Microcomputer-assisted diagnosis of inherited disorders of the skeleton

dc.contributor.advisorBeighton, Peteren_ZA
dc.contributor.advisorMacGregor, Kenen_ZA
dc.contributor.authorVan Greunen, Francoisen_ZA
dc.date.accessioned2017-10-25T07:44:09Z
dc.date.available2017-10-25T07:44:09Z
dc.date.issued1988en_ZA
dc.date.updated2017-07-25T09:42:04Z
dc.description.abstractSeveral hundred inherited disorders of the skeleton have been delineated. Individually these conditions are rare, but as a group they cause much crippling and hardship. Several factors, including the rarity and complexity of the manifestations of these conditions, as well as semantic overlap, impede the accurate diagnosis which is essential for effective treatment. In this regard, the adoption of microcomputers warrants evaluation as a high technology aid. Microcomputers have developed tremendous capabilities during recent years. The state of the art has become such that a diagnostic aid facility on such a device has been demonstrated in various disciplines of medicine and may also be feasible in the area of inherited skeletal disorders. The study which forms the basis of this thesis, concerns the investigation of this feasibility and has led to the development of an effective working model which sets the basis for microcomputer-aided diagnosis. The design features followed in this project are similar to those conventionally employed for "Expert systems" on mainframe computers. A comprehensive knowledge base consisting of over 200 skeletal disorders and 700 radiographic and clinical manifestations, has resulted. Furthermore, the application is capable of "learning", although inference as employed by the inference engines of real expert systems, is not employed. In this context learning implies that the knowledge base, with the passage of time, improves considerably when used by experts. Serendipitous findings in this regard are: • 1) Considerable improvement of existing profile descriptions can occur without any increased demands on computer memory and storage space; • 2) Growth of the knowledge base in the form of additional disease profiles can be effected with very modest inroads on memory and storage resources. The computerized diagnostic aid which resulted from this thesis, has been demonstrated to be successful in both the Department of Human Genetics of the University of Cape Town and the Department of Paediatrics of the Johannes Gutenberg University in Mainz. Evaluated both in terms of efficiency and utility, the system provides an enhancement to the specialist genetic diagnostician. These achievements have been effected by means of a unique newly developed application of compressed bit-mapping, attained by writing the applicable programs in Turbo Pascal and 8086- assembler languages. Calculations indicate that much larger data bases may possibly be implemented on present-day microcomputers by means of the methods developed in this project.en_ZA
dc.identifier.apacitationVan Greunen, F. (1988). <i>Microcomputer-assisted diagnosis of inherited disorders of the skeleton</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Human Genetics. Retrieved from http://hdl.handle.net/11427/25754en_ZA
dc.identifier.chicagocitationVan Greunen, Francois. <i>"Microcomputer-assisted diagnosis of inherited disorders of the skeleton."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Human Genetics, 1988. http://hdl.handle.net/11427/25754en_ZA
dc.identifier.citationVan Greunen, F. 1988. Microcomputer-assisted diagnosis of inherited disorders of the skeleton. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Van Greunen, Francois AB - Several hundred inherited disorders of the skeleton have been delineated. Individually these conditions are rare, but as a group they cause much crippling and hardship. Several factors, including the rarity and complexity of the manifestations of these conditions, as well as semantic overlap, impede the accurate diagnosis which is essential for effective treatment. In this regard, the adoption of microcomputers warrants evaluation as a high technology aid. Microcomputers have developed tremendous capabilities during recent years. The state of the art has become such that a diagnostic aid facility on such a device has been demonstrated in various disciplines of medicine and may also be feasible in the area of inherited skeletal disorders. The study which forms the basis of this thesis, concerns the investigation of this feasibility and has led to the development of an effective working model which sets the basis for microcomputer-aided diagnosis. The design features followed in this project are similar to those conventionally employed for "Expert systems" on mainframe computers. A comprehensive knowledge base consisting of over 200 skeletal disorders and 700 radiographic and clinical manifestations, has resulted. Furthermore, the application is capable of "learning", although inference as employed by the inference engines of real expert systems, is not employed. In this context learning implies that the knowledge base, with the passage of time, improves considerably when used by experts. Serendipitous findings in this regard are: • 1) Considerable improvement of existing profile descriptions can occur without any increased demands on computer memory and storage space; • 2) Growth of the knowledge base in the form of additional disease profiles can be effected with very modest inroads on memory and storage resources. The computerized diagnostic aid which resulted from this thesis, has been demonstrated to be successful in both the Department of Human Genetics of the University of Cape Town and the Department of Paediatrics of the Johannes Gutenberg University in Mainz. Evaluated both in terms of efficiency and utility, the system provides an enhancement to the specialist genetic diagnostician. These achievements have been effected by means of a unique newly developed application of compressed bit-mapping, attained by writing the applicable programs in Turbo Pascal and 8086- assembler languages. Calculations indicate that much larger data bases may possibly be implemented on present-day microcomputers by means of the methods developed in this project. DA - 1988 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1988 T1 - Microcomputer-assisted diagnosis of inherited disorders of the skeleton TI - Microcomputer-assisted diagnosis of inherited disorders of the skeleton UR - http://hdl.handle.net/11427/25754 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/25754
dc.identifier.vancouvercitationVan Greunen F. Microcomputer-assisted diagnosis of inherited disorders of the skeleton. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Human Genetics, 1988 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/25754en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Human Geneticsen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherBones - Diseases - Diagnosis - Data processingen_ZA
dc.subject.otherBone diseases - Diagnosisen_ZA
dc.subject.otherBone Diseases - familial & geneticen_ZA
dc.subject.otherDiagnosis, Computer-Assisteden_ZA
dc.subject.otherHereditary diseases - Diagnosisen_ZA
dc.titleMicrocomputer-assisted diagnosis of inherited disorders of the skeletonen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMDen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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