Intelligent support for pulmonologists based on a multi-level patient computer model

DOI: 10.21293/1818-0442-2025-28-4-136-143

Download article in PDF format

JATS xml

Abstract: The paper presents models, algorithms, and a software package for intelligent support of pulmonologists based on a multilevel patient computer model. The developed package includes diag-nostic and therapy selection modules integrated with a relational database and a web application featuring user role differentia-tion. Mamdani fuzzy inference algorithms were used to formal-ize expert knowledge, ensuring interpretability of decisions and robustness to incomplete initial data. Testing on real clinical data of patients with bronchial asthma confirmed the correct op-eration of the software package: the system demonstrated agree-ment between its results and expert medical opinions and the ability to generate reliable recommendations even when some input parameters were missing. The practical significance of the work lies in reducing data analysis time, standardizing the diag-nostic and therapeutic process, and increasing the transparency in healthcare organizations.

Keywords: intelligent decision support, pulmonology, multi-level patient model, fuzzy logic, mamdani algorithm, diagnos-tics, therapy, web application, database

For citation:
Dubinin N. M., Gandzha T. V. Intelligent support for pulmonologists based on a multi-level patient computer model. Doklady Tomskogo gosudarstvennogo universiteta sistem upravleniya i radioelektroniki, 2025, vol. 28, no. 4, pp. 136–143. DOI: 10.21293/1818-0442-2025-28-4-136-143

Authors and copyright holders:

  • Dubinin N. M. , Tomsk State University of Control Systems and Radioelectronics (Tomsk, Russia)
  • Gandzha T. V. , Tomsk State University of Control Systems and Radioelectronics (Tomsk, Russia)

  • 1. Bochkarev A.A., Chirkov A.V. System analysis in medicine. Moscow, MSU Publ., 2012, 240 p.
  • 2. Montibeller G., Franco L.A. Decision and risk analysis for the evaluation of strategic options. Cham, Springer, 2021, 352 p.
  • 3. Shortliffe E.H., Cimino J.J. Biomedical informatics: computer applications in health care and biomedicine. 5 th ed. Cham: Springer, 2021, 1190 p.
  • 4. Erickson B.J., Korfiatis P., Akkus Z., Kline T.L. Machine learning for medical imaging. Radiographics, 2017, vol. 37, no. 2, pp. 505–515.
  • 5. Kulikowski C.A. Clinical decision-support systems. Methods of Information in Medicine, 2020, vol. 59, no. 1, pp. 1–6.
  • 6. Gavrilova T., Andreeva T. Knowledge engineering techniques for intelligent systems. Procedia Computer Science, 2020, vol. 176, pp. 263–272.
  • 7. Russell S., Norvig P. Artificial intelligence: a modern approach. 4th ed. Harlow, Pearson, 2021, 1152 p.
  • 8. Elmasri R., Navathe S.B. Fundamentals of database systems. 7th ed. Boston: Pearson, 2016, 1272 p.
  • 9. Connolly T., Begg C. Database systems: a practical approach to design, implementation, and management. 6th ed., Boston, Pearson, 2015, 1440 p.
  • 10. Stonebraker M., Hellerstein J.M. What goes around comes around. In: Readings in database systems. Cambridge, MIT Press, 2018, pp. 2–41.
  • 11. Berners-Lee T., Fielding R., Masinter L. Uniform resource identifier (URI): generic syntax. RFC 3986. United States, RFC Editor, 2005, 61 p. DOI: 10.17487/RFC3986.
  • 12. Zadeh L.A. Fuzzy sets. Information and Control, 1965, vol. 8, no. 3, pp. 338–353.
  • 13. Mamdani E.H., Assilian S. An experiment in linguistic synthesis with a fuzzy logic controller. International Journal of Man-Machine Studies, 1975, vol. 7, no. 1, pp. 1–13.
  • 14. Klir G.J., Yuan B. Fuzzy sets and fuzzy logic: theory and applications. Upper Saddle River: Prentice Hall, 1995, 592 p.
  • 15. Castillo O., Melin P. Intuitionistic and Type-2 Fuzzy Logic Enhancements in Neural and Optimization Algorithms: Theory and Applications. Springer Cham, 2020, 792 p. DOI: https://doi.org/10.1007/978-3-030-35445-9.
  • 16. Shtovba S.D. Proyektirovaniye nechetkikh sistem sredstvami MatLab [Design of fuzzy systems using MatLab]. Moscow: Goryachaya Liniya – Telekom, 2007, 288 p. (in Russ.)
  • 17. Rutkowski L. Computational intelligence: methods and techniques. Berlin: Springer, 2008, 514 p.
  • 18. Zimmermann H.J. Fuzzy set theory and its applications. Boston: Kluwer Academic Publishers, 2001, 514 p.
  • 19. Dubois D., Prade H. Fundamentals of fuzzy sets. Boston: Springer, 2000, 650 p.
  • 20. Sutton R.T., Pincock D., Baumgart D.C., Sadowski D.C., Fedorak R.N., Kroeker K.I. An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digital Medicine, 2020, vol. 3, art. 17.
  • 21. López-Canay J. et al. Predicting COPD readmission: an intelligent clinical decision support system. Diagnostics, 2025, vol. 15, no. 3, art. 318. DOI: 10.3390/diagnostics15030318.
  • 22. GOLD. Global strategy for the diagnosis, management, and prevention of COPD, 2024, 190 p.
  • 23. GINA. Global initiative for asthma. Global strategy for asthma management and prevention, 2024, 180 p.
  • 24. WHO. Global tuberculosis report. Geneva: World Health Organization, 2023, 300 p.
  • 25. Pneumonia in adults: diagnosis and management. London, National Institute for Health and Care Excellence (NICE), 2023, 60 p.
  • 26. Konstantinides S.V., Meyer G., Becattini C., Bueno H., Geersing G.J., Harjola V.-P., Huisman M.V., Humbert M., Jennings C.S., Jiménez D. et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism. European Heart Journal, 2020, vol. 41, pp. 543–603.
  • 27. Date C.J. Database design and relational theory. 2nd ed. Sebastopol, O’Reilly Media, 2019, 278 p. DOI: 10.1007/978-1-4842-5540-7.
Editorial office address

Executive Secretary of the Editor’s Office

 Editor’s Office: 40 Lenina Prospect, Tomsk, 634050, Russia

  Phone / Fax: + 7 (3822) 701-582

  journal@tusur.ru

 

Viktor N. Maslennikov

Executive Secretary of the Editor’s Office

 Editor’s Office: 40 Lenina Prospect, Tomsk, 634050, Russia

  Phone / Fax: + 7 (3822) 51-21-21 / 51-43-02

Subscription for updates