Stroke, Vol 20, 1353-1356, Copyright © 1989 by American Heart Association
K Spitzer, A Thie, LR Caplan and K Kunze
MICROSTROKE is a prototype expert system designed to categorize and
diagnose stroke types based on clinical information. The knowledge base of
MICROSTROKE includes information from large stroke registries. The system
first queries the physician-user for details of the patient's history,
information about the onset of stroke, accompanying symptoms, and pertinent
neurologic findings and then sums the individual data items, factors in the
a priori odds, and arrives at the probabilities of different stroke types
for a given patient. Specific diagnosis of stroke type includes thrombosis,
embolus, lacune, intracerebral hemorrhage, and subarachnoid hemorrhage.
Stroke type diagnoses by MICROSTROKE were correct in 72.8% of 250 cases in
the Hamburg Stroke Data Bank. MICROSTROKE runs on any MS-DOS microcomputer
and is intended as a practical aid for physicians not fully familiar with
the diagnosis of stroke types.
ARTICLES
The MICROSTROKE expert system for stroke type diagnosis
Neurologische Universitatsklinik Hamburg-Eppendorf, Federal Republic of Germany.
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