This article proposes defining focal elements in the Dempster-Shafer theory as fuzzy sets in an application to medical diagnosis support. Membership functions for medical parameters of "fuzzy" nature are constructed. A diagnosis support consists of Bel measure calculation only for these focal elements that have membership function values grater than a "truth" threshold. Coherence between membership function shapes and the truth threshold is shown and a new way of membership function designing is proposed. An extension of the "truth" threshold for nonfuzzy focal elements is proposed that make a unification of symptoms interpretation during diagnosis support possible.
The paper presents a study on data-driven diagnostic rules, which are easy to interpret by human experts. To this end, the Dempster-Shafer theory extended for fuzzy focal elements is used. Premises of the rules (fuzzy focal elements) are provided by membership functions which shapes are changing according to input symptoms. The main aim of the present study is to evaluate common membership function shapes and to introduce a rule elimination algorithm. Proposed methods are first illustrated with the popular Iris data set. Next experiments with five medical benchmark databases are performed. Results of the experiments show that various membership function shapes provide different inference efficiency but the extracted rule sets are close to each other. Thus indications for determining rules with possible heuristic interpretation can be formulated.
The present paper deals with the problem of an assessment of symptoms in medical diagnosis. A unified interpretation of symptoms is necessary to estimate their significance in a diagnosis. Yet, even if they are properly defined, different evaluations of them based on experts' knowledge or statistical estimation are possible. The present study aims at combining evaluations that may originate from an expert or can be found from statistical features of the data, as well as those determined for 'easy' and 'difficult' diagnostic cases. A model of diagnostic inference is proposed in the framework of the Dempster-Shafer theory extended for fuzzy focal elements. The basic probability assignment defined in this theory estimates weights of symptoms. Two basic probability assignments can be created and then combined. In this way weights of symptoms represent knowledge common for two kinds of data or obtained from an expert and from data. Thus, a combination of heuristics and data mining results becomes possible. An algorithm of the basic probability assignment calculation is suggested and tested for medical data: a database from the internet and individually gathered data.
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