Computer consultation in neurology: subjective and objective evaluations of the "NEUROLOGIST" system

NEUROLOGIST is a computer system for clinical consultation in neurology. The system's strategy is patterned after the 'localize first' paradigm of the expert neurologist. The system gives explanations of its conclusions, including drawings of neurologic lesions. It currently covers 130 diagnoses and is readily expandable. In this paper the NEUROLOGIST system is described and results of objective and subjective evaluations are presented and discussed. Directions for improvement and expansion of the present system are outlined.