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Benchmark · December 1, 1991

A network recognises heart attacks

On 1 December 1991 William Baxt published a prospective, blinded test of a neural network trained on 351 hospitalised patients: on 331 emergency patients with chest pain it recognised myocardial infarction with 97.2% sensitivity and 96.2% specificity, against 77.7% and 84.7% for the physicians.

Why it matters

A network trained on examples rather than written as rules beat the physicians treating the same patients in a prospective test, not on an archive. The author himself asked for confirmation on a larger sample.

The network was trained on clinical features of patients admitted with a high likelihood of infarction and tested on consecutive adult patients at a university hospital; physicians and network assessed the same people. The paper concludes cautiously that the network "may be" a valuable aid and that this must be confirmed on a larger sample. The abstract was read; the record gives neither the network's architecture nor its list of inputs.

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Event date
December 1, 1991
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Sources gathered automatically · September 25, 2026
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evt-0738

The day Annals of Internal Medicine 115(11) appeared.

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