Using an adaptive neuro-fuzzy inference system for the classification of hypertension

In this work, neuro-fuzzy systems are compared to standard machine learning algorithms to predict the hypertension risk level. Hypertension is a cardiovascular disease, which should be continuously monitored to avoid the worsening of its symptoms. Automatic techniques are useful to support the clinicians in this task, however, most of the machine learning techniques behave like black boxes, thus they are not able to explain how their results have been obtained. In the medical domain, this is a critical factor, and explainability is demanded. Neuro-fuzzy systems, that combine Neural Networks (NNs) and Fuzzy Inference Systems (FISs), are used to obtain explainable results. Moreover, to enhance the explanation, a feature selection method has been used to reduce the number of relevant features and thus the overall number of fuzzy rules. Qualitative analyses have shown comparable results between the machine learning methods and the neuro-fuzzy systems. However, the neuro-fuzzy systems are able to explain the hypertension risk level with only nine fuzzy rules, which are easy to interpret since they use linguistic terms.