eXiT*CBR: A framework for case-based medical diagnosis development and experimentation

  • Authors:
  • Beatriz López;Carles Pous;Pablo Gay;Albert Pla;Judith Sanz;Joan Brunet

  • Affiliations:
  • Control Engineering and Intelligent Systems Research Group, Universitat de Girona, Campus Montilivi, edifice P4, 17071 Girona, Spain and Girona Biomedical Research Institute, Av. de França s/ ...;Control Engineering and Intelligent Systems Research Group, Universitat de Girona, Campus Montilivi, edifice P4, 17071 Girona, Spain and Girona Biomedical Research Institute, Av. de França s/ ...;Control Engineering and Intelligent Systems Research Group, Universitat de Girona, Campus Montilivi, edifice P4, 17071 Girona, Spain;Control Engineering and Intelligent Systems Research Group, Universitat de Girona, Campus Montilivi, edifice P4, 17071 Girona, Spain;Unitat de Consell Genètic en Cíncer Hereditari, Servei d'Oncologia Mèdica, Hospital de la Santa Creu i Sant Pau, Sant Antoni Maria Claret, 167, 08025 Barcelona, Spain;Girona Biomedical Research Institute, Av. de França s/n, 17007 Girona, Spain and Medical Oncology Department, Catalan Institute of Oncology, Av. França s/n, 17007 Girona, Spain

  • Venue:
  • Artificial Intelligence in Medicine
  • Year:
  • 2011

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Abstract

Objective: Medical applications have special features (interpretation of results in medical metrics, experiment reproducibility and dealing with complex data) that require the development of particular tools. The eXiT*CBR framework is proposed to support the development of and experimentation with new case-based reasoning (CBR) systems for medical diagnosis. Method: Our framework offers a modular, heterogeneous environment that combines different CBR techniques for different application requirements. The graphical user interface allows easy navigation through a set of experiments that are pre-visualized as plots (receiver operator characteristics (ROC) and accuracy curves). This user-friendly navigation allows easy analysis and replication of experiments. Used as a plug-in on the same interface, eXiT*CBR can work with any data mining technique such as determining feature relevance. Results: The results show that eXiT*CBR is a user-friendly tool that facilitates medical users to utilize CBR methods to determine diagnoses in the field of breast cancer, dealing with different patterns implicit in the data. Conclusions: Although several tools have been developed to facilitate the rapid construction of prototypes, none of them has taken into account the particularities of medical applications as an appropriate interface to medical users. eXiT*CBR aims to fill this gap. It uses CBR methods and common medical visualization tools, such as ROC plots, that facilitate the interpretation of the results. The navigation capabilities of this tool allow the tuning of different CBR parameters using experimental results. In addition, the tool allows experiment reproducibility.