A contextual care protocol is used by a medical practitioner for patient healthcare, given the context or situation that the specified patient is in. This paper proposes a method to build an automated self-adapting protocol which can help make relevant, early decisions for effective healthcare delivery. The hybrid model leverages neural networks and decision trees. The neural network estimates the chances of each disease and each tree in the decision trees represents care protocol for a disease. These trees are subject to change in case of aberrations found by the diagnosticians. These corrections or prediction errors are clustered into similar groups for scalability and review by the experts. The corrections as suggested by the experts are incorporated into the model.
Jose´ M. Jerez-Aragone´s proposed a model that combines TDIDT (CIDIM), with a system composed of different neural network topologies to approximate Bayes’ optimal error for the prediction of patient relapse after breast cancer surgery. The CIDIM algorithm selects the most relevant prognostic factors for the accurate prognosis of breast cancer, while the neural networks system takes as input these selected variables in order for it to reach correct classification probability @cite_12 .
@cite_12
2103592462
The prediction of clinical outcome of patients after breast cancer surgery plays an important role in medical tasks such as diagnosis and treatment planning. Different prognostic factors for breast cancer outcome appear to be significant predictors for overall survival, but probably form part of a bigger picture comprising many factors. Survival estimations are currently performed by clinicians using the statistical techniques of survival analysis. In this sense, artificial neural networks are shown to be a powerful tool for analysing datasets where there are complicated non-linear interactions between the input data and the information to be predicted. This paper presents a decision support tool for the prognosis of breast cancer relapse that combines a novel algorithm TDIDT (control of induction by sample division method, CIDIM), to select the most relevant prognostic factors for the accurate prognosis of breast cancer, with a system composed of different neural networks topologies that takes as input the selected variables in order for it to reach good correct classification probability. In addition, a new method for the estimate of Bayes' optimal error using the neural network paradigm is proposed. Clinical-pathological data were obtained from the Medical Oncology Service of the Hospital [email protected]?nico Universitario of Malaga, Spain. The results show that the proposed system is an useful tool to be used by clinicians to search through large datasets seeking subtle patterns in prognostic factors, and that may further assist the selection of appropriate adjuvant treatments for the individual patient.