Diagnostic of asthma using fuzzy rules implemented in accordance with international guidelines and physicians experience

摘要

This paper presents a system for classification of asthma based on fuzzy rules. Fuzzy rules are defined according to Global Initiative for Asthma (GINA) guidelines, as well as through consultations with long-term experience of pulmologists. Our fuzzy system for classification of asthma is based on a combination of spirometry (SPIR) and Impulse Oscillometry System (IOS) test results, which are inputs to fuzzy system. Additionally, the use of bronchodilatation and bronhoprovocation enabled a complete patient's dynamic assessment rather than a simple static assessment. The system was retroactively tested with 1250 Medical Reports established by pulmologists, out of which 728 were diagnosed with asthma and 522 were healthy subjects. Sensitivity and specificity were assessed, on this dataset, which were 91.89% and 95.01%, respectively.