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Friday, 1 June 2012

Clinical Linguistic Decision Support System (CLDSS)

Clinical Linguistic Decision Support System (CLDSS) for the Differential Diagnosis of Child Language Disorders and Digital Brain Atlas

Prof. Dr Ruslan Rainis
Assoc. Prof. Dr Tajuddin Khader
Assoc. Prof. Dr Shukri Sulaiman
Tan Hock Thye
Dr Zamzuri Idris
Dr Win Mar @ Salmah Jalaluddin (Radiologist)
Affandi Hussien (Speech-Language Pathologist)

The Health Care Services in Malaysia, although a highly knowledge-intensive sector, has traditionally been very slow and fragmented in its use of information technology in its general, private hospitals and clinics; particularly in diagnosing and administering treatment to children with language disorders. The responsibility for both diagnosing and administering treatment to children with labguage disorders is often placed with either junior or non-specialist doctors who frequently have relatively little experience in this area. Crucially, despite the numerous studies that have been conducted since the first half of the 19th century; child language impairment remains a disorder that cannot be easily diagnosed and discerned due to its similar characteristics to other language disorders. These problems becessitate the development of a clinical linguistic decision support system (CLDSS) for the differential diagnosis of child language disorders and digital brain atlas (DBA) to aid the junior and non-specialist doctors in the diagnostic process by suggesting a possible diagnosis.

The clinical linguistic decision support system (CLDSS) for the differential diagnosis of child language disorders (knowledge-based system) and digital brain atlas (DBA) (digital image tool) are designed to provide doctors with relevant differential diagnoses of child language disorders when they select clinical features and images. Given a set of clinical features and images, these tools should provide doctors with a reasonable and relevant differential diagnosis (i.e. the definitive diagnosis).

The CLDSS and DBA not only assist in making the right diagnosis but they also enhance the diagnostic skills of doctors and serves as an educational aid. They are not meant to replace clinical linguitic judgement (these tools are for use with paediatric patients only). In addition, they are designed to increase the understanding of communication disorders in children, improve the methodologies for diagnosing and treating them, ensure that all possible conditions relating to the paediatric patient's initial symptoms have been considered before reaching a final diagnosis and help reduce the risk of paediatric patients receiving either incorrect or delayed treatment as a result of possible misdiagnosis.

In studies and clinical trials, the CLDSS and DBA have proved that they are easy to use, improve patient safety and quality of care by augmenting providers' knowledge and cognitive skills in hospitals.

Contact Person:
Dr Rozaida Haji Abdul Rauf
School of Humanities, Main Campus
Universiti Sains Malaysia, Penang, Malaysia
Tel: +604-653 2703
Fax: +604-656 5401

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