Predicting breast cancer survivability using fuzzy decision trees for personalized healthcare

Data analysis systems, intended to assist a physician, are highly desirable to be accurate, human interpretable and balanced, with a degree of confidence associated with final decision. In cancer prognosis, such systems estimate recurrence of disease and predict survival of patient; hence resulting in improved patient management. To develop such a prognostic system, this paper proposes to investigate a hybrid scheme based on fuzzy decision trees, as an efficient alternative to crisp classifiers that are applied independently. Experiments were performed using different combinations of: number of decision tree rules, types of fuzzy membership functions and inference techniques. For this purpose, SEER breast cancer data set (1973-2003), the most comprehensible source of information on cancer incidence in United States, is considered. Performance comparisons suggest that, for cancer prognosis, hybrid fuzzy decision tree classification is more robust and balanced than independently applied crisp classification; moreover it has a potential to adapt for significant performance enhancement.