The MICROSTROKE expert system for stroke type diagnosis.

Abstract

MICROSTROKE is a prototype expert system designed to categorize and diagnose stroke types based on clinical information. The knowledge base of MICROSTROKE includes information from large stroke registries. The system first queries the physician-user for details of the patient's history, information about the onset of stroke, accompanying symptoms, and pertinent neurologic findings and then sums the individual data items, factors in the a priori odds, and arrives at the probabilities of different stroke types for a given patient. Specific diagnosis of stroke type includes thrombosis, embolus, lacune, intracerebral hemorrhage, and subarachnoid hemorrhage. Stroke type diagnoses by MICROSTROKE were correct in 72.8% of 250 cases in the Hamburg Stroke Data Bank. MICROSTROKE runs on any MS-DOS microcomputer and is intended as a practical aid for physicians not fully familiar with the diagnosis of stroke types.