This paper reports a comparison in Airedale District General Hospital between computer-aided diagnosis of dyspepsia and endoscopy in a prospective unselected series of 165 patients. Patients were interviewed immediately before endoscopy and the findings analysed by a small desk-top computer-aided system. Each 'new' patient was compared by the computer with a group of 360 similar patients from Leeds (25 miles away). Overall, 83% of the positive lesions found at endoscopy were correctly predicted by the computer, including all but three of the 22 cases of gastric cancer. It is suggested (1) that there is little loss of accuracy in transferring the computer-aided system from one locality to another; and (2) that a computer-aided analysis of the patient interview may be of value in selecting 'high-risk' patients for intensive investigation.
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机译：本文报道了在Airedale District General Hospital进行的计算机辅助消化不良诊断和内窥镜检查之间的比较，该调查涉及165例未选择的预期患者。在内窥镜检查之前立即对患者进行了采访，并通过小型台式计算机辅助系统分析了发现。计算机将每位“新”患者与利兹（25英里外）的360名类似患者进行比较。总体而言，内窥镜检查发现的阳性病变中有83％是由计算机正确预测的，包括22例胃癌中的除3例以外的所有病例。建议（1）在将计算机辅助系统从一个地方转移到另一个地方时，准确性损失很小； （2）对患者访谈的计算机辅助分析对于选择“高风险”患者进行深入研究可能是有价值的。
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