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Published on: February 19, 2017
[Computer-assisted diagnosis of rare diseases]
T Müller1, A Jerrentrup2, J R Schäfer2
1Zentrum für unerkannte und seltene Erkrankungen (ZusE), Universitätsklinikum Gießen und Marburg (UKGM), Baldingerstr. 1, 35043, Marburg, Deutschland. tobias.mueller@uk-gm.de.
Insights
Diagnosing rare diseases is challenging due to their variability. Diagnostic decision-support systems like FindZebra and Phenomizer show promise for improving rare disease diagnosis and reducing misdiagnosis rates.
Area of Science:
- Medical Informatics
- Rare Disease Diagnosis
Background:
- Establishing a comprehensive diagnosis is a primary challenge in clinical practice.
- Rare diseases, numbering around 8000, present significant diagnostic hurdles due to clinical variability.
- Clinician awareness of all rare disease entities is impossible and inefficient.
Purpose of the Study:
- To evaluate specific diagnostic decision-support systems for rare diseases.
- To compare the advantages and limitations of systems like FindZebra, Phenomizer, Orphanet, and Isabel.
- To explore the potential of social media and big data in rare disease diagnostics.
Main Methods:
- Concise presentation of four diagnostic decision-support systems: FindZebra, Phenomizer, Orphanet, and Isabel.
- Analysis of system advantages and limitations in the context of rare disease diagnosis.
- Review of emerging technologies like social media and big data for diagnostic support.
Main Results:
- Specific diagnostic decision-support systems outperform standard search engines for rare diseases.
- These tools offer a more efficient approach compared to manual memorization of rare disease information.
- The evaluated systems present distinct benefits and drawbacks for clinical application.
Conclusions:
- Diagnostic decision-support systems hold promise for improving the accuracy and efficiency of rare disease diagnosis.
- These tools can potentially reduce initial misdiagnoses and shorten the time to a confirmed diagnosis.
- Future integration of social media and big data may further enhance diagnostic capabilities for rare diseases.
Abstract:
To establish a comprehensive diagnosis is by far the most challenging task in a physician's daily routine. Especially rare diseases place high demands on differential diagnosis, caused by the high number of around 8000 diseases and their clinical variability. No clinician can be aware of all the different entities and memorizing them all is impossible and inefficient. Specific diagnostic decision-supported systems provide better results than standard search engines in this context. The systems FindZebra, Phenomizer, Orphanet, and Isabel are presented here concisely with their advantages and limitations. An outlook is given to social media usage and big data technologies. Due to the high number of initial misdiagnoses and long periods of time until a confirmatory diagnosis is reached, these tools might be promising in practice to improve the diagnosis of rare diseases.
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