Surgical Neurology
Volume 72, Issue 6 , Pages 565-572 , December 2009

Fuzzy Logic in neurosurgery: predicting poor outcomes after lumbar disk surgery in 501 consecutive patients

  • Muhammad Shahzad Shamim, MBBS, MCPS, MRCS (Glasgow), FCPS (Neurosurgery)

      Affiliations

    • Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi 74800, Pakistan
    • ,
  • Syed Ather Enam, MBBS, MD, PhD, FRCS (Ire), FRCS (SN, CAN), DABS, FACS

      Affiliations

    • Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, P.O. Box 3500, Stadium Road, Karachi 74800, Pakistan
    • Corresponding Author InformationCorresponding author. Tel.: +92 21 486 4710x4764.
    • ,
  • Uvais Qidwai, BE, ME, PhD

      Affiliations

    • Department of Computer Science and Engineering, Qatar University, Qatar

Received 13 February 2009 ,Accepted 2 July 2009.

References 

  1. Andrews DW, Lavyne MH. Retrospective analysis of microsurgical and standard lumbar discectomy. Spine. 1990;15:329–335
  2. Axer H, Jantzen J, Keyserlingk DG, Berks G. The application of fuzzy-based methods to central nerve fiber imaging. Artif Intell Med. 2003;29(3):225–239
  3. Barrios C, Ahmed M, Arrotegui JI, Björnsson A. Clinical factors predicting outcome after surgery for herniated lumbar disc: an epidemiological multivariate analysis. J Spinal Disord. 1990;3(3):205–209
  4. Barrios C, Ahmed M, Arrotegui J, Bjornsson A, Gillstrom P. Microsurgical versus standard removal of herniated lumbar disc. A 3-year comparison in 150 cases. Acta Orthop Scand. 1990;61:399–403
  5. Belacel N, Boulassel MR. Multicriteria fuzzy classification procedure PROCFTN: methodology and medical application. Fuzzy Sets Syst. 2004;141(2):203–217
  6. Brandt ME, Bohan TP, Kramer LA, Fletcher JM. Estimation of CSF, white and gray matter volumes in hydrocephalic children using fuzzy clustering of MR images. Comput Med Imaging Graph. 1994;18(1):25–34
  7. Carragee EJ, Han MY, Suen PW, Kim D. Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence. J Bone Joint Surg Am. 2003;85-A(1):102–108
  8. Carragee EJ, Kim DHA. Prospective analysis of magnetic resonance imaging findings in patients with sciatica and lumbar disk herniation. Correlation of outcomes with disc fragment and canal morphology. Spine. 1997;22:1650–1660
  9. Chandana A, Islam N, Jabbar A, Zuberi L, Haque N. Clinical features and outcome of surgery in 30 patients with Acromegaly. J Pak Med Assoc. 2004;54(6):315–319
  10. Davis RA. Long-term outcome analysis of 984 surgically treated herniated lumbar discs. J Neurosurg. 1994;80:415–421
  11. den Boer JJ, Oostendorp RA, Beems T, Munneke M, Evers AW. Continued disability and pain after lumbar disc surgery: the role of cognitive-behavioral factors. Pain. 2006;123(1-2):45–52
  12. den Boer JJ, Oostendorp RA, Beems T, Munneke M, Oerlemans M, Evers AW. A systematic review of bio-psychosocial risk factors for an unfavourable outcome after lumbar disc surgery. Eur Spine J. 2006;15(5):527–536
  13. Dewing CB, Provencher MT, Riffenburgh RH, Kerr S, Manos RE. The outcomes of lumbar microdiscectomy in a young, active population: correlation by herniation type and level. Spine. 2008;33(1):33–38
  14. Dickerson JA, Helgason CM. The characterization of stroke subtype and science of evidence-based medicine using Fuzzy Logic. J Neurovasc Dis. 1997;2(4):138–144
  15. Dvorak J, Gauchat MH, Valach L. The outcome of surgery for lumbar disc herniation. A 4-17 years' follow-up with emphasis on somatic aspects. Spine. 1988;13:1418–1422
  16. Eismont FJ, Currier B. Surgical management of lumbar intervertebral-disc disease. J Bone Joint Surg Am. 1989;71:1266–1271
  17. Ellingson BM, Ulmer JL, Prost RW, Schmit BD. Morphology and morphometry in chronic spinal cord injury assessed using diffusion tensor imaging and fuzzy logic. Conf Proc IEEE Eng Med Biol Soc. 2006;1:1885–1888
  18. Grossi E. Medical concepts related to individual risk are better explained with “plausibility” rather than “probability.. BMC Cardiovasc Disord. 2005;5:31
  19. Hanai T, Honda H. Application of knowledge information processing methods to biochemical engineering, biomedical, and bioinformatics fields. Adv Biochem Eng Biotechnol. 2004;91:51–73
  20. Helgason CM, Jobe TH. Causal interactions, fuzzy sets and cerebrovascular “accident”: the limits of evidence-based medicine and the advent of complexity-based medicine. Neuroepidemiology. 1999;18(2):64–74
  21. Helgason CM, Malik DS, Cheng SC, Jobe TH, Mordeson JN. Statistical versus fuzzy measures of variable interaction in patients with stroke. Neuroepidemiology. 2001;20(2):77–84
  22. Huang SJ, Shieh JS, Fu M, Kao MC. Fuzzy logic control for intracranial pressure via continuous propofol sedation in a neurosurgical intensive care unit. Med Eng Phys. 2006;28(7):639–647
  23. Jobe TH, Helgason CM, Roitberg BZ. “Show me the numbers”: the application of numbers to medical science. Surg Neurol. 2001;56(1):3–7
  24. Jobe TH, Helgason CM. The fuzzy cube and causal efficacy: representation of concomitant mechanisms in stroke. Neural Networks. 1998;11(3):549–555
  25. Junge A, Fröhlich M, Ahrens S, Hasenbring M, Sandler A, Grob D, et al. Predictors of bad and good outcome of lumbar spine surgery. A prospective clinical study with 2 years' follow up. Spine. 1996;21(9):1056–1064
  26. Junge A, Dvorak J, Ahrens S. Predictors of bad and good outcomes of lumbar disc surgery. A prospective clinical study with recommendations for screening to avoid bad outcomes. Spine. 1995;20(4):460–468
  27. Jönsson B, Strömqvist B. Significance of a persistent positive straight leg raising test after lumbar disc surgery. J Neurosurg. 1999;91(1 Suppl):50–53
  28. Kahanovitz N, Viola K, McCulloch J. Limited surgical discectomy and microdiscectomy. A clinical comparison. Spine. 1989;14:79–81
  29. Kara B, Tulum Z, Acar U. Functional results and the risk factors of reoperations after lumbar disc surgery. Eur Spine J. 2005;14(1):43–48
  30. Keller T, Bitterlich N, Hilfenhaus S, Bigl H, Löser T, Leonhardt P. Tumour markers in the diagnosis of bronchial carcinoma: new options using Fuzzy Logic-based tumour marker profiles. J Cancer Res Clin Oncol. 1998;124(10):565–574
  31. Knop-Jergas BM, Zucherman JF, Hsu KY, DeLong B. Anatomic position of a herniated nucleus pulposus predicts the outcome of lumbar discectomy. J Spinal Disord. 1996;9(3):246–250
  32. Kohlboeck G, Greimel KV, Piotrowski WP, Leibetseder M, Krombholz-Reindl M, Neuhofer R, et al. Prognosis of multifactorial outcome in lumbar discectomy: a prospective longitudinal study investigating patients with disc prolapse. Clin J Pain. 2004;20(6):455–461
  33. Kotilainen E, Valtonen S. Clinical instability of the lumbar spine after microdiscectomy. Acta Neurochir (Wien). 1993;125:120–126
  34. Lewis PJ, Weir BKA, Broad RW, Grace MG. Long term prospective study of lumbosacral discectomy. J Neurosurg. 1987;67:49–53
  35. Licata G. Probabilistic and fuzzy logic in clinical diagnosis. Intern Emerg Med. 2007;2(2):100–106
  36. Lu Y, Jiang T, Zang Y. Region growing method for the analysis of functional MRI data. Neuro Image. 2003;20(1):455–465
  37. Main CJ, Wood PL, Hollis S, Spanswick CC, Waddell G. The Distress and Risk Assessment Method. A simple patient classification to identify distress and evaluate the risk of poor outcome. Spine. 1992;17(1):42–52
  38. Mannion AF, Elfering A, Staerkle R, Junge A, Grob D, Dvorak J, et al. Predictors of multidimensional outcome after spinal surgery. Eur Spine J. 2007;16(6):777–786
  39. Moonis G, Liu J, Udupa JK, Hackney DB. Estimation of tumor volume with fuzzy-connectedness segmentation of MR images. AJNR Am J Neuroradiol. 2002;23(3):356–363
  40. Nault ML, Labelle H, Aubin CE, Balazinski M. The use of fuzzy logic to select which curves need to be instrumented and fused in adolescent idiopathic scoliosis: a feasibility study. J Spinal Disord Tech. 2007;20(8):594–603
  41. Nygaard OP, Kloster R, Solberg T. Duration of leg pain as a predictor of outcome after surgery for lumbar disc herniation: a prospective cohort study with 1-year follow up. J Neurosurg. 2000;92(2 Suppl):131–134
  42. Nygaard OP, Romner B, Trumpy JH. Duration of symptoms as a predictor of outcome after lumbar disc surgery. Acta Neurochir (Wien). 1994;128(1-4):53–56
  43. Papageorgiou EI, Stylios CD, Groumpos PP. An integrated two-level hierarchical system for decision making in radiation therapy based on fuzzy cognitive maps. IEEE Trans Biomed Eng. 2003;50(12):1326–1339
  44. Pizzi NJ. Bleeding predisposition assessments in tonsillectomy/adenoidectomy patients using fuzzy interquartile encoded neural networks. Artif Intell Med. 2001;21(1-3):65–90
  45. Liu J, Udupa JK, Odhner D, Hackney D, Moonis G. A system for brain tumor volume estimation via MR imaging and fuzzy connectedness. Comput Med Imaging Graph. 2005;29(1):21–34
  46. Ramesh AN, Kambhampati C, Monson JR, Drew PJ. Artificial intelligence in medicine. Ann R Coll Surg Engl. 2004;86(5):334–338
  47. Roitberg B. Research news and notes. Surg Neurol. 2008;69(5):439–440
  48. Sakaguchi S, Takifuji K, Arita S, Yamaue H. Development of an early diagnostic system using fuzzy theory for postoperative infections in patients with gastric cancer. Dig Surg. 2004;21(3):210–214
  49. Schade V, Semmer N, Main CJ, Hora J, Boos N. The impact of clinical, morphological, psychosocial and work-related factors on the outcome of lumbar discectomy. Pain. 1999;80(1-2):239–249
  50. Schneider J, Bitterlich N, Velcovsky HG, Morr H, Katz N, Eigenbrodt E. Fuzzy logic-based tumor-marker profiles improved sensitivity in the diagnosis of lung cancer. Int J Clin Oncol. 2002;7(3):145–151
  51. Schwarzer G, Nagata T, Mattern D, Schmelzeisen R, Schumacher M. Comparison of fuzzy inference, logistic regression, and classification trees (CART). Prediction of cervical lymph node metastasis in carcinoma of the tongue. Methods Inf Med. 2003;42(5):572–577
  52. Seker H, Odetayo MO, Petrovic D, Naguib RN, Bartoli C, Alasio L, et al. Assessment of nodal involvement and survival analysis in breast cancer patients using image cytometric data: statistical, neural network and fuzzy approaches. Anticancer Res. 2002;22(1A):433–438
  53. Shamim SM, Hameed K. Surgically treated rectal prolapse: experience at a teaching hospital. J Pak Med Assoc. 2005;55(6):247–250
  54. Shamim MS, Bari ME, Khursheed SF, Jooma R, Enam SA. Pituitary adenomas: demographic differences and surgical outcomes in a South Asian country. Can J Neurol Sci. 2008;35(2):198–203
  55. Shieh JS, Fu M, Huang SJ, Kao MC. Comparison of the applicability of rule-based and self-organizing fuzzy logic controllers for sedation control of intracranial pressure pattern in a neurosurgical intensive care unit. IEEE Trans Biomed Eng. 2006;53(8):1700–1705
  56. Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T. The risk of “getting worse” after lumbar microdiscectomy. Eur Spine J. 2005;14(1):49–54
  57. Spengler DM, Ouellette EA, Battie M, Zeh J. Elective discectomy for herniations of a lumbar disc. Additional experience with an objective method. J Bone Joint Surg Am. 1990;72:230–237
  58. Sproule BA, Naranjo CA, Türksen IB. Fuzzy pharmacology: theory and applications. Trends Pharmacol Sci. 2002;23(9):412–417
  59. Torres A, Nieto JJ. Fuzzy Logic in medicine and bioinformatics. J Biomed Biotechnol. 2006;2006(2):1–7
  60. Trief PM, Grant W, Fredrickson B. A prospective study of psychological predictors of lumbar surgery outcome. Spine. 2000;25(20):2616–2621
  61. Schofferman J, Reynolds J, Herzog R, Covington E, Dreyfuss P, O'Neill C. Failed back surgery: etiology and diagnostic evaluation. Spine J. 2003;3(5):400–403
  62. Villéger A, Ouchchane L, Lemaire JJ, Boire JY. Assistance to planning in deep brain stimulation: data fusion method for locating anatomical targets in MRI. Conf Proc IEEE Eng Med Biol Soc. 2006;1:144–147
  63. Weber H. Lumbar disc herniation. A controlled, prospective study with ten years of observation. Spine. 1983;8:131–140
  64. Zadeh L. Fuzzy sets. Inf Control. 1965;8:338–353

PII: S0090-3019(09)00621-1

doi: 10.1016/j.surneu.2009.07.012

Surgical Neurology
Volume 72, Issue 6 , Pages 565-572 , December 2009

Article Tools

* Image Usage & Resolution