A Metaheuristic Algorithm Based on Chemotherapy Science: CSA

Among scientific fields of study, mathematical programming has high status and its importance has led researchers to develop accurate models and effective solving approaches to addressing optimization problems. In particular, metaheuristic algorithms are approximate methods for solving optimization problems whereby good (not necessarily optimum) solutions can be generated via their implementation. In this study, we propose a population-based metaheuristic algorithm according to chemotherapy method to cure cancers that mainly search the infeasible region. As in chemotherapy, Chemotherapy Science Algorithm (CSA) tries to kill inappropriate solutions (cancers and bad cells of the human body); however, this would inevitably risk incidentally destroying some acceptable solutions (healthy cells). In addition, as the cycle of cancer treatment repeats over and over, the algorithm is iterated. To align chemotherapy process with the proposed algorithm, different basic terms and definitions including Infeasibility Function (IF), objective function (OF), Cell Area (CA), and RandomCells (RCs) are presented in this study. In the terminology of algorithms and optimization, IF and OF are mainly applicable as criteria to compare every pair of generated solutions. Finally, we test CSA and its structure using the benchmark Traveling Salesman Problem (TSP).


Introduction
In the past few decades, various approaches have been proposed to solve optimization problems in two parts of exact and approximate methods. The exact ones such as dynamic programming and branch and bound algorithms are only applicable to small-scale hard problems while for solving large-scale models and highly nonlinear optimization heuristic approaches should be applied [1]. Therefore, the need to provide effective approximate solving procedures named metaheuristic algorithms is known to every researcher. It is claimed that a metaheuristic algorithm far surpasses the heuristic one as the latter is just applicable for solving a special class of problems while one can implement the former for a wide range of mathematical models and optimization problems. The majority of the proposed metaheuristic algorithms in the literature are nature-inspired with stochastic behavior which can be categorized into two groups of populationbased and single point search ones. Nature is of course a great and immense source of inspiration for solving hard and complex problems in computer science since it exhibits extremely diverse, dynamic, robust, complex, and fascinating phenomena [2]. It always finds the optimal solution to solve its problem, maintaining a perfect balance among its components.
As a matter of fact, nature provides some efficient ways for solving problems via offering efficient methods to address mathematical models. Ant Colony Optimization (ACO), Simulated Annealing (SA), Genetic Algorithm (GA), and Particle Swarm Optimization (PSO) are the most well-known nature-inspired ones for solving optimization problems. Like these methods, this study also attempts to propose a naturedbased metaheuristic algorithm whose origin is in chemotherapy cancer treatment.
Chemotherapy (sometimes called "chemo") uses more than 100 strong chemical drugs to treat cancer in a cycle and repetitive procedure, which is often used as the last resort to prevent the cancer from spreading, slow the cancer's growth, kill cancer cells that may have spread to other parts of the body, relieve symptoms such as pain or blockages caused by 2 Journal of Optimization the cancer, and cure the cancer [3]. It also has some side effects such as nausea and vomiting, hair loss, bone marrow changes, mouth and skin changes, memory loss, fertility problems, and mood swings. In chemo, the destruction of cancer cells that divide rapidly is targeted. In most cases, chemo drugs are put right into the bloodstream or taken as pills. They then travel throughout the body to kill cancer cells. Sometimes there is a need to get high doses of chemo to a specific area of the body. Regional chemotherapy directs the anticancer drugs into the part of the body where the cancer exists. The purpose is to get more of the drug to the cancer, while trying to limit effects on the whole body. Side effects will often still happen because the drugs can be partly absorbed into the bloodstream and travel throughout the body.
Our algorithm has the same structure as chemotherapy cancer treatment. In fact, we search the infeasible region where infeasible and feasible solutions are the same as cancer and healthy cells, respectively. Furthermore, while some healthy cells are killed during the treatment and their number decreases, chemo decreases the number of appropriate feasible solutions that may be loosened during the algorithm run. Moreover, each iteration of the algorithm is the same as each cycle of treatment and while the patient rests (between each two successive cycles) to recover the killed healthy cells, whereby increasing the number of cancer cells, the algorithm generates some other feasible and infeasible solutions to start the next iteration. Also, the assessment process in the algorithm is the same as the one used for studying the size of tumor and cancer cells. During these two producers, while we try to locate the exact location of the tumor, we must generate suitable initial infeasible solutions. On the other hand, determining the exact size and position of the cancer tumor is similar to calculating the value of objective function generated solution and its infeasibility value, respectively.
This study is structured as follows. To begin with, a concise and comprehensive review of literature is given on some important relative researches. Afterward, some important definitions are presented, followed by the body of CS algorithm. Next, a general discussion is given to clarify the structure of the presented algorithm. Then, the results of the study are discussed and a benchmark TSP instance is considered. Finally, the main points of the study are summed up.

Literature Review
As mentioned before, various nominal algorithms have been proposed in the literature, the most important of which are shown in Table 1.
Among the above-mentioned algorithms, GA, TS, SA, ACO, and PSO are the most common ones, widely used to solve optimization problems.
GA is a general metaheuristic algorithm based on genetics and human nature, which generally solves a range of optimization problems using different operators such as mutation and crossover [4]. Tabu Search (TS) algorithm is another typically used algorithm based on three short, medium, and long term memories, preventing the algorithm from generating repetitive solutions, getting stuck in local optimum solutions, and searching the regions which are not entirely investigated [5,6].
SA tries to generate appropriate solutions for unconstrained and bound constrained optimization problems which act as the process of annealing metals [7]. ACO is a common algorithm proposed by Dorigo [8]. This natureinspired algorithm based on the life of ant colonies is used to solve mathematical models, in particular the integer ones. Overall, ACO generates better qualified solutions in comparison to SA but the latter needs less time for finding the final solution. Particle Swarm Optimization (PSO) is another population-based algorithm for generating acceptable solutions (considered as particles), where position and velocity of the particles form the main structure of this algorithm [9].

The Main Body CSA
In this section, the general structure of CS algorithm is clarified and the main philosophy of algorithm and its adaptation to the process of chemotherapy treatment method for curing cancers is elaborated on. Generally speaking, we consider the standard canonical form of a mathematical model in which all types of variables can be embedded and as model (1)-(3), the objective function is in minimization form.
For more diversity and flexibility, a dynamic and stochastic structure, based on random approach, is proposed whose ignorance will raise a static algorithm that generates the same solutions in different runs. Table 2 explains different terms based on algorithm structure and chemotherapy science.

Limiting Cell Position Element (CPE) Bounds.
In this phase of algorithm we limit the search space or determine the exact dimension of tumor by applying a developed method such as Constrained Programming (CP) to increase the effectiveness of our algorithm. This phase of algorithm is highly similar to the process of determining the exact position of cancer cells and tumor (infeasible solutions), the accuracy of which can go a long way towards curing the cancer (solving the problem). Therefore, in an iterative approach the upper and lower bounds are calculated and tuned. In fact we can take the following steps to determine narrow bounds for CPEs: (1) Calculating the initial CPE limits based on the ratio of / , where the positive and negative ones help us to determine upper and lower bounds, respectively: obviously, we must select the minimum upper bound  and maximum lower bound among all the bounds in different constraints.
(2) For each CPE (index ), we fix the previously calculated upper and lower bounds of the other CPEs (indexes = 1, . . . , & ̸ = ) and then determine the new upper and lower bounds for the selected Cell Position Element (index ). For calculating upper (lower) bound of CPE , if / > 0 the lower (upper) bound of CPE or else its upper (lower) bound will be considered.
(3) Repeat phase (2) while for each successive repetition all the upper and lower bounds get into a confidence interval with a predetermined percentage of error (such as a value around 5%).

Generating Initial Cancer Cells in CSA.
Various approaches are available in this algorithm to determine the position of initial cancer cells and tumor or initial infeasible solution. There is a similarity between this phase and the process of chemotherapy. While we want to select the method of generating initial solutions, we may also want to determine which drugs and injection methods should be used. Also, calculating initial solutions in the proposed algorithm is the same as determining the initial position of cancer tumor and bad cells in the process of chemotherapy treatment. Based on our problem, we may use completely random or exact methods or a trade-off method between these two. The following are four possible and proposed approaches which can be implemented in this phase to determine the initial position of tumor cells using: (1) Relaxation methods including linear programming (LP) and Lagrangian.

Evaluating the Health Status and Position of the Tumor and
Cells. CS algorithm searches the tumor to find a new healthy cell which means generating a new solution in the infeasible space. Therefore, for each pair of found cells (cancerous or healthy cells), two important factors must be considered for comparing them, which are the total value of Tumor Position (TP) and the value of tumor size (TS) in relation (1). Simply put, it is possible to calculate TP for constraint based on inequality (2), in which = ( 1 , 2 , . . . , ) that is the th solution vector of the population generated at iteration = 1, 2, . . . , .
In fact, by applying (4) and the aggregation in a theoretical and logical way using relation (5), the values of TP and TTP (Total TP based on all of the constraints), will result.
In this equation, indicates the constraint weights while we can assume the same values for all model constraints. Also, the value of TS is calculated based on the relation Journal of Optimization 5 To analyze each pair of solutions or cells, the designer should create a tradeoff between the values of TTP and TS . We categorize all cells into four different groups to determine the best and worst ones. This type of classification is done according to Table 3. As it can be seen, it is an iterative and interactive approach between current cells and the ones which have been generated previously. ATTP −1 and ATS −1 indicate the arithmetic mean of TTP and TS of the sets of the best solutions of the previous solution into average TTP and TS, respectively.
where | ( )| is the cardinality of the set of the cells with the first rank at the end of iteration .
In this ranking, the first group will be considered as the set of best generated cells and its combination with the second group constitutes the next input cells meaning ( ∪ ) → . The best cells of the third group based on TS are reserved for special use and finally the fourth group are thrown away. It should also be noted that when the first group is empty, the first group of previous iteration will be replaced.

Search Neighborhood Cells.
In this phase, we want to extend our investigation where celerity and intelligently are its most important features. This phase is also flexible enough to be applied for developing a single point population-based algorithm.
3.4.1. Determining Cell Area (CA) in Tumor. CS algorithm proposes an innovative approach to solving mathematical models in which a distinct attitude towards investigating the tumor and search space is introduced. This method uses Cell Area (CA), which is a limited space around each cell (solution) and where easy generation of CAs increases its efficiency. To begin with, by using two different levels ( and in relations (9)), CPE (Cell Position Element) lower ( ) and upper ( ) bounds are calculated via (8), and by their combination a subspace around each cell is created.
where two values of and are determined using the following relations: In these relations, ( ) and ( ) are the set of CPEs with nonzero ( ̸ = 0) and zero ones ( = 0), respectively. Also, we mostly propose linear-based relations for more simplicity and decreasing complexity of CSA. Furthermore, we can calculate upper level ( ) based on the lower one ( ) by just an easy approach where the lower value is multiplied with a constant number to calculate the upper limit.
Also, if we want to determine these values for the CPEs without any coefficients in tumor size ( = 0), it should consider an equivalent weight ( ) in relations (9). We can calculate this weight using an arithmetic mean of the CPEs (in which positive or negative sign is embedded) that are in the same constraints with CPE index with = 0, as the equation where | | and are the cardinality of the sets of CPEs which are in the same constraints with CPE , with different and same signs, respectively.
To clarify it, we can refer to Figure 1, which shows a CA for a sample instance with just two CPEs 1 and 2 .
Once again, it is possible to round the value of integer CPEs to the nearest integer number. However, if ( ) gets less (greater) than the lower (upper) bound, the lower (upper) bound will be replaced.

Generating Random Cells in CA.
To calculate the values of Random Cells (RCs), being cancerous or healthy, based on CA, we can multiply ( − ) with a random number and add it to its lower bound. Under this condition and because of using problem data and random number, RC will be a smart random number.  Journal of Optimization As in the case of upper and lower bounds of integer CPEs, again should be rounded in special cases.

Rest Period Phase.
In CS algorithm, we get near to the border of tumor from a determined cell out of the tumor using CA, RCs, and, of course, smart vectors. In fact, false direction and any inaccuracy or incorrectness in it can result in inappropriate cells. In the relevant literature, differentiation is the most common way among all the proposed effective ones. However, this approach is not applicable to different classifications of models and problems including LP, IP, and MIP. Therefore, a positive, negative, or zero direction for each CPE based on model coefficients and cells is determined, and then we take one step in this vector to find another cell nearer to the tumor and cancer cells and their border, with more qualified TS. This phase is similar to the new cycle for drug injection to the body and tumor for killing the cancer cells. While we try to convert some of the cancer cells (infeasible solutions) to their corresponding healthy (feasible) ones in CS algorithm, doctors let the patient rest and refresh their healthy cells. As mentioned in Section 3.6, we are able to convert some of the bad cells to the healthy ones using a linear programming model or applying problem-related approaches such as a Greedy approach to TSP.
In two consecutive comparative steps we can determine the mentioned direction.
At first, we determine the direction type based on CPE values. If we consider that max = max ∈ ( ) and min = min ∈ ( ) and also max = max ∈ ( ) and min = min ∈ ( ), it is possible to determine ⋅ using the following relations: Now, we should compare ⋅ to ⋅ to determine the direction type where using = /( max + min ) as the adjustment coefficient helps us modify our comparison. In fact, we can use ⋅ ⋅ instead of ⋅ in our comparison whenever it is necessary. It means that this evaluation will be adjusted between ( max ⋅ max + min ⋅ min )/2 and ( 2 ⋅ )/( max + min ) to determine the CPE direction type.
Relation (13) helps us to clarify this statement in which is the direction of CPE .
In relation (13), parameters 1 and 1 should be one or can be determined using a parameter tuning approach. In fact, we want to increase (decrease) the value of CPE when its adjusted value ( ⋅ ⋅ ) in the tumor size (TS) is less (greater) than our criterion ( ⋅ ) and let it remain unchanged for the case of equality.
Secondly, we must determine the direction based on the position (infeasibility) of the cell (solution) using relation (14); afterwards, we update according to DTP by using relation (15).
To take small steps and, of course, adjust the directions, the values of can be normalized using the equation In relations (14)-(15), parameters 2 , 2 , 3 , and 3 should be valued in accordance with each other. Obviously, the Algorithm stops when TTP becomes zero or less for the best generated cell and an approximate acceptable solution is generated.

2
Reaching a fixed number of chemotherapy repetitions.
Algorithm stops after a predetermined number of runs and converting the cancer cells to their corresponding healthy ones. 3 Reaching a fixed value for TTP and getting near to the border of tumor.
Algorithm stops when it is in a predetermined special distance of feasible region and a predetermined TTP and TS result. 4 Reaching a percentage of improvement in TS or tumor size.
Algorithm stops when TS has a predetermined percentage of improvement in comparison to its initial value.
importance of criterion TP increases as the number of constraints increases, resulting in bigger ratios. The number of CPEs and constraints increases, so do 2 / 2 and 3 / 3 . Finally, we can reach a new cell (solution) based on vectors and using the equation where indicates the number of directions, and based on , we can determine the values of the other vectors such as and . It should be mentioned that it is possible to calculate all these values based on matrix forms where using a powerful software program such as MATLAB can ease the implementation of this approach.

Stopping
Conditions. CS algorithm has a completely different structure compared to the other proposed ones in the literature; therefore, the stopping conditions are distinct while different factors such as the structure of our problem (TSP, LP, MIP, etc.), improvement rate in TTP and TS, and also input data may bear on our selection. Table 4 indicates some suggested appropriate criteria.

Converting Cancerous Cells to Healthy
Ones. In CSA we need a general approach to converting each cancerous cell to its equivalent healthy one. This method may be applied in different parts of the algorithm. Assume that we stop the algorithm and the final generated cells are not healthy where based on our mathematical model with hard constraints it is not an appropriate cell; therefore, a conversion method is required to generate the final applicable cell. Moreover, as in the process of cancer treatment using chemotherapy, here we need a fast conversion method to convert appropriate bad cells to healthy ones and maintain the best ones until stopping CSA repeating.
In the final stage of curing the cancer in which the surgeon removes the weakened tumor, we want to convert inapplicable infeasible solutions (cancer cells or tumor) to acceptable feasible ones (healthy cells). In fact, it is the final stage which can be implemented for stopping the algorithm. Generally, as doctors weaken the tumor during radiation therapy, we can convert the bad and cancerous cells (infeasible solutions) to healthy (feasible) ones during algorithm run. Apparently, this methodology increases flexibility and results in better-off cells.
We know that converting a cancerous cell to its corresponding healthy one decreases the quality of TS due to narrowing the space, and at the best situation with a small probability, a healthy cell with the same TS will result at best. Therefore, we should apply an approach to maintaining the TS in its maximum possible value. In this special case, the following model can help us to solve this issue. However, adapting it to our mathematical model is suggested. For instance, the combination of this model with a greedy approach seems more effective when we solve a TSP or Knapsack Problem (KP).
where is the amount of CPE index which should be decreased from its original value ( ) to reach a new set of CPE vector ( ) as a healthy cell (relation (22)).
In this model, we try to decrease the value of CPEs by considering the constraints with TP > 0. We can say that relation sets (19) attempt to omit any occurring infeasibility while maximizing the total decrease of object function using relation (18). Therefore, when = ∀ ∈ , summation ∑ will cover all the infeasibility of constraint (TP > 0), meaning that relation (19) is satisfied.

Discussion about the Structure of CSA
The general structure of CSA, including the necessary steps and strategies in our algorithm, is graphically displayed in Figure 2. The rotating movements of CS algorithm between the inside and outside of the tumor in two general phases increase its flexibility by deeply exploring the space and subspaces of solutions.
As it can be seen, we map different parts of CS algorithm on the process of chemotherapy cancer treatment. Therefore, this algorithm is developed based on a firm background of treatment process whose efficiency has been proved in medicine in the past few decades. As a matter of fact, natureinspired algorithms such as GA, ACO, and SA are significantly efficient for solving optimization problems. These types of algorithms such as CSA have a reliable background which theoretically build a logical structure.
The cyclic part of this algorithm is similar to the revolutionary part of chemotherapy process in which, after a drug injection phase, a resting phase follows while in the proposed algorithm we try to get close to the border tumor and the healthy space around it (as in drug injection phase). Finally, we may convert cancerous cells (killing cancer cells) to healthy ones (as resting phase).
Moreover, while developing CS algorithm, we try to consider mathematical exact solving methods, techniques, and formulas to improve its performance. In fact, by combining nature processes and mathematical relations, an effective algorithm is introduced where some parts of the main structure are based on nature and the other parts are based on mathematics, statistics, and science.
In CS algorithm, generating initial cancerous cells is critically important. In fact, based on the directing concept, the algorithm explores different parts of the space starting from the initial cells. However, the quality of initial cells depends on the first step in which algorithm determines the limits of CPEs to narrow the search space such as constraint programming.
On the other hand, generating cells using fundamental concepts such as CA and RCs as mathematical rules combined by the chemotherapy process provides a set of theoretical and practical tools for user of CSA to solve optimization problems. The importance of these techniques becomes clearer when considerable cells are generated particularly for solving hard problems such as TSP.
Likewise, it should be noted that converting strategy is another considerable part of this algorithm which lets us generate healthy cells during the algorithm and reserve them till the final stage. This approach helps users to modify directions (based on CA, RCs, and smart vectors) towards those parts of healthy space out of the tumor to reach healthy cells. This special feature creates a smart algorithm in searching the space discontinuously and widely. It means that CS algorithm tries to search different parts of the space which may include the optimum cell with more probability.
Finally, in special cases when the algorithm stops while it is still inside the tumor, a procedure for generating healthy cells is proposed. This phase lets algorithm stop before getting out of the tumor for saving time and prohibiting unnecessary runs of the algorithm. Moreover, for hard problems such as TSP, to use this methodology is strongly suggested for generating an acceptable cell in the healthy part of the body near the tumor with an efficient objective function.
As a matter of fact, as the degree of the hardness of prototype optimization problems increases, the deterioration of the cancer and its seriousness increases accordingly. As it is well known, TSP is one of the hardest problems in combinatorial optimization fields; therefore, its corresponding cancer prototype is more serious and dangerous.

Computational Results
To solve a sample problem using CSA, a benchmark example for TSP is solved (adopted from [50] named TSPTW). Our general approach is appraising the algorithm by comparing the generated cells of each problem with their optimum one. The results indicate an effective performance for this algorithm in solving NP-complete problems such as TSP.
We ran CSA on a Core i5 2.4 GHz computer with 4 GB RAM using MATLAB R2012a and GAMS 24.1.2.
To solve TSP, we need to modify some of the proposed relations based on the following new mathematical model [51]: Obviously, to determine the value of TP for constraints (24)-(25), we should apply the following two equations: In this model, the CPE limits are zero or one for the binary variables and these bounds for the URS variables are infinite. Also, we generate the initial solution by using a combinatorial approach based on greedy and LP relaxation methods in which the generated solution using LP relaxation methodology is modified to create a new infeasible IP (binary) solution for TSP. On the other hand, for calculating the other parts and running the algorithm (such as the appraising phase, killing cancer cells, etc.), the previously mentioned relations and formulas are applied.
The benchmark data is available on its website and its optimum solution and the best generated cell by CS algorithm is shown in Table 5. Just a short glance on the results indicates the optimum cell is approximately achieved using the proposed algorithm. Here, there are just 3 units different between TS values of the best generated cell (1457) and the optimum one (1454) which indicates a ratio of 0.21%.
We run the algorithms 20 times to solve the benchmark problem as is shown in Table 6. We know that in TSP all the constraints are hard and the final generated cell should be located outside the tumor, meaning that the value of TTP should be zero for the final generated cell. Generally, it is possible to convert the cancer cell to its corresponding healthy one by using a greedy approach. In fact, for a counterpart problem of TSP, we need to kill some of the cancer cells and after weakening tumor, we must remove it completely to cure it. As we know, TSP is an NP-complete problem; therefore its corresponding cancer prototype is also a serious and crucial one and in addition to chemotherapy radiation therapy is required and mandatory.
Also, we know that TSP is an NP-complete problem and generating a healthy cell with 0.21% minimum range of errors and an average around 1.10% is invaluable and these results indicate the effectiveness of CS algorithm and efficiency of its performance. It means that solving other types of optimization problems such as MIP ones by applying CS algorithm can result in great cells using appropriate software and professional programming methods.
In this instance, there is a small difference between the minimum and optimum solutions on the one hand and the maximum and optimum solutions on the other hand, which is 0.21% and 1.51%, respectively. Moreover, total difference between minimum and maximum ratio of TSs is 1.30% where the average is 1.51%. These values and of course Figure 3 again indicate a robust algorithm which effectively generates appropriate cells, and the range of TSs is narrow.  In order to test the efficiency of proposed algorithm on large problem, a TSP problem with 100 cities was selected from benchmark problems [52] where its length of optimal tour is 2772.31.
As it can be seen in Table 7 and Figure 4, CSA generates good solutions where the average objective function of its tours is near, 2.53%, to the optimal tour. It is worth mentioning that this TSP sample is almost 4 times bigger than our first problem and its results indicate that CSA has the ability to produce good solutions for bigger and harder problems.  On the other hand, as it is shown in Figure 5, the average rate of 2.53% with a minimum percentage of 0.70% and maximum value of 4.26% indicates that CSA can generate solutions which are near to optimal solutions for small and big problems. Moreover, a narrow range in this regard indicates the robust manner of this algorithm in generating final solutions.
To check the process of running CSA, the total percentage of improvement in the quality of Cell Size (objective function) is reported. This value helps us to get a general overview about the quality of initial and final cells and the rate of improvement ( Figure 6). However, we should note that the  4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Rate of TS Average (%) Figure 5: Analysis of the rate of TS for the generated solutions in comparison to the optimal one. 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Percentage of improvement Average (%) initial solution is an infeasible solution and the final solution is a feasible one. An average improvement rate of 4.60% indicates the robustness and effectiveness of CSA. As a matter of fact, the average percentage of 4.60% in solving a large TSP problem is valuable where a small amount of improvement in this type of problems usually needs an effective and time consuming approach.
It is worth noting that, as an effective approach, the concept of sparse matrix is used to solve the TSP problem where in the original form the number of CPEs and parameters is high and using the normal matrix may decrease the effectiveness of the algorithm particularly for large-scale problems.
We can see the graphical view of the best tour obtained by the proposed algorithm for the TSP problem with 100 cities in Figure 7.

Conclusion
In this study, an innovative algorithm is proposed which focuses on tumor space (infeasible region) to investigate and explore the cells. Intelligently, a nature-inspired algorithm based on chemotherapy cancer treatment is developed with a mathematical background according to the effective and exact solving techniques for optimization problems and the proposed approaches in the literature. A firm background for the proposed algorithm directs it towards generating appropriate healthy cells. This algorithm consists in searching the space far from the tumor border (convex hall) and investigating the tumor towards the outside of the tumor using CA, RC, and rational random directions. Theoretically, two TTP and TS criteria are applied for assessing each pair of cells where an effective approach is proposed to convert each cancer cell to its corresponding healthy one which can be applied in each iteration and part of the algorithm. However, based on the structure of our mathematical model, it is possible to develop other strategies in different parts of the algorithm, such as using greedy approaches for generating initial cancer cells or converting a bad cell to a healthy one when solving TSP.
The following can be some intriguing areas for future research regarding the proposed algorithm: (i) Solving other categories of optimization problems such as nonlinear ones (ii) Combining the algorithm with other well-known ones to develop a hybrid algorithm (iii) Developing a toolbox and software-based solver to solve a wide range of parameters without having to effect drastic changes to programming codes.