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Peer-Reviewed Publication
JMIR AI2025;4e55001.August 28, 2025Journal Article

Medical Expert Knowledge Meets AI to Enhance Symptom Checker Performance for Rare Disease Identification in Fabry Disease: Mixed Methods Study.

Anne Pankow1,2, Nico Meißner-Bendzko3, Jessica Kaufeld4, Laura Fouquette3, Fabienne Cotte3, Stephen Gilbert5, Ewelina Türk3, Anibh Das6, Christoph Terkamp2, Gerhard-Rüdiger Burmester1, Annette Doris Wagner4
1Department of Rheumatology and Clinical Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
2Department of Gastroneterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany.
3Ada Health GmbH, Berlin, Germany.
4Department of Nephrology and Hypertension, Hannover Medical School, Carl-Neuberg-Strasse 1, Hannover, 30625, Germany, 49 511 532 3745.
5Else Kröner Fresenius Center for Digital Health, TU Dresden University of Technology, Dresden, Germany.
6Department of Paediatrics, Hannover Medical School, Hannover, Germany.

Abstract

BACKGROUND: Rare diseases, which affect millions of people worldwide, pose a major challenge, as it often takes years before an accurate diagnosis can be made. This delay results in substantial burdens for patients and health care systems, as misdiagnoses lead to inadequate treatment and increased costs. Artificial intelligence (AI)-powered symptom checkers (SCs) present an opportunity to flag rar…

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