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Several recent research papers in the Internet of Medical Things (IoMT) domain employ machine learning techniques to detect data patterns and trends, identify anomalies, predict and prevent adverse events, and develop personalized patient treatment plans. Despite the potential of machine learning techniques in IoMT to revolutionize healthcare, several challenges remain.The conventional machine learning models in the IoMT domain are static in that they were trained on some datasets and are being used for real-time inferencing data. This approach does not consider the patient&#x2019;s recent health-related data. In the conventional machine learning models paradigm, the models must be re-trained again, even to incorporate a few sets of additional samples. Also, since the training of the conventional machine learning models generally happens on cloud platforms, there are also risks to security and privacy. Addressing these several issues, we propose an edge-based incremental learning framework with a novel feature selection algorithm for intelligent diagnosis of patients. The approach aims to improve the accuracy and efficiency of medical diagnosis by continuously learning from new patient data and adapting to patient conditions over time, along with reducing privacy and security issues. Addressing the issue of excessive features, which might increase the computational burden on incremental models, we propose a novel feature selection algorithm based on bijective soft sets, Shannon entropy, and TOPSIS(Technique for Order Preference by Similarity to Ideal Solution). We propose two incremental algorithms inspired by Aggregated Mondrian Forests and Half-Space Trees for classification and anomaly detection. The proposed model for classification gives an accuracy of 87.63%, which is better by 13.61% than the best-performing batch learning-based model. Similarly, the proposed model for anomaly detection gives an accuracy of 97.22%, which is better by 1.76% than the best-performing batch-based model. The proposed incremental algorithms for classification and anomaly detection are 9X and 16X faster than their corresponding best-performing batch learning-based models.

An IoMT-based Incremental Learning Framework with a Novel Feature Selection Algorithm for Intelligent Diagnosis in Smart Healthcare