Machine learning augments rule-based knowledge: A precision leap for contextual early breast cancer detection

The innovative knowledgebase system enables the healthcare system to address patient’s customized requirements. Developing and implementing this system with context-aware modifications is a challenge for developing countries, where it can change the healthcare delivery landscape from diagnosis to treatment. Although many studies have been conducted on the development of a knowledge-based system for early breast cancer detection using a rule-based approach, they lack contextual factors such as cultural aspects and socioeconomic features. This paper proposes a contextually aware machine learning (ML)-based knowledge base system for early breast cancer detection in the Pakistani context. Established risk and preventive breast cancer factors were identified from an extensive literature review and validated by academic and industry experts. Contextual factors were investigated with the assistance of field experts, and predictions from the ML algorithm were duly validated. The nested if-then rule, based on established risk and preventive factors, was combined with ML prediction to form the foundation of the proposed knowledgebase system. This research will improve the performance of healthcare systems in terms of accuracy and cost-effectiveness.