Document Type : Research Paper

Authors

1 MA in IT Management, Faculty of Management, Islamic Azad University, electronic Branch, Tehran, Iran,

2 Former Assistant Professor, Faculty of Medicine, Islamic Azad University of Shahroud, Certified board of skin and hair disease from Shahid Beheshti University, Tehran, Iran, Iran

3 Associate Professor, Faculty of Management, Islamic Azad University, Central Branch of Tehran, Tehran, Iran.

Abstract

vv
The differential diagnosis of Erythemato-Squamous disease is a very important issue in dermatology. These diseases include Dermatitis Seborrheic, Lichen Planus, Pityriasis Rosea, Chronic Dermatiticand Pityriasis Rubra Pilaris. The differential diagnosis of psoriasis need to spend a lot of time and costs and incorrect or delayed diagnosis will lead to risky consequences for the patient. In this regard, a fuzzy expert system was created to diagnose psoriasis at any time and in any place. In this study, an expert system is created to diagnose psoriasis based on fuzzy logic and rule-based database using MATLAB software. Also, to test the system data from 190 patients with psoriasis was used among which 126 people with psoriasis were selected. The accuracy, sensitivity and accuracy of the system, was obtained 96%, 97% and 95%, respectively. The area under the ROC curve was obtained 0.97 and that of Kappa test was obtained 0.92 (P < 0.001). Given the importance of early diagnosis of psoriasis, the use of expert systems can play an important role in preventing disease progression, reducing severe pain and costs.
 

Keywords

 
Abbasi MM, Kashiyarndi S, Clinical decision support systems: a discussion on different methodologies used in health care.
Ahmadzadeh A, Introduction to expert system and application in medicine. Proceedings of the first congress of medical informaties; Mazandaran, Iran.
Andis JR,Koch GG. The measurement of observer agreement for categorical data Biometrics.1977:33(1):159-74.
Anitha B, Rajagopalan SP. Computer decision support systems for evidence-based medicine-an overview. European Journal of Scientific Research. 2011; 50(3):349-358.
Bakpo, Kabari.Diagnosing skin diseases using an artificial neural Notwork. Journal of Artificial Neural Networks – Methodological Advances and Biomedical Applications.2009:13:257- 270.
Barati E, Saraee M, Mohammadi A, Adibi N, Ahmadzadeh M, A survey on utilization of datamining approaches for dermatological (skin) diseases prediction. Journal of Selected Areas health informatics 2011.
Bezold GD, lange ME, Gall H, Peter RU. Detection of cutaneous varicella zoster virus infections by immunofluorescence versus PCR. Eur J Dermatol 2001; 11:108-11.
Castellano G,Castiello C,Fanelli AM,Leone C.Diagnosis of dermatological diseases. By a neuro-fuzzy system.Proceedings of EUSFLAT Conference.2003.
Chen TM, George S, Woodruff CA, Hsu S. Clinical manifestations of varicella zoster virus infection. Dermatol Clin 2002; 20:267-82.
Choo PW, Dunahue JG, Manson JE, et al. The epidemiology of varicella and its complications J Infect Dis 1995; 172(3):706-12.
Cohen JR, Brunnel PA, Strauss SE, et al. Recent advances in varicella-zoster virus infection. Ann Intern Med 1999; 130(11):922-32.
D. N. Joanes CAG.comparing measures of sample skewness and kurtosis. JOURNALOF the Royal statistical Socicty. 1998: 38(1):183-9.
Donahoo JG, Choo pw. The Incidence of Herpes Zoster. Arch of Internal Medicine 1995; 155(12): 16
elda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
England J.A, Balfoar J.R. Varicella and Herpes zoster Haprich PD, Jordan MJ. Infectious Diseases. 4th edition. Philadelphia: Lippincor Company; 1989. P: 938-953.
Fanaroff AA, Martin RA. Neonatal perinatal medicine. 5th ed. 2002. p. 764-7.
Fazel Zarandi MH,Zolnoori M,Moin M,Heidarnejad H.A fuzzy rule-based expet systemfor Diagnosing asthma.Transaction E:Industrial Engineering 2010:17(2):129-142
Ghann Jw, WhitWey. Herpes Zoster. The New England Journal of Medicine 2002 August; 374(11): 340- 334.
Gnann JW Jr, Clinical practice. Herpes zoster. NEngl J Med, 2002; 338:340-6.
Greenes R. Clinical Decision Support: The Road Ahead. Academic Press; 2011
Gudmundsson S, Helgason S, Sigurdsson JA. The clinical course of herpes zoster: a prospective study in primary care. Eur J Gen Pract 1996; 2: 12-6.
Habif T. Clinical Dermatology. 5th ed. Elsevier Health Sciences; 2009
     hazanfari M, Kazemi Z, Expert systems. Tehran: 2004. [Persian]
Elahi Sh, Rajabzade A, Expert Systems: Intelligent decision making pattern Tehran:Bazargani; 2004. [Persian]
Lau BH, Lin MI, Lin HC. Herpes zoster during varicella. Pediatr Infect Dis J2001; 20(9):915-6.
McLeod R. Management information systems. 7th Ed. New YorkPrentice Hall; 1998.23. TurbanNew Jersey: John wiley & Sons; 2005.
oali M,Aminnaseri M,Nasiri M.DESderma:An intelligent system to diagnose skin disease. Proceedings of the 10th computer socity of Iran conference: 1383 bahman 27-29: Tehran,Iran.
Petersson CL, Mascola L, Chao SL, et al. Children hospitalized for varicella: a prevaccine review.J Pediatr 1996;129(4):529-36.
Power D, Decision support system: concepts and resources for managers. Greenwood Publishing Group; 2002.
Sadoughi f, Sheikhtacheri A. Application of artificial intelligence in medicine: opportunitiesand challenges.Journal of Health Adminisreation. 2011; 8(3):350-355.
Sadoughi F, Sheikhtaheri A, Meidani Z, Shahmoradi L. Management information system (concepts,structure,development and evaluation): jafaripub; 1389:176-177
Sadoughi F. Decision Support system in health. Proceedings of the 3rd Health ManagementCongress: Fara Organization; 2009 Jan 18-19; Tehran, Iran; 2009.
Sauerbrei A, Eichhorn U, Schacke M, WutzlerP. Laboratory diagnosis of herpes zoster. J ClinVirol 1999; 14:31-6.
Sheikhtaheri A. Application of expert systems in clinical decisions, Proceedings of the 2nd Heaith Management ongress: Fara Organization; 2008 Oct 29-30; Tehran, Iran; 2008.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
Takayama N, Takayama M, Takita J. Herpes zoster in healthy children immunized with varicella
Toloie Ashlaqi A, Mohsen Taheri S. Designing an expert system for suggesting the blood cancer treatment. Journal of Health Administration. 2010; 13(40):32-50.
Torres A, Nieto JJ. Fuzzy logic in medicine and bioinformatics. Journal of Biomedicine and biotechnology. 2006.
Tunsuriyawong S, Puavilai S. Herpes Zoster, Clinical Course and Associated Diseases: A 5-year retrospective study at Ramthibodi hospital. J Med Assoc Thai, 2005; 88(5):678-81.
Turban E, Aronson JE, Liang Tp. Decision Support systems and intelligent systems7thed. New York: Prentice Hall; 2005.
Velda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
William D.James et al. Andrews "Disease of the skin clinical Dermatology" 2011; 372.
 
 
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Abbasi MM, Kashiyarndi S, Clinical decision support systems: a discussion on different methodologies used in health care.
Ahmadzadeh A, Introduction to expert system and application in medicine. Proceedings of the first congress of medical informaties; Mazandaran, Iran.
Andis JR,Koch GG. The measurement of observer agreement for categorical data Biometrics.1977:33(1):159-74.
Anitha B, Rajagopalan SP. Computer decision support systems for evidence-based medicine-an overview. European Journal of Scientific Research. 2011; 50(3):349-358.
Bakpo, Kabari.Diagnosing skin diseases using an artificial neural Notwork. Journal of Artificial Neural Networks – Methodological Advances and Biomedical Applications.2009:13:257- 270.
Barati E, Saraee M, Mohammadi A, Adibi N, Ahmadzadeh M, A survey on utilization of datamining approaches for dermatological (skin) diseases prediction. Journal of Selected Areas health informatics 2011.
Bezold GD, lange ME, Gall H, Peter RU. Detection of cutaneous varicella zoster virus infections by immunofluorescence versus PCR. Eur J Dermatol 2001; 11:108-11.
Castellano G,Castiello C,Fanelli AM,Leone C.Diagnosis of dermatological diseases. By a neuro-fuzzy system.Proceedings of EUSFLAT Conference.2003.
Chen TM, George S, Woodruff CA, Hsu S. Clinical manifestations of varicella zoster virus infection. Dermatol Clin 2002; 20:267-82.
Choo PW, Dunahue JG, Manson JE, et al. The epidemiology of varicella and its complications J Infect Dis 1995; 172(3):706-12.
Cohen JR, Brunnel PA, Strauss SE, et al. Recent advances in varicella-zoster virus infection. Ann Intern Med 1999; 130(11):922-32.
D. N. Joanes CAG.comparing measures of sample skewness and kurtosis. JOURNALOF the Royal statistical Socicty. 1998: 38(1):183-9.
Donahoo JG, Choo pw. The Incidence of Herpes Zoster. Arch of Internal Medicine 1995; 155(12): 16
elda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
England J.A, Balfoar J.R. Varicella and Herpes zoster Haprich PD, Jordan MJ. Infectious Diseases. 4th edition. Philadelphia: Lippincor Company; 1989. P: 938-953.
Fanaroff AA, Martin RA. Neonatal perinatal medicine. 5th ed. 2002. p. 764-7.
Fazel Zarandi MH,Zolnoori M,Moin M,Heidarnejad H.A fuzzy rule-based expet systemfor Diagnosing asthma.Transaction E:Industrial Engineering 2010:17(2):129-142
Ghann Jw, WhitWey. Herpes Zoster. The New England Journal of Medicine 2002 August; 374(11): 340- 334.
Gnann JW Jr, Clinical practice. Herpes zoster. NEngl J Med, 2002; 338:340-6.
Greenes R. Clinical Decision Support: The Road Ahead. Academic Press; 2011
Gudmundsson S, Helgason S, Sigurdsson JA. The clinical course of herpes zoster: a prospective study in primary care. Eur J Gen Pract 1996; 2: 12-6.
Habif T. Clinical Dermatology. 5th ed. Elsevier Health Sciences; 2009
     hazanfari M, Kazemi Z, Expert systems. Tehran: 2004. [Persian]
Elahi Sh, Rajabzade A, Expert Systems: Intelligent decision making pattern Tehran:Bazargani; 2004. [Persian]
Lau BH, Lin MI, Lin HC. Herpes zoster during varicella. Pediatr Infect Dis J2001; 20(9):915-6.
McLeod R. Management information systems. 7th Ed. New YorkPrentice Hall; 1998.23. TurbanNew Jersey: John wiley & Sons; 2005.
oali M,Aminnaseri M,Nasiri M.DESderma:An intelligent system to diagnose skin disease. Proceedings of the 10th computer socity of Iran conference: 1383 bahman 27-29: Tehran,Iran.
Petersson CL, Mascola L, Chao SL, et al. Children hospitalized for varicella: a prevaccine review.J Pediatr 1996;129(4):529-36.
Power D, Decision support system: concepts and resources for managers. Greenwood Publishing Group; 2002.
Sadoughi f, Sheikhtacheri A. Application of artificial intelligence in medicine: opportunitiesand challenges.Journal of Health Adminisreation. 2011; 8(3):350-355.
Sadoughi F, Sheikhtaheri A, Meidani Z, Shahmoradi L. Management information system (concepts,structure,development and evaluation): jafaripub; 1389:176-177
Sadoughi F. Decision Support system in health. Proceedings of the 3rd Health ManagementCongress: Fara Organization; 2009 Jan 18-19; Tehran, Iran; 2009.
Sauerbrei A, Eichhorn U, Schacke M, WutzlerP. Laboratory diagnosis of herpes zoster. J ClinVirol 1999; 14:31-6.
Sheikhtaheri A. Application of expert systems in clinical decisions, Proceedings of the 2nd Heaith Management ongress: Fara Organization; 2008 Oct 29-30; Tehran, Iran; 2008.
Shortliffe EH, Perreault LE, Medicai informatics: computer applications in health care and biomedicine. New York: Springer; 2006.
Takayama N, Takayama M, Takita J. Herpes zoster in healthy children immunized with varicella
Toloie Ashlaqi A, Mohsen Taheri S. Designing an expert system for suggesting the blood cancer treatment. Journal of Health Administration. 2010; 13(40):32-50.
Torres A, Nieto JJ. Fuzzy logic in medicine and bioinformatics. Journal of Biomedicine and biotechnology. 2006.
Tunsuriyawong S, Puavilai S. Herpes Zoster, Clinical Course and Associated Diseases: A 5-year retrospective study at Ramthibodi hospital. J Med Assoc Thai, 2005; 88(5):678-81.
Turban E, Aronson JE, Liang Tp. Decision Support systems and intelligent systems7thed. New York: Prentice Hall; 2005.
Velda R, Degoulet P, Clinical information Systems: A Componet-Based Approach. Springer; 2003.
William D.James et al. Andrews "Disease of the skin clinical Dermatology" 2011; 372.
 
 
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