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    This study introduces a novel multiobjective framework for patient stratification, improving personalized medicine by balancing feature relevance and redundancy. The evolutionary approach outperforms existing methods in accuracy and interpretability.

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    Area of Science:

    • Computational Biology
    • Bioinformatics
    • Medical Informatics

    Background:

    • Patient stratification is crucial for personalized medicine but faces challenges like noise, high dimensionality, and poor interpretability in existing clustering methods.
    • Current algorithms struggle to effectively balance feature relevance and redundancy, hindering biologically meaningful patient subgroup identification.

    Purpose of the Study:

    • To propose and formulate a multiobjective framework using evolutionary multiobjective optimization for enhanced patient stratification.
    • To address limitations of existing methods by balancing feature relevance and redundancy for improved accuracy and interpretability.

    Main Methods:

    • Developed a multiobjective framework based on evolutionary multiobjective optimization.
    • Benchmarked algorithms across 55 synthetic datasets (human transcription regulation network model) and 35 real cancer gene expression datasets.
    • Conducted time complexity, convergence, and parameter analyses for robustness.

    Main Results:

    • The proposed algorithms demonstrated superior performance compared to state-of-the-art methods.
    • Experimental results validated the effectiveness and robustness of the evolutionary multiobjective optimization framework.
    • t-Distributed Stochastic Neighbor Embedding (t-SNE) was used for visualizing high-dimensional data.

    Conclusions:

    • The novel multiobjective framework offers a robust and effective solution for patient stratification in personalized medicine.
    • The approach successfully balances feature relevance and redundancy, leading to improved accuracy and interpretability.
    • This work advances the field by providing a more sophisticated tool for analyzing complex biological data for clinical applications.