Human and Computer-aided Diagnosis of Abdominal Pain: Further Report with Emphasis on Performance of CliniciansBr Med J 1974; 1 doi: http://dx.doi.org/10.1136/bmj.1.5904.376 (Published 02 March 1974) Cite this as: Br Med J 1974;1:376
- F. T. de Dombal,
- D. J. Leaper,
- Jane C. Horrocks,
- John R. Staniland,
- A. P. McCann
This paper reports a controlled trial of human and computer-aided diagnosis in a series of 552 patients with acute abdominal pain. The overall diagnostic accuracy of the computer-aided system was 91·5% and that of the senior clinician to see each case was 81·2%. However, the clinician's diagnostic performance improved markedly during the period of the trial. The proportion of appendices which perforated before operation fell from 36% to 4% during the trial, and the negative laparotomy rate dropped sharply. After the trial closed in August 1972 these figures reverted towards their pretrial levels.
It is suggested that while computer-aided diagnosis is a valuable direct adjunct to the clinician dealing with the “acute abdomen,” he may also benefit in the short-term from the constant feedback he receives and from the disciplines and constraints involved in communicating with the computer.
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial