A PROPOSAL OF A WORKFLOW-BASED CBR FOR INTERVENTIONAL CDSS - Application to Transcatheter Aortic Valve Implantation (TAVI)

Andres El-Fakdi, Joaquim Meléndez, Roberto Petite

2012

Abstract

A Clinical Decision Support System (CDSS) is an interactive software designed to assist physicians, and other health professionals, with health decision-making tasks through an inference process that associates observations with conclusions supported by objective and expert knowledge on a specific application domain. As complexity of surgical processes arises, there is a demand from the clinicians to extend the capabilities from a pure research database towards a clinically integrated decision support system. The work presented in this paper details a proposal of a CDSS designed to to assess clinicians during interventions by retrieving and reusing past similar cases. Following an operative workflow, the designed software will use a Case-Based Reasoning (CBR) methodology to retrieve similar past cases from a case base to give case-specific advice at any particular point of the process, specially during preoperative and intraoperative stages. The proposal intends to develop a monitoring mechanism capable to recognize relevant data to every stage in the intervention workflow. Thus, measures and observations generated during the intervention will be used to retrieve the most similar cases occurred in previous occasions. The paper proposes an example application of the CBR strategy, where it is adapted to a recent complex minimally invasive intervention which is receiving growing attention lately, the Transcatheter Aortic Valve Implantation (TAVI).

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Paper Citation


in Harvard Style

El-Fakdi A., Meléndez J. and Petite R. (2012). A PROPOSAL OF A WORKFLOW-BASED CBR FOR INTERVENTIONAL CDSS - Application to Transcatheter Aortic Valve Implantation (TAVI) . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012) ISBN 978-989-8425-88-1, pages 201-206. DOI: 10.5220/0003771302010206


in Bibtex Style

@conference{healthinf12,
author={Andres El-Fakdi and Joaquim Meléndez and Roberto Petite},
title={A PROPOSAL OF A WORKFLOW-BASED CBR FOR INTERVENTIONAL CDSS - Application to Transcatheter Aortic Valve Implantation (TAVI)},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012)},
year={2012},
pages={201-206},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003771302010206},
isbn={978-989-8425-88-1},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012)
TI - A PROPOSAL OF A WORKFLOW-BASED CBR FOR INTERVENTIONAL CDSS - Application to Transcatheter Aortic Valve Implantation (TAVI)
SN - 978-989-8425-88-1
AU - El-Fakdi A.
AU - Meléndez J.
AU - Petite R.
PY - 2012
SP - 201
EP - 206
DO - 10.5220/0003771302010206