Jennifer M Sacheck, Catherine M Wright, Sarah A Amin, Stephanie Anzman-Frasca, Virginia M Chomitz, Kenneth K Chui, Paula J Duquesnay, Miriam E Nelson, Christina D Economos
The Fueling Learning Through Exercise Study Cluster RCT: Impact on Children's Moderate-to-Vigorous Physical Activity
American journal of preventive medicine
volume diagnostic imaging studies performed united states rapidly increasing resulting increase number patients well increase volume studies per patient concurrently number complexity images patient data set also increasing nuclear medicine physicians radiologists required master everexpanding knowledge base whereas hours available master knowledge base apply specific tasks steadily shrinking convergence expanding knowledge base escalating time constraints increases likelihood physician errors problem particularly acute lowvolume studies mag3 diuresis renography many imagers may limited training experience address problem renal decision support systems dss developed assist physicians evaluate suspected obstruction patients referred diuresis renography categories dss include neural networks casebased reasoning expert systems statistical systems renex cart examples renal dss currently development renex renal expert uses set rules obtained human experts analyze knowledge base expanded quantitative parameters obtained diuresis mag3 scintigraphy whereas cart classification regression tree analysis statistical method grows prunes decision tree based analysis quantitative parameters training data set renex queried provide reasons conclusions initial data show interpretations provided renex cart comparable interpretations panel experts blinded clinical information project serve benchmark scientific comparison collaboration 2 fields medical decisionmaking moreover anticipate dss better define essential interpretative criteria foster standardized interpretation teach trainees better interpret renal scans enhance diagnostic accuracy provide methodology applicable diagnostic problems radiology medicine