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What is MYCIN?
MYCIN, an early expert system, or artificial intelligence (AI) program,
designed to assist physicians in the diagnosis of and therapy selection for
treating patients with bacterial and blood infections.
The system was actually not used in clinical practice, but it constitutes an
excellent early example of a digital expert system and a precursor to much
more sophisticated machine learning and knowledge base systems years later.
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The Name
MYCIN is not an acronym.
The name was chosen after attempts at finding a suitable acronym failed.
The name is the common suffix associated with many antimicrobial agents.
Examples of aminoglycosides include
gentamicin,
tobramycin,
neomycin, and
streptomycin
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How?
MYCIN would attempt to diagnose patients based on reported symptoms and
medical test results.
The program could request further information concerning the patient, as
well as suggest additional laboratory tests, to arrive at a probable diagnosis,
after which it would recommend a course of treatment.
If requested, MYCIN would explain the reasoning that led to its diagnosis and
recommendation.
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Features
In addition to the consultation system itself, MYCIN contains an explanation
system which can answer simple English questions in order to justify its advice
or educate the user.
Much of MYCIN's power derives from the modular, highly stylized nature of
these decision rules, enabling the system to dissect its own reasoning and
allowing easy modification of the knowledge base.
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Production Rules
The system's knowledge is encoded in the form of some 600 production rules
which embody the clinical decision criteria of infectious disease experts.
Users would enter answers to a series of “yes” or “no” questions and short
answer questions, and the program would eventually choose a weighted
probability for a diagnosis.
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Limitations
Part of the limitation of this early program was simply computing power –
because the program was estimated to take up to half an hour to get through
in a clinical environment, it was not considered effective enough to replace
human diagnosis at the time.
Ethical questions also contributed to the decision not to use Mycin for clinical
diagnosis.
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Conclusion
Mycin has proven to be a stepping stone to more modern systems and
described in a book on rule-based expert systems by B. G. Buchanan and E. H.
Shortliffe as “the granddaddy of them all” in terms of early artificial
intelligence for machine learning systems