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Updated: Jan 16, 2026

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Published on: August 19, 2025
Prognostic assessment and intelligent prediction system for breast reduction surgery using improved swarm
Zhiwei Cui1, Zhen Liang1, Chaohua Liu1
1Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
This study improved a swarm intelligence algorithm for reduction mammaplasty prognosis, creating an AI system that accurately predicts complications and patient satisfaction, aiding clinical decisions.
Area of Science:
- Plastic Surgery
- Artificial Intelligence
- Swarm Intelligence Optimization
Background:
- Accurate prognosis assessment is crucial for reduction mammaplasty.
- Existing methods may lack precision in predicting postoperative outcomes.
Purpose of the Study:
- To enhance reduction mammaplasty prognosis accuracy using an improved swarm intelligence algorithm.
- To develop an intelligent prediction system for clinical decision support.
Main Methods:
- An Improved Secretary Bird Optimization Algorithm (ISBOA) was developed and integrated with an AutoML framework.
- Classification and regression models were used to predict postoperative complications and patient satisfaction.
- Data from 453 reduction mammaplasty patients were analyzed.
Main Results:
- The ISBOA algorithm demonstrated superior stability and convergence speed.
- The AutoML model achieved high accuracy in predicting complications (ROC-AUC: 0.9369) and quality of life (R²: 0.9165).
- SHAP and DCA analyses validated the model's predictive power and clinical utility.
Conclusions:
- An effective prognosis assessment and prediction system for reduction mammaplasty was established.
- The ISBOA algorithm and AutoML model offer significant advantages for predicting patient outcomes.
- The developed system enhances the scientific rigor and efficiency of clinical decision-making in plastic surgery.
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