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Expert systems imitate professional experience and thinking process of a specialist to solve problems in various subject areas. An example of the problem that it is expedient to solve with the help of the expert system is the problem of forming a diagnosis that arises in technology, medicine, and other fields. When solving the diagnostic problem, it is necessary to anticipate the occurrence of critical or emergency situations in the future. They are situations, which require timely intervention of specialists to prevent critical aftermath. Fuzzy sets theory provides one of the approaches to solve ill-structured problems, diagnosis-making problems belong to which. The theory of fuzzy sets provides means for the formation of linguistic variables, which are helpful to describe the modeled process. Linguistic variables are elements of fuzzy logical rules that simulate the reasoning of professionals in the subject area. To develop fuzzy rules it is necessary to resort to a survey of experts. Knowledge engineers use experts’ opinion to evaluate correspondence between a typical current situation and the risk of emergency in the future. The result of knowledge extraction is a description of linguistic variables that includes a combination of signs. Experts are involved in the survey to create descriptions of linguistic variables and present a set of simulated situations.When building such systems, the main problem of the survey is laboriousness of the process of interaction of knowledge engineers with experts. The main reason is the multiplicity of questions the expert must answer. The paper represents reasoning of the method, which allows knowledge engineer to reduce the number of questions posed to the expert. The paper describes the experiments carried out to test the applicability of the proposed method. An expert system for predicting risk groups for neonatal pathologies and pregnancy pathologies using the proposed knowledge extraction method confirms the feasibility of the proposed approach.

Segmentation of medical image is one of the most challenging tasks in analysis of medical image. It classifies the organs pixels or lesions from medical images background like MRI or CT scans, that is to provide critical information about the human organ’s volumes and shapes. In scientific imaging field, medical imaging is considered one of the most important topics due to the rapid and continuing progress in computerized medical image visualization, advances in analysis approaches and computer-aided diagnosis. Digital image processing becomes more important in healthcare field due to the growing use of direct digital imaging systems for medical diagnostics. Due to medical imaging techniques, approaches of image processing are now applicable in medicine. Generally, various transformations will be needed to extract image data. Also, a digital image can be considered an approximation of a real situation includes some uncertainty derived from the constraints on the process of vision. Since information on the level of uncertainty will influence an expert’s attitude. To address this challenge, we propose novel framework involving interval concept that consider a good tool for dealing with the uncertainty, In the proposed approach, the medical images are transformed into interval valued representation approach and entropies are defined for an image object and background. Then we determine a threshold for lower-bound image and for upper-bound image, and then calculate the mean value for the final output results. To demonstrate the effectiveness of the proposed framework, we evaluate it by using synthetic image and its ground truth. Experimental results showed how performance of the segmentation-based entropy threshold can be enhanced using proposed approach to overcome ambiguity.

Getting a qualified medical examination can be difficult for people in remote areas because medical staff available can either be inaccessible or it might lack expert knowledge at proper level. Telemedicine technologies can help in such situations. On one hand, such technologies allow highly qualified doctors to consult remotely, thereby increasing the quality of diagnosis and plan treatment. On the other hand, computer-aided analysis of the research results, anamnesis and information on similar cases assist medical staff in their routine activities and decision-making.

Creating telemedicine system for a particular domain is a laborious process. It’s not sufficient to pick proper medical experts and to fill the knowledge base of the analytical module. It’s also necessary to organize the entire infrastructure of the system to meet the requirements in terms of reliability, fault tolerance, protection of personal data and so on. Tools with reusable infrastructure elements, which are common to such systems, are able to decrease the amount of work needed for the development of telemedicine systems.

An interactive tool for creating distributed telemedicine systems is described in the article. A list of requirements for the systems is presented; structural solutions for meeting the requirements are suggested. A composition of such elements applicable for distributed systems is described in the article. A cardiac telemedicine system is described as a foundation of the tool