Computer-aided Osteoporosis Diagnostic Decision-support System Based on the Diagnostic Criteria for Primary Osteoporosis in Ningen Dock

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  • 人間ドックにおける原発性骨粗鬆症の診断基準に準拠した診断支援コンピュータシステムについて
  • ニンゲン ドック ニ オケル ゲンパツセイ コツソショウショウ ノ シンダン キジュン ニ ジュンキョシタ シンダン シエン コンピュータ システム ニ ツイテ

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Abstract

Objective: In order to standardize the diagnosis in ningen dock, we established and implemented a computer-aided osteoporosis diagnostic-support system, in which information obtained from interviews and the examination results are integrated, and diagnosis is made in accordance with the diagnostic criteria for primary osteoporosis (issued by the Japanese Society for Bone and Mineral Research in 2000). Here, we report on our practice with a discussion. Methods: We created a program that provides a diagnosis including the presence/absence of postmenopausal osteoporosis, a leading cause of osteoporosis, by integrating the information on bone density measurements, presence/absence of fragility fracture, presence/absence of menstruation, presence/absence of a history of bilateral oophorectomy, presence/absence of a history of total hysterectomy, and age. The program was designed so that, if subjects are on medication for osteoporosis, it will evaluate the therapeutic effects by bone density measurements and offer second opinions. Results and Conclusion: Utilization of this system may yield the following benefits: 1. Consistent diagnoses can be obtained, generating less variation among diagnosing doctors, and among participants.2. By building the diagnostic logic in accordance with the diagnostic criteria issued by an academic society, even doctors who are not familiar with the particular field can offer evidence-based diagnosis, and thus, standardization among institutions can be ensured.3. It provides an opportunity for doctors to learn about the diagnostic criteria.4. Automatic printing of the doctor's instructions replaces the doctor's handwriting, which may be difficulr to read.5. Automatic input of the diagnosis and instructions reduces the doctor's work-load.

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