Computer aided diagnosis systems with the capability of automatically decide if a patient has or not a pathology and to hold the decision on the dificult cases, are becoming more frequent. The latter are afterwards reviewed by an expert reducing therefore time consuption on behalf of the expert. The number of cases to review depends on the cost of erring the diagnosis. In this work we analyse the incorporation of the option to hold a decision on the diagnostic of pathologies on the vertebral column. A comparison with several state of the art techniques is performed. We conclude by showing that the use of the reject option techniques is an asset in line with the current view of the research community.
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