The growing information volumes, emergence of the latest diagnostic and medical technologies demand essentially other approaches to processing and interpretation of medical data, possibility of accumulation, storage and use of experience of qualified specialists. For scientific researches in medicine, it is already absolutely not enough to use standard sets of statistical methods for material processing [1,2].

Purpose

Increase of efficiency of echocardiographic diagnostics by development and implementation of problem-oriented information system for support of decision-making and forecasting and improve the efficiency of the echocardiographic diagnosis through the development and implementation of problem-oriented information system to support decision-making and forecasting.

Materials and methods

The theoretical and experimental researches will be based on the use of the following methods and theories: System Theory (system approach) and the theory of fuzzy sets; Graph theory, choice and decision-making; Theory of situational management and programming; Wavelet analysis; OLAP-analysis. Each of the considered results of inspection of the patient in relation to a problem of diagnostics has indistinct and incomplete character. In such conditions for synthesis of the corresponding decisive rules, it is expedient to use the theory of fuzzy logic of decision-making. Taking into account the opinions of highly qualified experts-cardiologists will be generated a list of mandatory parameters required for different levels of transthoracic echocardiography.With the aim of diagnosing and forecasting in echocardiography will be used new mathematical approaches, including a method of neural networks.

Results

The modern cardiology is inconceivable without using of ultrasonic research of heart - an echocardiography [3]. The echocardiography provides detailed information on structure and function of heart and the arterial blood vessels noninvasively at relatively low cost [1]. Standardized documentation in the echocardiography is necessary to ensure comparability of data and implementation of software-based documentation and electronic communications needed for the quality management in echocardiography [4].

The task of setting of the echocardiographic diagnosis is complicated by many factors [3,4]: a shortcoming of the corresponding experts outside the regional and regional centers; constantly updating of recommendations and methods of diagnostics; huge variety of parameters of diagnostics of which it is difficult to choose the most informative; subjectivity of separately taken doctor making the decision.

At the same time at many advantages of software supplied by foreign manufacturers of ultrasonic diagnostic equipment there is are set of problems obstructing the work on the analysis of results, formation of medical conclusions and reports on the conducted researches when using these programs [2]. Foreign analogs of similar software products differ in high cost and are often used only during the work with a certain model of the device of the specific manufacturer. It is often difficult to create a single database of all echocardiographic researches performed on different devices. In addition, there is no support of the Uzbek language, and sometimes Russian.

Allocation of volume of necessary information in each concrete situation and standardization of informative parameters are extremely important in line with modern requirements to standardization in the health system as a whole, and in echocardiography, in particular[4].

2. Informatsionnaya sistema podderzhki prinyatiya resheniy slabostrukturirovannyih zadach v kardiologii / V.M. Nikitin, V.V. Lomakin, D.A. Anohin, I.K. Kaydalova, I.I. Ivanov // Nauchnyie vedomosti Belgorodskogo gosudarstvennogo universiteta. Seriya: Istoriya. Politologiya. Ekonomika. Informatika. – 2010. – T. 19, -N 16-1. – S. 112-119.

3. Cerqueira M.D., Weissman N.J., Dilsizian V. et al. Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: a statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association. Circulation. 2002.-105(4):539–542

4. Gardin J., Adams D., Douglas P. et al. Recommendations for a standardized report for adult transthoracic echocardiography: a report from the American Society of Echocardiography’s nomenclature and standards committee and task force for a standardized echocardiography report. J Am Soc Echocardiogr 2002.-15:275–290