Edge Computing-Based Ensemble Learning Model for Health Care Decision Systems
Open accessAbstract
A growing number of humans have suffered severe chronic illnesses, which has caused a boost in the requirement for diagnostic and medical treatment procedures that are both accurate and fast. Improved patient conditions and enhanced Decision-Making Systems (DMS) for healthcare professionals are the primary objectives of the Clinical Decision Support System (CDSS) recommended in this research article. The main drawback of traditional Machine Learning (ML) techniques is their failure to predict reliably. To solve this problem, the proposed model creates an Ensemble Extreme Learning Machine (EN-ELM) algorithm that combines predictors trained on several different data sets. This lowers the chance of overfitting. The suggested CDSS uses many different data processing methods, including Adaptive Synthetic (ADASYN) and isolation Forest (iForest), which fix problems like outliers and class imbalance. This approach significantly enhances the framework's classification performance. Also, the CDSS is compatible with an EC model, which enables real-time computation while minimizing the requirement for integrated systems. The recommended CDSS applies iForest and ADASYN to execute large-scale trials validating high standards of accuracy across numerous datasets. Researchers concluded that a suitable ELM classification threshold of 85% is the most effective, which substantially boosts the accuracy of the predictive model. When applied to various medical datasets, such as Hepatocellular Carcinoma (HCC), Cervical Cancer, Chronic Kidney Disease (CKD), Heart Disease, and Arrhythmia, the EN-ELM achieved accuracy rates of 99.36%, 98.15%, 97.85%, 97.06%, and 96.72%, respectively. By measuring this progress, the CDSS could dramatically improve the accuracy of chronic illness diagnosis and treatment, which similarly affects clinicians.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Some CDSS can track disease progression, predict outcomes, and support follow-up planning.
“Additionally, some CDSS can track disease progression, predict outcomes, and support follow-up planning [224,225].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [224]
The Proposed CDSS architecture describes real-time monitoring and storing patient data for analysis over time; the Dataset description identifies one-year survival as a prediction target. The Introduction says CDSS can recommend further treatment, but our copy does not establish that they support follow-up planning specifically. No page numbers are available in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Artificial intelligence in healthcare: A bibliometric analysis
Jimma, B. L. (2023) · Telematics and Informatics Reports · doi:10.1016/j.teler.2023.100041 · Cited by 133 · see citing works
Flagged first, then by citations
Research works printed but not linked: 45
- [1]Sim, I. Clinical decision support systems for the practice of evidence-based medicine. J. Am. Med. Inf. Assoc. Jamia 8, 527–534 (2001). PMC130063 11687560 · DOI · Paper page
- [2]Hiwale, A. et al. Prediction of pregnancy-induced hypertension levels using machine learning algorithms. Comput. Eng. Technol. 1025, 597–608 (2020). · DOI
- [3]Salmasi, V. et al. Relationship between intraoperative hypotension, defined by either reduction from baseline or absolute thresholds, and acute kidney and myocardial injury after noncardiac surgery: a retrospective cohort analysis. Anesthesiology 126, 47–65 (2017). 27792044 · DOI
- [4]Heureux, A. L. et al. Machine learning with big data: challenges and approaches. IEEE Access. 5, 7776–7797 (2017). · DOI · Paper page
- [5]Nagendra, V. et al. Evaluation of SVM and RF classifiers in a real-time fetal monitoring system based on cardiotocography data. In Proc. IEEE Conf. Comput. Intell. Bioinf. Comput. Biol., Manchester, 1–6 (2017).
- [6]Norouzi, M. et al. Stacks of convolutional restricted Boltzmann machines for shift-invariant feature learning. In Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, 2735–2742, Miami (2009).
- [7]Kasun, L. L. C. et al. Representational learning with extreme learning machine for big data. IEEE Intell. Syst. 28 (6), 31–34 (2013).
- [8]Cao, J. et al. Voting-based extreme learning machine. Inf. Sci.185(1), 66–77 (2012).
- [9]Huang, G. B. et al. Extreme learning machine for regression and multiclass classification. IEEE Trans. Syst. Man. Cybern. Part. B Cybern. 42 (2), 513–529 (2012). 21984515 · DOI
- [10]Miche, Y. et al. OP-ELM: optimally pruned extreme learning. IEEE Trans. Neural Netw. 21 (1), 158–162 (2010). 20007026 · DOI
- [11]Pouzols, F. M. & Lendasse, A. Evolving fuzzy optimally pruned extreme learning machine for regression problems. Evol. Syst. 1 (1), 43–58 (2010). · DOI
- [12]Deng, W. Y. et al. Research on extreme learning of neural networks. Chin. J. Comput. 33 (2), 279–287 (2010). · DOI
- [13]Xia, J. et al. Enhanced moth-flame optimizer with quasi-reflection and refraction learning with application to image segmentation and medical diagnosis. Curr. Bioinform. 18 (2), 109–142. 10.2174/1574893617666220920102401 (2023). · DOI
- [14]Li, J. et al. MS2OD: outlier detection using minimum spanning tree and medoid selection. Mach. Learn. Sci. Technol. 5 (1), 15025. 10.1088/2632-2153/ad2492 (2024). · DOI
- [15]Li, J. et al. Outlier detection using iterative adaptive mini-minimum spanning tree generation with applications on medical data. Front. Physiol.14. 10.3389/fphys.2023.1233341 (2023). PMC10613083 37900945 · DOI
- [16]Zhu, C. Computational intelligence-based classification system for the diagnosis of memory impairment in psychoactive substance users. J. Cloud Comput. 13 (1), 119. 10.1186/s13677-024-00675-z (2024). · DOI
- [17]Zhu, C. An adaptive agent decision model based on deep reinforcement learning and autonomous learning. J. Logist. Inf. Serv. Sci. 10 (3), 107–118. 10.33168/JLISS.2023.0309 (2023). · DOI
- [18]Sun, T. et al. In vivo liver function reserve assessments in alcoholic liver disease by scalable photoacoustic imaging. Photoacoustics 34, 100569. 10.1016/j.pacs.2023.100569 (2023). 38046637 PMC10690638 · DOI
- [19]Hu, J. et al. Accuracy of Gallium-68 pentixafor positron emission tomography–computed tomography for subtyping diagnosis of primary aldosteronism. JAMA Netw. Open 6 (2), e2255609. 10.1001/jamanetworkopen.2022.55609 (2023). 36795418 PMC9936343 · DOI
- [20]Xu, H. et al. Royal jelly acid suppresses hepatocellular carcinoma tumorigenicity by inhibiting H3 histone lactylation at H3K9la and H3K14la sites. Phytomedicine 118, 154940. 10.1016/j.phymed.2023.154940 (2023). 37453194 · DOI
- [21]Yang, C., Sheng, D., Yang, B., Zheng, W. & Liu, C. A dual-domain diffusion model for sparse-view CT reconstruction. IEEE Signal Process Lett. 10.1109/LSP.2024.3392690 (2024). · DOI
- [22]Ali Mona, A. S. et al. A Novel Method for Survival Prediction of Hepatocellular Carcinoma using feature-selection techniques. Appl. Sci. 12 (13), 6427 (2022). · DOI
- [23]Anter, A. M. & Ali, M. Feature selection strategy based on hybrid crow search optimization algorithm integrated with chaos theory and fuzzy C-means algorithm for medical diagnosis problems. Soft Comput.24(3), 1565–1584 (2020).
- [24]Hattab, M. et al. Towards an oversampling method to improve hepatocellular carcinoma early prediction. In Digital Health in Focus of Predictive, Preventive and Personalised Medicine 139–148 (Springer, 2020).
- [25]Abdoh, S. F. et al. Cervical Cancer Diagnosis Using Random Forest Classifier with SMOTE and Feature Reduction Techniques (IEEE Access, 2018).
- [26]Qi, Y. et al. A classification diagnosis of cervical cancer medical data based on various artificial neural networks. In International Conference on Network, Communication, Computer Engineering, 579–582 (Atlantis Press, 2018).
- [27]Mehmood, M. et al. Machine learning assisted cervical cancer detection. Front. Public Health 9, 788376 (2021). PMC8733205 35004588
- [28]Ijaz, M. F. et al. Data-driven cervical cancer prediction model with outlier detection and over-sampling methods. Sensors20, 2809 (2020). PMC7284557 32429090
- [29]Tanimu, J. J. et al. A machine learning method for classification of cervical cancer. Electronics 11 (3), 463 (2022). · DOI
- [30]Abdar, M. et al. NE-nu-SVC: a new nested ensemble clinical decision support system for effective diagnosis of coronary artery disease. IEEE Access 7, 167605–167620 (2019). · DOI
- [33]Sreejith, S. et al. A classification framework using a diverse intensified strawberry optimized neural network (DISON) for clinical decision-making. Cogn. Syst. Res. 64, 98–116 (2020). · DOI
- [34]Tougui, I. et al. Heart disease classification using data mining tools and machine learning techniques. Health Technol. 10(5), 1137–1144 (2020).
- [35]Ogunleye, A. & Wang, Q. G. XGBoost model for chronic kidney disease diagnosis. IEEE/ACM Trans. Comput. Biol. Bioinform. 17 (6), 2131–2140 (2019). 30998478 · DOI
- [37]Alowais, S. A. et al. Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Med. Educ. 23 (1), 689 (2023). 37740191 PMC10517477 · DOI · Paper page
- [39]Krichen, M. Convolutional neural networks: a survey. Computers 12 (8), 151 (2023). · DOI · Paper page
- [41]William, D. & Bommu, R. Harnessing AI and machine learning in Cloud Computing for enhanced Healthcare IT solutions. Unique Endeavor Bus. Soc. Sci. 3 (1), 70–84 (2024).
- [42]Kasula, B. Y. AI applications in healthcare a comprehensive review of advancements and challenges. Int. J. Manag. Educ. Sustain. Dev.6(6) (2023).
- [43]Rubinger, L., Gazendam, A., Ekhtiari, S. & Bhandari, M. Machine learning and artificial intelligence in research and healthcare. Injury 54, S69–S73 (2023). 35135685 · DOI
- [44]Al Kuwaiti, A. et al. A review of the role of artificial intelligence in healthcare. J. Person. Med. 13 (6), 951 (2023). PMC10301994 37373940 · DOI · Paper page
- [45]Garg, G. & Garg, R. Brain Tumor Detect. Classif. Based Hybrid. Ensemble Classifier, arXiv:2101.00216 (2021). · arXiv
- [46]Abdollahi, J. & Nouri-Moghaddam, B. Hybrid stacked ensemble combined with genetic algorithms for diabetes prediction. Iran. J. Comput. Sci. 5, 205–220. 10.1007/s42044-022-00100-1 (2022). · DOI
- [48]Prince, M. S. M., Hasan, A. & Shah, F. M. An efficient ensemble method for cancer detection. In 1st International Conference on Advances in Science, Engineering and Robotics Technology (ICASERT) (2019).
- [49]Ghosh, K. et al. The class imbalance problem in deep learning. Mach. Learn. 113 (7), 4845–4901 (2024). · DOI
- [50]Oksuz, K., Cam, B. C., Kalkan, S. & Akbas, E. Imbalance problems in object detection: a review. IEEE Trans. Pattern Anal. Mach. Intell. 43 (10), 3388–3415 (2020). 32191882 · DOI
- [51]Desuky, A. S. & Hussain, S. An improved hybrid approach for handling class imbalance problem. Arab. J. Sci. Eng. 46 (4), 3853–3864. 10.1007/s13369-021-05347-7 (2021). 33532169 PMC7841761 · DOI
Cited by
Sorted by citations
Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors
Yen, C., Epling, J. W., Rockwell, M., & Vaughn-Cooke, M. (2026) · Diagnostics · doi:10.3390/diagnostics16020347 · Cited by 6 · see citing works
- Authors
- Vincent, A. C. S. R., & Sengan, S.
- Corresponding author
- Vincent, Asir Chandra Shinoo Robert
- Sengan, Sudhakar
- ORCID
- Sengan, Sudhakar
- Venue
- Scientific Reports
- Published
- 2024-11-06
- Volume
- 14
- Issue
- 1
- Pages
- 26997-26997
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC11541999
- OpenAlex
- W4404106811
- Cited by
- 23
- References
- 1
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 1
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Scientific Reports (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning and ELM
- Physical Sciences › Computer Science › Artificial Intelligence › Imbalanced Data Classification Techniques
- Keywords
- edge computing, clinical decision support systems, chronic disease diagnosis, ADASYN, Isolation Forest, class imbalance, outlier handling, hepatocellular carcinoma, cervical cancer, chronic kidney disease, heart disease, cardiac arrhythmias
- MeSH terms
- Machine Learning, Algorithms, Humans, Decision Support Systems, Clinical
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review