Health Telematics (AIM) Final Report
Knowledge Acquisition, Visualisation and Assessment System
| Project Code: | | A2019 |
| Project value: | | 5509 KECU |
| EC contribution: | | 3000 KECU |
| No of partners: | | 5 |
| No of countries: | | 5 |
| Duration: | | 36 months |
| Contact:
Mrs. Jytte Brender
Medical Informatics Laboratory ApS
Stengaards Alle 33D
DK-2800 Lyngby, Denmark
Tel.: +45-42-88.55.98
Fax: +45-31-75.09.77
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Overview
Medicine is a privileged field for experimentation on artificial intelligence since the sixties. Despite this, the maturness of knowledge based systems in medicine has not yet arrived, due to the complexity of human reasoning and the reluctant attitude of professionals when they can not control the decision-aid machine.
Nevertheless, health care of European citizens will probably improve, when to the expertise of their doctors, one could add the gain of computers. This project aims to investigate the process of knowledge acquisition and data assessment, and to produce a tool apt for assisting physicians in their daily navigation on the ocean of clinical information. The prototype being constructed brings together the methodology of both knowledge elicitation and machine learning techniques. The aspects of human-computer interactions are also addressed, including the control by the user of the level of deepness reached at a certain point of consultation. In the consortium one can find a good combination of software companies, universities and hospitals.
Purpose and objectives
The KAVAS-2 project was motivated by the growing data and information flow in medicine. To handle this data flow, protocols and procedures are needed that:
- reduce the data and information generation
- improve the quality of patient management
- reduce the costs in health care service.
The general objective of KAVAS-2 is to develop tools and methodologies that help medical domain experts to develop the protocols that will meet the above mentioned requirements. KAVAS-2 has realised this objective by the development of
- KAVIAR - Knowledge Acquisition, Visualisation, Assessment and Refinement - with which the domain expert can formalise his domain knowledge and derive practical (clinical) classification procedures from data bases. It also provides the means for the assessment of the quality of the derived models
- The refinement and assessment of a methodology for the user-centred evaluation of medical decision support systems
- The analysis and formulation of user requirements for teleconsultancy issues, including the elucidation of cultural aspects of transferability of medical knowledge, information and data?
Results
KAVIAR is a toolbox that supports the user in a task-oriented way. The cognitive task analysis of the development of clinical protocols an procedures has shown that the user is involved in an five-phased modelling cycle. He iteratively:
- Defines a goal for the modelling process
- Selects appropriate tools and techniques, based on the nature of the problem and the goals set in the previous steps
- Applies the selected tools
- Measures and explores different aspects of the quality of the solution(s)
- Validates the results against the defined goals and either reformulates the goals of implicitly or explicitly acknowledges or rejects the solutions.
KAVIAR supports this process by providing tools for goal formulation, explicitation of domain knowledge in the form of conceptual graphs and state transition diagrams, extraction and structuring of knowledge from text sources, the formulation of cost models and quality claims, the development of classification models on the basis of date using either an induction, neural net or density inference tool, assessment of the quality of the derived models.
Evaluation methodology
Already during the KAVAS project in the exploratory phase of AIM, a global methodology for the user-centred evaluation of medical decision aids was developed. In KAVAS-2 this methodology has been applied for the development of a decision aid for fluid, electrolyte and acid-base balance. This development as well as the application of the evaluation methodology during the development of KAVIAR provided feedback on its applicability. Also the application of (parts of) the methodology in other AIM projects (OPENLABS, ESTEEM, TELEGASTRO, ISAR) has shown the viability and the generality of the methodology. The methodology has also been provided as input to the ATIM concerted action.
List of Deliverables
Year 1
- MLE-Induce prototype, 1 (9/P/I)
- System for interfacing to well established data base management systems (12/P/I)
- Epistemological analysis of deep knowledge in selected medical domains (12/R/P)
- UIMS and the global VISUALIZER functionality (12/P/I)
Year 2
- Demonstrator system of the Monitor Functionality (5/P/I)
- MLE-Pruning (6/P/I)
- Data types and scopes in induction of classification trees (12/A/I)
- Ecological Interface Design: Visualisation of domain knowledge & mental strategies based
on cognitive analysis of expert tasks (12/R/I)
Year 3
- MLE-Quality and Conditioning (3/P/I)
- Methods and techniques for deep knowledge acquisition and representation (4/R/I)
- Implementation of Visualisation Manager and component graphical mediating techniques
for visualisation within the KAVIAR framework (6/P/I)
- The framework for quality assessment of semantic aspects of knowledge (6/R/I)
- A DSS for medical audit in surgery (6/P/I)
- Integrated KAVIAR (8/P/I)
- The Monitor Toolkit (8/P/I)
- Prototype Knowledge Capturer Toolkit (9/P/I)
- Modelling of cultural components of knowledge-based activities in a medical domain
- Prototype KBS for fluid / electrolyte / acid-base metabolism (10/P/I)
- Minimum Requirements Specification for the assessment of tele-medical consultancy
service systems (12/R/P)
- Progress in the development of the KAVIAR and its component parts (12/R/I)
- Evaluation of the KAVIAR, - approach, results and conclusion (12/R/I)
- Domain knowledge and pre prototype KBS generated by KAVIAR and/or its components
with accompanying evaluation reports (ongoing/O/I)
List of Participants
Mr. Panayotis Drosos
Alpha S.A.I.
72-74 Salaminos, Kallithea
GR-17675 Athens, Greece
Tel.: +30-1-958.25.06
Fax: +30-1-958.50.79
| Dr. Jan Talmon
University Limburg
Medical Informatics Dept.
Annalaan 60
NL-6217 KC Maastricht, The Netherlands
Tel.: +31-43-88.84.09 / 398
Fax: +31-43-43.60.80
E-mail: talmon@mi.rulimburg.nl
|
Prof. Rory O'Moore
St. James' Hospital
Central Pathology Dept.
IRL-Dublin 8, Ireland
Tel.: +353-1-53.79.41 ext. 29.13
Fax: +353-1-53.75.94
| Dr. Pirkko Nykaenen
Technical Research Centre Finland
Medical Engineering Laboratory
Kanslerinkatu 8D
SF-33101 Tampere, Finland
Tel.: +358-31-16.31.66
Fax: +358-31-17.41.02
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