Title
Telemedicine framework using case-based reasoning with evidences
Abstract
Telemedicine framework with structured knowledge to support medical professionals.Enrichment of the case-based reasoning process with evidences and expert opinions.Knowledge engineering using reasoning of ontology modeling and semantic similarity.Flexible collaborative model to provide a participative and extensible environment.Application in oncology to improve the reliability and safety of medical services. Telemedicine is the medical practice of information exchanged from one location to another through electronic communications to improve the delivery of health care services. This research article describes a telemedicine framework with knowledge engineering using taxonomic reasoning of ontology modeling and semantic similarity. In addition to being a precious support in the procedure of medical decision-making, this framework can be used to strengthen significant collaborations and traceability that are important for the development of official deployment of telemedicine applications. Adequate mechanisms for information management with traceability of the reasoning process are also essential in the fields of epidemiology and public health. In this paper we enrich the case-based reasoning process by taking into account former evidence-based knowledge. We use the regular four steps approach and implement an additional (iii) step: (i) establish diagnosis, (ii) retrieve treatment, (iii) apply evidence, (iv) adaptation, (v) retain. Each step is performed using tools from knowledge engineering and information processing (natural language processing, ontology, indexation, algorithm, etc.). The case representation is done by the taxonomy component of a medical ontology model. The proposed approach is illustrated with an example from the oncology domain. Medical ontology allows a good and efficient modeling of the patient and his treatment. We are pointing up the role of evidences and specialist's opinions in effectiveness and safety of care.
Year
DOI
Venue
2015
10.1016/j.cmpb.2015.04.012
Computer Methods and Programs in Biomedicine
Keywords
Field
DocType
Case-based reasoning,Evidence sources,Medical taxonomy,Oncology,Telemedicine
Semantic similarity,Telemedicine,Ontology,Information management,Information processing,Computer science,Knowledge management,Knowledge engineering,Case-based reasoning,Traceability
Journal
Volume
Issue
ISSN
121
1
0169-2607
Citations 
PageRank 
References 
13
0.55
11
Authors
3
Name
Order
Citations
PageRank
A. Sene1130.55
Bernard Kamsu-Foguem231820.94
P. Rumeau3130.55