif. Intell. p. 1, (2021). (in Press). https://doi.org/10.9781/ijimai.2021.12.002

  18. Ikidid, A., El Fazziki, A., Sadgal, M.: A fuzzy logic supported multi-agent system for urban traffic and priority link control. J. Univers. Comput. Sci. 27(10), 1026–1045 (2021). https://doi.org/10.3897/jucs.69750

    Article  Google Scholar 

  19. Ikidid, A., Abdelaziz, E.F.: Multi-agent and fuzzy inference based framework for urban traffic simulation. In: Proceedings of 2019 4th International Conference on Systems of Collaboration Big Data, Internet Things Secur. SysCoBIoTS 2019, (2019). https://doi.org/10.1109/SysCoBIoTS48768.2019.9028016

  20. Bianchi, R.A.C., López De Màntaras, R.: Case-based multiagent reinforcement learning: cases as heuristics for selection of actions. Front. Artif. Intell. Appl. 215, 355–360 (2010). https://doi.org/10.3233/978-1-60750-606-5-355

    Article  MATH  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Moulay Youssef Ichahane .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Ichahane, M.Y., Assad, N., ouahmane, H. (2023). Case-Based Reasoning Approach, Integrating Deep Learning for Patient Diagnosis Combined X-Ray with Symptoms. In: Kacprzyk, J., Ezziyyani, M., Balas, V.E. (eds) International Conference on Advanced Intelligent Systems for Sustainable Development. AI2SD 2022. Lecture Notes in Networks and Systems, vol 713. Springer, Cham. https://doi.org/10.1007/978-3-031-35248-5_10

Download citation

Publish with us

Policies and ethics