Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Performance of four computer-based diagnostic systems

E S Berner1, G D Webster, A A Shugerman

  • 1University of Alabama at Birmingham.

The New England Journal of Medicine
|June 23, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reactive intermediate phase cold sintering in strontium titanate.

RSC advances·2022
Same author

'Summer of Sport': the development of a 6-week programme in increasing physical activity to improve public health outcomes.

Public health·2019
Same author

Alcohol Text Messages: A Developmental Study.

International journal of mental health and addiction·2018
Same author

Findings from the 2017 Yearbook Section on Health Information Management.

Yearbook of medical informatics·2017
Same author

01-05 Cannabis use history and onset to psychosis in an ultrahigh-risk group.

Acta neuropsychiatrica·2016
Same author

The iTreAD project: a study protocol for a randomised controlled clinical trial of online treatment and social networking for binge drinking and depression in young people.

BMC public health·2015
Same journal

Sparganosis.

The New England journal of medicine·2026
Same journal

Caring for an Aging America - The Looming Crisis of the Long-Term-Care Workforce.

The New England journal of medicine·2026
Same journal

For Those Left Behind.

The New England journal of medicine·2026
Same journal

Colliding Forces - The Aging of the Baby Boom Generation and Contracting Nursing-Home Supply.

The New England journal of medicine·2026
Same journal

Mandated State-Level Surveillance of Assisted Reproductive Technology - An Emerging Threat in the United States.

The New England journal of medicine·2026
Same journal

Ebola at 50 - Lessons for Outbreak Response and Preparedness.

The New England journal of medicine·2026
See all related articles

This study evaluated four computer-based diagnostic systems for internal medicine. While these systems offered relevant diagnoses, they did not consistently outperform expert clinicians in diagnostic accuracy.

Area of Science:

  • Medical Informatics
  • Clinical Decision Support Systems
  • Artificial Intelligence in Medicine

Background:

  • Commercial computer-based diagnostic systems lack comprehensive performance evaluations.
  • This study assessed four internal medicine diagnostic systems: Dxplain, Iliad, Meditel, and QMR.

Observation:

  • Ten expert clinicians developed 105 challenging clinical case summaries.
  • Clinical data were inputted into each system using developer-provided vocabulary.
  • Each system generated ranked diagnostic lists, compared against expert clinician lists.

Findings:

  • No single system excelled across all performance metrics.
  • Correct diagnosis proportions ranged from 0.52 to 0.71; relevant diagnoses ranged from 0.19 to 0.37.
  • Systems suggested relevant, novel diagnoses but missed some expert-identified possibilities.

Related Experiment Videos

Implications:

  • Computer diagnostic systems have distinct strengths and limitations.
  • Physicians must critically evaluate system outputs, discerning relevant from irrelevant information.
  • These tools can augment, but not replace, clinical expertise in diagnosis.