Study for Diagnostic Correspondent Rates between DSOM and Oriental Medical Doctors

한방진단시스템과 진단의 간의 진단일치도 연구

  • Lee, In-Seon (College of Oriental Medicine, Dongeui University.Research Institute of Oriental Medicine, Dongeui University) ;
  • Lee, Yong-Tae (College of Oriental Medicine, Dongeui University.Research Institute of Oriental Medicine, Dongeui University) ;
  • Chi, Gyoo-Yong (College of Oriental Medicine, Dongeui University.Research Institute of Oriental Medicine, Dongeui University) ;
  • Kim, Jong-Won (College of Oriental Medicine, Dongeui University.Research Institute of Oriental Medicine, Dongeui University) ;
  • Kim, Kyu-Kon (Department of Information Statistics, Dongeui University)
  • 이인선 (동의대학교 한의과대학.동의대학교 한의학연구소) ;
  • 이용태 (동의대학교 한의과대학.동의대학교 한의학연구소) ;
  • 지규용 (동의대학교 한의과대학.동의대학교 한의학연구소) ;
  • 김종원 (동의대학교 한의과대학.동의대학교 한의학연구소) ;
  • 김규곤 (동의대학교 데이터정보학과)
  • Published : 2008.12.25

Abstract

DSOM(Diagnosis System of Oriental Medicine) was made as a computerized assistant program for oriental medicine doctors to be able to diagnose with statistical basis. Then DSOM uses questionnaires filled out by subjects without enough explanatory guide. If the subject misunderstand the meaning of the passages, we might not rely on that result. So I designed this study to investigate the diagnostic correspondent rates between DSOM and practitioners. First, let the respondents answer to DSOM(DSOM-Ⅰ for the rest). After that, three doctors diagnosed the respondents and marked how much they had symptoms about 16 pathogenic factors in the score range 0${\sim}$5('0' means they didn't have that symptom, '1' means they had that symptom but mild, '3' means they had that symptom moderately, '5' means they had that symptom severely. And let the respondents answer to DSOM(DSOM-Ⅱ for the rest) again. Finally, we investigated the correspondent rates of diagnosis between DSOM-Ⅰ,Ⅱ and doctors'. We obtained conclusions as following. In the comparison of output frequency rate of the pathogenic factors, the difference between DSOM-Ⅰ and Ⅱ was 1%. In the correspondent rates of diagnosis between DSOM-Ⅰ,Ⅱ and doctors', In DSOM-Ⅰ and Ⅱ answered by subjects two times respectively, the correspondent rate was highest in insufficiency of Yang(陽虛) and liver(肝) as 93.2%, lowest in damp(濕) as 69.5% and showed 81.9% in all 16 pathogenic factors mean. In DSOM-Ⅰ and Ⅱ, and Doctors' diagnose, they showed the complete correspondent rates of 15.3${\sim}$61.0%, 15.3${\sim}$59.3% in individual pathogenic factor, 36.5%, 37.3% in all 16 pathogenic factors mean each, and within ${\pm}$1 errorrange, they showed the correspondent rates of 32.2${\sim}$93.2%, 35.6${\sim}$89.8% in individual pathogenic factor, 67.6%, 67.3% in all 16 pathogenic factors mean each, and within ${\pm}$2 error range, they showed the correspondent rates of 62.7${\sim}$98.3%, 71.2${\sim}$100% in individual pathogenic factor, 85.1 87.6%% in all 16 pathogenic factors mean each. In the correspondent rates of the severe case, In the cases that the Doctors' diagnostic score mean was over 3(the severity of disease is middle), there were deficiency of qi(氣虛), stagnation of qi(氣滯), blood stasis(血瘀), damp(濕), liver(肝), heart(心), spleen(脾) and they all showed the correspondent rates of over 60 except blood stasis(血瘀). In the cases that the weighed pathogenic factor was above 9, the correspondent rates were 50${\sim}$100%. deficiency of qi(氣虛), blood-deficiency(血虛), stagnation of qi(氣滯), blood stasis(血瘀), insufficiency of Yin(陽虛), insufficiency of Yang(陽虛), coldness(寒), heat (熱), damp(濕), dryness(燥), liver(肝), heart(心), spleen(脾), kidney(腎), phlegm(痰).

Keywords

References

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