Role and use of expert systems within the clinical laboratory

Artificial intelligence can be used, mainly in the form of knowledge based systems, for different parts of clinical laboratory activity. Most of the iterative tasks for control and validation, or for maintenance or repair of automated instruments can be assisted by specialized software. There are now specific programmes (i) for control and validation of the request, where the goal is to modify the requesting behaviour of the physician, using protocol driven requests and immediate feedback, incorporating simultaneously a check of test request redundancy, (ii) for helping in equipment trouble-shooting, (iii) for technical and biological validation because too many QC data are issued from large equipment to be checked and used properly by the technologist whilst the pathologist can be assisted for the final revision of reports and (iv) for assistance in the interpretation of laboratory reports, one of the most valuable aspects of the pathologist's participation in the patient care process.