Variable Dimensional Multiobjective Lifetime Constrained Quantum PSO With Reinforcement Learning for High‐Dimensional Patient Data Clustering

Ming potential patterns from patient data are usually treated as a high‐dimensional data clustering problem. Evolutionary multiobjective clustering algorithms with feature selection (FS) are widely used to handle this problem. Among the existing algorithms, FS can be performed either before or during the clustering process. However, research on performing FS at both stages (hybrid FS), which can yield robust and credible clustering results, is still in its infancy. This paper introduces an improved high‐dimensional patient data clustering algorithm with hybrid FS called variable dimensional multiobjective lifetime constrained quantum PSO with reinforcement learning (VLQPSOR). VLQPSOR consists of two main independent stages. In the first stage, a dimensionality reduction ensemble strategy is developed before clustering to reduce the patient dataset’s dimensionality, resulting in subdatasets of varying dimensions. In the second stage, an improved multiobjective QPSO clustering algorithm is proposed to simultaneously conduct dimensionality reduction and clustering. To accomplish this, several strategies are employed. Firstly, the variable dimensional lifetime constrained particle learning strategy, the continuous‐to‐binary encoding transformation strategy, and multiple external archives elite learning strategy are introduced to further reduce the dimensionality of the subdatasets and mitigate the risk of QPSO getting trapped in local optima. Secondly, an improved reinforcement learning–based clustering method selection strategy is proposed to adaptively select the optimal classical clustering algorithm. Experimental results demonstrate that VLQPSOR outperforms five representative comparative algorithms across four validity indexes and clustering partitions for most patient datasets. Ablation experiments confirm the effectiveness of the proposed strategies in enhancing the performance of QPSO.