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Enterprise AI Analysis: Midpoint-Based Decision-Making Criterion Between Fuzzy Sets: An Application to Medical Diagnosis Domain

Enterprise AI Analysis

Midpoint-Based Decision-Making Criterion Between Fuzzy Sets: An Application to Medical Diagnosis Domain

The need to reach an agreement between two fixed positions arises in many practical problems. A typical example of this type of situation is given when two independent and reputed physicians provide two different patient descriptions. Here, healthcare professionals need to identify the most relevant description to support the diagnostic outcome.

Executive Impact: Revolutionizing Diagnostic Consensus

In medical diagnosis, particularly for complex conditions like suicide risk, divergent expert opinions and inherent uncertainty make consensus difficult, leading to varied diagnoses and treatment plans.

700,000+ Global Suicide Deaths Annually
10.7 Suicides per 100,000 Inhabitants
35% Countries Adequately Record Suicides

This framework offers a rigorous, quantitative method to navigate diagnostic ambiguity, ensuring more consistent, evidence-based patient care outcomes in critical areas like mental health.

Deep Analysis & Enterprise Applications

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The research leverages fuzzy sets to represent uncertain medical data, such as symptom profiles or diagnostic probabilities. A patient's symptoms are modeled as a vector of membership values within the Kosko hypercube [0,1]^n. The core concept of midpoints between fuzzy sets, particularly using the Hamming distance, allows for the creation of a consensus position from divergent expert opinions.

Three main criteria are introduced to select a definitive midpoint from the potentially infinite set of possible midpoints: the Minimizer Criterion (optimistic, seeks highest utility), the Maximizer Criterion (pessimistic, seeks least utility), and the Weighted Average Criterion (a compromise combining both extremes with a realism coefficient α). These criteria reduce the decision space to a finite, manageable set of alternatives.

The framework is applied to a critical medical diagnosis scenario: assessing the potential risk of suicide. Two physicians' differing assessments of suicide risk (next month and three months out) are represented as fuzzy sets. The system then derives consensus midpoints, offering a data-driven approach to support the medical team in making a final diagnosis and treatment plan, validated by their experience.

45% Consensus risk of suicide attempt in the next month

Decision-Making Process Flow

Original Postures Represented by Fuzzy Sets
Middel Way Postures as Midpoints Set
Reduction of Midpoints by Scoring Function S
Decision-Makers Select Final Suitable Working Midpoint

Comparison of Criteria for Medical Diagnosis

Criterion Key Features Outcome
Minimizer
  • Optimistic approach
  • Selects midpoint with minimum scoring function
  • Highest utility
  • Guided decision rule
Maximizer
  • Pessimistic approach
  • Selects midpoint with maximum scoring function
  • Least favorable utility
  • Guided decision rule
Weighted Average
  • Compromise between pessimistic and optimistic extremes
  • Uses realism coefficient (α)
  • Unique working midpoint
  • Balances extremes

Medical Diagnosis: Suicide Risk Assessment

Case Description: Two independent physicians provide patient descriptions (symptoms profile as fuzzy subsets) for a patient with potential suicide risk. The system calculates a consensus description using fuzzy set midpoints and a scoring function. The decision-making criteria (Minimizer, Maximizer, Weighted Average) are applied to obtain a finite set of distinguished midpoints, from which the medical team selects the final diagnosis.

Key Findings:

  • Fuzzy set representation handles uncertainty in physician opinions.
  • Midpoint calculation provides a consensual view.
  • Scoring function allows for quantitative evaluation of outcomes.

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Implementation Roadmap

Our structured approach ensures a seamless integration of the AI-powered diagnostic consensus system into your existing workflows.

Data Acquisition & Fuzzy Modeling

Duration: 2 Weeks

Gathering expert opinions and converting them into fuzzy set representations.

Midpoint Calculation & Scoring

Duration: 3 Weeks

Computing the set of midpoints using Hamming distance and applying a linear scoring function.

Criterion Application & Validation

Duration: 2 Weeks

Applying Minimizer, Maximizer, and Weighted Average criteria to select optimal midpoints, followed by expert validation.

Integration & Software Tool Development

Duration: 4 Weeks

Developing a software tool for scenario analysis and integration into existing clinical decision support systems.

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