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Biomedical subjects

G Beliakov

Publications and source records attributed to G Beliakov.

3 recordsLinked to original sources

On the interpretation of certainty factors in expert systems.

Despite the strong theoretical foundation the Bayesian probabilistic approach to model uncertainty in medicine meets many difficulties at the implementation step. One of these difficulties is related to a large amount of conditional probabilities to be assessed and in many cases this task was recognised to be practically insoluble. The MYCIN certainty factors model is a widely distributed pragmatical approach for modeling reasoning under uncertainty that substantially simplifies the problem, at the sacrifice of theoretical soundness. One can determine certainty factors as a function of prior and posterior probability. However, this approach is only consistent with the modularity axiom for certainty factors for tree-structure inference networks, which is rarely true for practical applications. In this paper we abandon the requirement of a direct probabilistic interpretation of certainty factors and build a model of propagation of uncertainty in terms of absolute belief and belief updates. We describe our model for propagating uncertainty in terms of matrix multiplication with specifically defined addition and multiplication which correspond to parallel and sequential combinations of certainty factors. It is possible to define these operations in such a manner that they form a field, and therefore to obtain some useful properties. Finally we present a method of determining certainty factors from statistical data using nonlinear regression and illustrate it with a leukemia diagnostics problem.

Artificial Intelligence↗

Fuzzy gating and the problem of screening.

The problem of population screening is very important for medical statistics. It allows one to analyze the expression of certain parameters in the population of healthy persons, in order to compare it to the expression of these parameters in the persons with a specific disease. If a parameter is expressed differently in ill and healthy persons, then this parameter may serve as a pointer to the disease, especially in its earlier stages. While the analysis of given parameters in people with the established diagnosis does not represent many difficulties, the analysis of the general population is not easily carried out. The problem is that the general population contains both ill and healthy people. The population of healthy people is said to be 'contaminated' by the noise-subpopulation of ill people. The resulting statistical parameters are, therefore, biased and in order to find their correct values one needs to cancel out the input of the noise. In this paper we propose a new method to cancel out the noise, based on the theory of fuzzy sets. We assume that an auxiliary parameter is measured simultaneously and it is used to separate the subpopulations. If two subpopulations (the data and the noise) form clearly distinguished clusters in respect to this auxiliary parameter, one creates a gate and throws out the events outside the gate assuming that they are noise. However, when the clusters overlap, this procedure is no longer useful, and it is this particular situation for which we have developed fuzzy gating. In addition to the fact that the gate is fuzzified, a specifically designed algorithm is applied to compute the probability density functions for both subpopulations. Our algorithm gives a very high precision and is very robust as to the level of noise and the type of distributions.

Algorithms↗

Fuzzy logic for decision support in chronic care.

Computerized clinical guidelines can provide significant benefits in terms of health outcomes and costs, however, their effective computer implementation presents significant problems. Vagueness and ambiguity inherent in natural language (textual) clinical guidelines makes them problematic for formulating automated alerts or advice. Fuzzy logic allows us to formalize the treatment of vagueness in a decision support architecture. In care plan on-line (CPOL), an intranet-based chronic disease care planning system for general practitioners (GPs) in use in South Australia, we formally treat fuzziness in interpretation of quantitative data, formulation of recommendations and unequal importance of clinical indicators. We use expert judgment on cases, as well as direct estimates by experts, to optimize aggregation operators and treat heterogeneous combinations of conjunction and disjunction that are present in the natural language decision rules formulated by specialist teams.

Artificial Intelligence↗