Skip to main content

Tetra: A Case-Based Decision Support System for Assisting Nuclear Physicians with Image Interpretation

  • Conference paper
  • First Online:
Case-Based Reasoning Research and Development (ICCBR 2017)

Part of the book series: Lecture Notes in Computer Science ((LNAI,volume 10339))

Included in the following conference series:

Abstract

This paper shows how nuclear image interpretation is improved by Tetra, a case-based decision support system. Tetra exploits two kinds of knowledge sources: ontologies and knowledge embedded in past nuclear imaging reports, each imaging report being associated with a case, described by some features and its associated diagnoses. Ontologies are used, in addition with vocabulary resources, to semantically annotate the imaging reports. Links between case features and diagnoses in the training case base have been computed. In practice, when a new image test is run, Tetra exploits this features/diagnosis links, as well as the generalization/specialization relation of the ontologies to retrieve the cases that are the most similar to the new image test and to compute the most probable diagnoses. 8000 nuclear imaging reports have been collected to create a case base and almost 1000 other imaging reports have been used for the system evaluation, which shows that Tetra gives good results for the two diagnoses (necrosis and ischemia) which have been considered in this work. The first results shows that an ontology-based similarity computation between cases in order to display the most similar cases as well as the diagnosis probability computation helps the nuclear physician in her image interpretation task.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    A radiotracer is a molecule in which one atom has been replaced by a radioisotope, in order to trace the path of this molecule and to explore some biological pathways.

  2. 2.

    ENT: ear, nose, and throat.

References

  1. Riesbeck, C.K., Schank, R.C.: Inside Case-Based Reasoning. Lawrence Erlbaum Associates Inc., Hillsdale (1989)

    Google Scholar 

  2. Reiner, B.I.: Medical imaging data reconciliation, part 2: clinical order entry and imaging report data reconcilia-tion. J. Am. Coll. Radiol. (JACR) 8(10), 720–724 (2011)

    Article  Google Scholar 

  3. Goldzweig, C.L., Orshansky, N.M., Paige, G., Miake-Lye, I.M., Beroes, J.M., Ewing, B.A., Shekelle, P.G.: Electronic health record-based interventions for improving appropriate diagnostic imaging: a systematic review and meta-analysis. Ann. Intern. Med. 162(8), 557–565 (2015)

    Article  Google Scholar 

  4. Cordier, A., Dufour-Lussier, V., Lieber, J., Nauer, E., Badra, F., Cojan, J., Gaillard, E., Infante-Blanco, L., Molli, P., Napoli, A., Skaf-Molli, H.: Taaable: a case-based System for personalized cooking. In: Montani, S., Jain, L.C. (eds.) Successful Case-based Reasoning Applications-2. Studies in Computational Intelligence, vol. 494, pp. 121–162. Springer, Heidelberg (2014)

    Chapter  Google Scholar 

  5. Gøeg, K.R., Cornet, R., Andersen, S.K.: Clustering clinical models from local electronic health records based on semantic similarity. J. Biomed. Inform. 54, 294–304 (2015)

    Article  Google Scholar 

  6. Guyatt, G., Cairns, J., Churchill, D., et al.: Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA 268(17), 2420–2425 (1992)

    Article  Google Scholar 

  7. Perner, P.: Case-based reasoning and the statistical challenges. Qual. Reliab. Eng. Int. 24(6), 705–720 (2008)

    Article  Google Scholar 

  8. Sandefer, R.H., Marc, D.T., Kleeberg, P.: Meaningful use attestations among us hospitals: The growing rural-urban divide. Perspect. Health Inf. Manag. 12 (2015)

    Google Scholar 

  9. Schmidt, R., Gierl, L.: The roles of prototypes in medical case-based reasoning systems. In: 4th German Workshop on CBR-System Development and Evaluation, Humbolt University, Informatik-Berichte, Berlin, pp. 207–216 (1996)

    Google Scholar 

  10. Bellazzi, R., Montani, S., Portinale, L.: Retrieval in a prototype-based case library: a case study in diabetes therapy revision. In: Smyth, B., Cunningham, P. (eds.) EWCBR 1998. LNCS, vol. 1488, pp. 64–75. Springer, Heidelberg (1998). doi:10.1007/BFb0056322

    Chapter  Google Scholar 

  11. Sharaf-El-Deen, D.A., Moawad, I.F., Khalifa, M.E.: A new hybrid case-based reasoning approach for medical diagnosis systems. J. Med. Syst. 38(2), 9 (2014)

    Article  Google Scholar 

  12. Vallati, M., Gatta, R., De Bari, B., Magrini, S.M.: Clinical similarities: an innovative approach for supporting medical decisions. Stud. Health Technol. Inf. 192, 1114 (2013)

    Google Scholar 

  13. Bratsas, C., Koutkias, V., Kaimakamis, E., Bamidis, P.D., Pangalos, G.I., Maglaveras, N.: KnowBaSICS-M: an ontolo-gy-based system for semantic management of medical problems and computerised algorithmic solutions. Comput. Meth. Programs Biomed. 88(1), 39–51 (2007)

    Article  Google Scholar 

  14. Popescu, M., Arthur, G.: Ontoquest: a physician decision support system based on ontological queries of the hospital database. In: AMIA Annual Symposium Proceedings, pp. 639–643 (2006)

    Google Scholar 

  15. Richter, M.M., Wess, S.: Similarity, Uncertainty and Case-Based Reasoning in Patdex. Springer, Dordrecht (1991)

    Book  Google Scholar 

  16. Stram, R., Reuss, P., Althoff, K.-D., Henkel, W., Fischer, D.: Relevance matrix generation using sensitivity analysis in a case-based reasoning environment. In: Case-Based Reasoning Research and Development, pp. 402–412

    Google Scholar 

  17. Kurtz, C., Beaulieu, C.F., Napel, S., Rubin, D.L.: A hierarchical knowledge-based approach for retrieving similar medi-cal images described with semantic annotations. J. Biomed. Inform. 49, 227–244 (2014)

    Article  Google Scholar 

  18. El-Naqa, I., Yang, Y., Galatsanos, N.P., Nishikawa, R.M., Wernick, M.N.: A similarity learning approach to content-based image retrieval: application to digital mammography. IEEE Trans. Med. Imaging 23(10), 1233–1344 (2004)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Emmanuel Nauer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this paper

Cite this paper

Chawki, M.B., Nauer, E., Jay, N., Lieber, J. (2017). Tetra: A Case-Based Decision Support System for Assisting Nuclear Physicians with Image Interpretation. In: Aha, D., Lieber, J. (eds) Case-Based Reasoning Research and Development. ICCBR 2017. Lecture Notes in Computer Science(), vol 10339. Springer, Cham. https://doi.org/10.1007/978-3-319-61030-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-61030-6_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61029-0

  • Online ISBN: 978-3-319-61030-6

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics