Abstract

This paper presents a novel approach to predicting specific monitoring timeframes for Permanent Pacemaker Implantation (PPMI) requirements following a Transcatheter Aortic Valve Replacement (TAVR). The method combines Quantum Ant Colony Optimization (QACO) with the Adaptive Neuro-Fuzzy Inference System (ANFIS) and incorporates expert knowledge. Although this forecast is more precise, it requires a larger number of predictors to achieve this level of accuracy. Our model deploys expert-derived insights to guarantee the clinical relevance and interpretability of the predicted outcomes. Additionally, we employ quantum computing techniques to address this complex and high-dimensional problem. Through extensive assessments, we show that our quantum-enhanced model outperforms traditional methods with notable improvement in evaluation metrics, such as accuracy, precision, recall, and F1 score. Furthermore, with the integration of eXplainable AI (XAI) methods, our solution enhances the transparency and reliability of medical predictive models, hence promoting improved clinical practice decision-making. The findings highlight how quantum computing has the potential to completely transform predictive analytics in the medical field, especially when it comes to improving patient care after TAVR.

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