Stroke, Vol 20, 1195-1201, Copyright © 1989 by American Heart Association
K Spitzer, A Thie, LR Caplan and K Kunze
Clinically, strokes are localized by the findings on neurologic
examination. TOPOSCOUT is an expert system designed to diagnose the
anatomic location and the corresponding vascular territory of strokes based
on the clinical signs and symptoms. The inference engine of TOPOSCOUT uses
a backtracking algorithm and a rule-based data base that includes
associations of neurologic signs with vascular and anatomic areas.
TOPOSCOUT is capable of detecting typical stroke patterns, for example,
"top-of-the-basilar" or Wallenberg's syndromes. The accuracy of TOPOSCOUT's
diagnoses has been tested for conformity with the final diagnoses of 129
patients in the Hamburg Stroke Data Bank, and a high level of agreement was
found for hemispheric lesions. The program runs on microcomputers with
MS-DOS and is intended as a practical aid for physicians not fully familiar
with topologic stroke diagnosis and as an interactive teaching device.
ARTICLES
The TOPOSCOUT expert system for stroke localization
Neurologische Universitatsklinik Hamburg-Eppendorf, Federal Republic of Germany.
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