AI-Based Clinical Rule Discovery for NMIBC Recurrence through Tsetlin Machines

Fuente: arXiv
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Hauptverfasser: Abbas, Saram, Soomro, Naeem, Shafik, Rishad, Heer, Rakesh, Adhikari, Kabita
Format: Preprint
Veröffentlicht: 2025
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author Abbas, Saram
Soomro, Naeem
Shafik, Rishad
Heer, Rakesh
Adhikari, Kabita
author_facet Abbas, Saram
Soomro, Naeem
Shafik, Rishad
Heer, Rakesh
Adhikari, Kabita
contents Bladder cancer claims one life every 3 minutes worldwide. Most patients are diagnosed with non-muscle-invasive bladder cancer (NMIBC), yet up to 70% recur after treatment, triggering a relentless cycle of surgeries, monitoring, and risk of progression. Clinical tools like the EORTC risk tables are outdated and unreliable - especially for intermediate-risk cases. We propose an interpretable AI model using the Tsetlin Machine (TM), a symbolic learner that outputs transparent, human-readable logic. Tested on the PHOTO trial dataset (n=330), TM achieved an F1-score of 0.80, outperforming XGBoost (0.78), Logistic Regression (0.60), and EORTC (0.42). TM reveals the exact clauses behind each prediction, grounded in clinical features like tumour count, surgeon experience, and hospital stay - offering accuracy and full transparency. This makes TM a powerful, trustworthy decision-support tool ready for real-world adoption.
format Preprint
id arxiv_https___arxiv_org_abs_2507_19803
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle AI-Based Clinical Rule Discovery for NMIBC Recurrence through Tsetlin Machines
Abbas, Saram
Soomro, Naeem
Shafik, Rishad
Heer, Rakesh
Adhikari, Kabita
Machine Learning
Artificial Intelligence
Bladder cancer claims one life every 3 minutes worldwide. Most patients are diagnosed with non-muscle-invasive bladder cancer (NMIBC), yet up to 70% recur after treatment, triggering a relentless cycle of surgeries, monitoring, and risk of progression. Clinical tools like the EORTC risk tables are outdated and unreliable - especially for intermediate-risk cases. We propose an interpretable AI model using the Tsetlin Machine (TM), a symbolic learner that outputs transparent, human-readable logic. Tested on the PHOTO trial dataset (n=330), TM achieved an F1-score of 0.80, outperforming XGBoost (0.78), Logistic Regression (0.60), and EORTC (0.42). TM reveals the exact clauses behind each prediction, grounded in clinical features like tumour count, surgeon experience, and hospital stay - offering accuracy and full transparency. This makes TM a powerful, trustworthy decision-support tool ready for real-world adoption.
title AI-Based Clinical Rule Discovery for NMIBC Recurrence through Tsetlin Machines
topic Machine Learning
Artificial Intelligence
url https://arxiv.org/abs/2507.19803