What inherent limitation of rule-based architecture drove the conceptual shift in the 1990s?

Answer

It required extensive manual reprogramming when new medical guidelines emerged

The architecture utilized by early systems like MYCIN and Internist-I, characterized by extensive sets of hand-coded 'if-then' rules, presented a major practical hurdle as medical science rapidly advanced. Because knowledge engineers had to anticipate nearly every potential scenario, updating the system to reflect new diagnostic criteria or standard-of-care treatments—such as the introduction of a new drug protocol—necessitated time-consuming, manual reprogramming of the symbolic logic paths. This rigidity directly contrasted with the emerging philosophy of Evidence-Based Medicine (EBM), which demanded systems that could actively incorporate and synthesize the latest published research rather than relying solely on static, pre-programmed expert knowledge.

What inherent limitation of rule-based architecture drove the conceptual shift in the 1990s?

Related Questions

What was the primary focus of CDSS invention efforts in the 1960s?What specific diseases did Stanford University's MYCIN system focus on diagnosing?What distinguished Internist-I (Caduceus) from MYCIN in its diagnostic scope?What inherent limitation of rule-based architecture drove the conceptual shift in the 1990s?How were the functional CDSS prototypes emerging in the 1970s primarily characterized?What was the primary function of DXplain developed at Massachusetts General Hospital (MGH) in the 1980s?What conceptual evolution replaced mimicking an expert's memorized rules in later CDSS design?What fundamental challenge recognized in the 1960s drove the initial efforts toward CDSS?What key distinction separates the earliest CDSS iterations from today's integrated workflow?Across which three conceptual domains was the invention of CDSS historically distributed?
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