How Accurate is Computer-aided Diagnosis?
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A computer program for diagnosis of acute abdominal pain (CAD-A) was compared with an amended program (DIAG) and with clinical performance. The programs were tested at three Scottish hospitals, representing a range of practice, in 6962 cases. Accuracy of CAD-A lay in the range 48-59%, and of DIAG 56-62%. Clinical accuracy was constant at 65%. These figures suggest that computer systems based on Bayes' formula have no useful role in the diagnosis of acute abdominal pain.
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