Enhancing Similarity and Distance Measurements in Fermatean Fuzzy Sets: Tanimoto-Inspired Measures and Decision-Making Applications

: Fermatean fuzzy sets (FFSs) serve as a nascent yet potent approach for coping with fuzziness, with their efficacy recently being demonstrated across a spectrum of practical contexts. Nevertheless, the scholarly literature remains limited in exploring the similarity and distance measures tailored for FFSs. The limited existing measures on FFSs sometimes yield counter-intuitive outcomes, which can obfuscate the accurate quantification of similarity and difference among FFSs. This paper introduces a suite of similarity and distance measures tailored for FFSs, drawing inspiration from the Tanimoto measure. We delve into the characteristics of these novel measures and offer some comparative studies with existing FFSs measures, highlighting their superior efficacy in the processing of fuzzy data from FFSs. Our proposed measures effectively rectify the counter-intuitive situations encountered with many existing measures and demonstrate a significant enhancement in differentiating between diverse FFSs. Moreover, we showcase the real-world applicability of our proposed measures through case studies in pattern recognition, medical diagnostics, and multi-attribute decision-making.


Introduction
The increasing prevalence of uncertainty across diverse disciplines is a direct consequence of the intricate nature of objective realities and the bounds of human cognition [1][2][3].Fuzziness manifests as a type of uncertainty arising from imprecise or vague information, being one of the specific forms of uncertainty.This nebulous characteristic often manifests itself in a probabilistic and indeterminate manner, which challenges the pursuit of precise delineations.In response, the scholarly community has developed a multitude of innovative theories and methodologies to effectively encapsulate and address the fuzziness within practical contexts [4][5][6][7][8].Among these, fuzzy sets theory, introduced by Zadeh in 1965 [4], has garnered substantial scholarly focus.This theory broadens the scope of classical set theory to accommodate scenarios where categorical boundaries are not clearly demarcated.By assigning membership values to elements within a set, fuzzy sets facilitate a nuanced and more precise representation of ambiguous concepts.Fuzzy sets theory revolutionizes traditional decision-making paradigms by enabling reasoning based on fuzzy information and decisions informed by partial or ambiguous data.This innovative approach has been instrumental in modeling and articulating fuzzy and uncertain information, and its utility has been widely recognized in domains such as pattern recognition, signal processing, medical diagnosis, and inference systems [9][10][11][12][13][14][15].
In the context of increasingly intricate decision-making scenarios, the common theory of fuzzy sets encounters its bounds in the precise depiction of uncertain data.To rectify this shortcoming, academia has championed various enhancements to conventional fuzzy sets, including Intuitionistic fuzzy sets (IFSs) [16], hesitant fuzzy sets [6], evidence theory [17], and rough sets [18].Notably, IFSs have garnered significant focus, owing to their proficiency in encapsulating both fuzzy and uncertain data by incorporating elements' membership and non-membership degrees.This distinctive trait has rendered IFSs an indispensable instrument across diverse research fields for tackling uncertainties [19][20][21].Building upon the foundation of IFSs, in 2013, Yager pioneered the concept of Pythagorean fuzzy sets (PFSs) [22].This paradigm encompasses a Pythagorean function, amalgamating membership, non-membership, and hesitancy degrees, thus transcending the original confines of membership and non-membership alone.PFSs enforce a constraint such that the cumulative squares of the degrees of membership and non-membership are confined below one, thereby enhancing their capacity to encapsulate and delineate fuzzy information [23][24][25].However, though IFSs and PFSs have achieved considerable success in handling certain types of uncertainties, they may not always offer sufficient flexibility in certain specific application scenarios.For example, both Intuitionistic fuzzy sets (IFSs) and Pythagorean fuzzy sets (PFSs) are unable to accommodate scenarios where the sum or squared sum of membership and non-membership degrees exceeds unity [26].To solve this issue, recently, Yager and Filev [27] extended PFSs and introduced a novel type of fuzzy set called Fermatean fuzzy sets (FFSs) in 2019.FFSs is founded on the notion of Fermatean distance, which postulates that the sum of the cubes of the membership and nonmembership degrees must not exceed one, and encompasses hesitation in capturing and representing uncertain information.This attribute enables it to encompass a greater amount of information, making it more powerful than PFSs and IFSs.Fermatean fuzzy sets (FFS) enhance the granularity of fuzziness representation by introducing additional parameters and functions, thereby capturing more nuanced information about fuzziness [26].This finegrained representation is particularly significant in fields that demand high precision, such as medical diagnostics [28,29] and financial risk assessment [30,31].Currently, FFSs have evoked considerable interest among researchers.Ghorabaee [32] introduced an innovative decision-making methodology founded on FFSs.Garg [33] demonstrated the utilization of Fermatean fuzzy aggregation functions within COVID-19 testing facilities.Aydemir and Yilmaz [34] introduced a method, known as TOPSIS, to determine preference orders in FFS based on similarity to ideal solutions.Shahzadi and Akram [35] introduced the formation of fuzzy soft sets and demonstrated their utility in selecting appropriate antivirus masks.Gul [36] showed the utility of FFSs in assessing occupational risks within the manufacturing sector.Sergi and Sari [37] proposed some Fermatean fuzzy capital budgeting techniques.Sivadas [38] introduced the Fermatean fuzzy soft set, a novel hybrid structure that amalgamates the features of Fermatean fuzzy sets with the parameterization typical of soft set theory.Ali and Ansari [26] introduced the notion of formation fuzzy bipolar soft sets and demonstrated their applicability in multiple-criteria decision-making (MCDM).In addition, FFSs have also been employed in several fields including data mining, image processing, and clustering [32,[39][40][41].
The concepts of similarity measure and distance measure are two other crucial concepts in the theory of fuzzy sets.They, respectively, refer to mathematical functions that evaluate the similarity and distance between two entities based on their distinctive attributes.In classical set theory, similarity is usually quantified using set-theoretic measures, such as Jaccard similarity or cosine similarity [42,43].However, these measures perform poorly for fuzzy sets because they fail to account for the membership grades associated with constituent elements.The concept of similarity measure is employed to determine the similarity between individuals, while the concept of distance measure is used to quantify the degree of difference between individuals.Similarity measures include broader measures than distance measures, which specifically calculate differences in Cartesian space.These terms are often used interchangeably, with distance often serving as the reciprocal of similarity and vice versa.In terms of evaluation, for distance measure, the shortest distance is observed between the closest points, while for similarity measure, the highest level of similarity is observed between the closest points.Recent research has introduced innovative similarity measures and distance measures: • Garg [44] has proposed a similarity measure that utilizes transformed right-angled triangles.Huang [45] has presented a novel similarity/distance measure under an Intuitionistic fuzzy environment enhancing its capability to address real-world fuzziness, whereas Olgun [46] has designed an IFSs similarity measure utilizing the framework of Choquet integral, thereby incorporating a modified approach to the cosine metric.Kumar [47] has presented a novel IFSs similarity measure, deployed in applications such as pattern recognition and clustering analysis.Moreover, Duan [48] has presented an innovative Intuitionistic fuzzy similarity measure.Garg [49] developed a novel measure based on PFSs to tackle the challenges associated with multiple-attribute decision-making (MADM).Li [50] introduced a fresh similarity assessment for PFSs, which is founded on the concept of spherical arc distance from a geometric standpoint.Additionally, a MADM approach was established in a Pythagorean fuzzy setting.Hussian and Yang [51] put forward novel similarity measures for PFSs that are grounded in Hausdorff measures.Additionally, recent studies [52][53][54][55][56][57][58] have introduced numerous other similarity measures.

•
Atanassov delineated four 2D distance measures, which were established on the foundations of the concepts of Euclidean and Hamming distances [16].The Hausdorff distance measures were proposed by Glazoczewski [59] to distinguish differences between IFSs.More recently, Gohain put forth a measure that is predicated on the divergence of the maximum and minimal cross-validation indices [60].Panda and Mahanta introduced a nonlinear distance measure that takes into consideration the discrepancies among IFSs with substantial hesitation levels [61].Xiao introduced a novel Jensen-Shannon divergence-based IFSs distance measure [62].Also, Li [63] conducted an inquiry into the normalized Hamming and Euclidean distance, aiming to enhance the precision and computational efficiency of fuzzy set proximity computations.Zeng [64] introduced a novel distance measure for IFSs, thereby extending its utility within the domain of pattern recognition.Talebi utilized a distance measure grounded in α-stable statistical models and developed an adaptive filtering structure [65].Li [66] presented an innovative distance measure under a Pythagorean fuzzy environment, while Xu [67] introduced a measure based on Hamming distance.Furthermore, Gou, Xu, and Ren [68] introduced an innovative distance measure that builds upon the Euclidean distance model for PFSs.
At present, the similarity and distance measures for IFSs and PFSs are relatively complete.Currently, several similarity and distance measures have been put forward for FFSs, including the new distance using Hellinger distance and triangular divergence [69], the cosine similarity measure by Kirişci [70], the cosine similarity by Sahoo [71] and the similarity measure based on linguistic scale function [72].These measures are designed to confront issues including complexity, asymmetry, and variations in intersection size.Despite this, there is still limited research on the measures of similarity and distance in FFSs, and the existing measures for FFSs suffer from counter-intuitive outcomes, insufficient sensitivity to varying intersection sizes, and asymmetry issues, which are not applicable under many conditions.Therefore, the study of similarity and distance measures of FFSs has become an important research field with significant academic significance.This paper introduces a set of novel similarity and distance measures for FFSs.The properties of these measures are thoroughly analyzed through abundant examples.Additionally, we propose two models that employ these measures for tasks, including medical diagnosis, pattern recognition, and MADM problems, within Fermatean fuzzy environments.We present an array of experiments comparing our measures to existing ones.The results demonstrate that our proposed measures overcome numerous counterintuitive situations, and enhance the dependability of the decision-making process in identifying distinctions among FFSs.These qualities exemplify the superior nature of our proposed measures.
The primary contributions of this study are delineated as follows: (1) We introduce novel similarity and distance measures for FFSs and provide proofs of their properties.(2) Two models employing these measures are proposed for medical diagnosis, pattern recognition, and MADM problems, demonstrating their efficacy.(3) By conducting a comparative evaluation against established measures for FFSs, the measures we suggest exhibit superior performance, with improved sensitivity to discriminating dissimilarities between FFSs and a capacity to circumvent counterintuitive limitations of existing measures.Our measures offer greater reliability and superiority in distinguishing FFSs.
Section 2 provides a concise overview of the foundational principles underlying fuzzy sets theory.Subsequently, in Section 3, we introduce a suite of innovative similarity and distance measures tailored for FFSs, alongside the delineation of their distinctive attributes.Meanwhile, a large number of experimental studies have been carried out to demonstrate the superiority of the suggested measures in overcoming counter-intuitive situations, distinguishing FFSs, and making more reliable decisions.In Section 4, based on proposed measures, two models are introduced to address medical diagnosis, pattern recognition, and MADM problems.Finally, in Section 5, we draw conclusions and provide directions for subsequent scholarly research.

Preliminaries
Within this portion, some foundational concepts related to fuzzy sets, the Tanimoto similarity measure, and several existing measures for FFSs will be provided.

Intuitionistic Fuzzy Sets
Definition 1 ([16]).We utilize the symbol Z to denote a set of limited cardinality.An Intuitionistic fuzzy set I is given by: I = {⟨z, ρ I (z), σ I (z)⟩ : z ∈ Z} Herein, ρ I (z) : Z → [0, 1] signifies the membership degree of z, and σ I (z) : Z → [0, 1] expresses the non-membership degree of z. ∀z, ρ I (z) and σ I (z) satisfy: ∀z, the indeterminacy degree associated with z is given by: This definition encapsulates the essence of Intuitionistic fuzzy sets within a finite domain Z.

Pythagorean Fuzzy Sets
Definition 2 ([22]).The Pythagorean fuzzy set P is given by the following representation: In this construct, ρ P (z) and σ P (z) serve as the membership and non-membership degrees of z, respectively, and are mappings from Z to the interval [0, 1].∀z, ρ P (z) and σ P (z) satisfy: ∀z, the indeterminacy degree associated with z is quantified by: 3. Fermatean Fuzzy Sets Definition 3 ([27]).The Fermatean fuzzy set F is given by the following representation: In this construct, ρ F (z) and σ F (z) serve as the membership and non-membership degrees of z, respectively, and are mappings from Z to the interval [0, 1].∀z, ρ F (z) and σ F (z) satisfy: For all z within the set of integers Z, the degree of indeterminacy associated with z is:

Existing Measures for FFSs
Definition 4. Suppose two FFSs, Z = {z 1 , z 2 , . . ., The cosine similarity measure relative to F and G is given by: Definition 5. Suppose that Z = {z 1 , z 2 , . . ., The Euclidean distance is defined as: The new cosine similarity proposed by Kirişci is defined as: Several similarities proposed by Sahoo are defined as: The score function is defined as: The Hellinger distance is defined as: The triangular divergence distance is defined as: The Tanimoto measure, which quantifies the similarity between A and B, can be given by:

Some Novel Tanimoto Similarity Measures and Distance Measures for FFSs
To date, research on the similarity and distance measures of FFSs remains incomplete, and existing measures can sometimes exhibit counter-intuitive, insensitive to changes, or even asymmetric problems in certain scenarios.Consequently, there is a need to propose new measures that can address these issues.The Tanimoto similarity coefficient exhibits prominent advantages in metric properties, such as effective handling of binary features [74], range constraints [74], simplified computation [74,75], sensitivity to small datasets [74,75], broad applicability in domains like chemical informatics and bioinformatics [75,76], and standardization capabilities [75,76].Therefore, we are dedicated to investigating the integration of the Tanimoto similarity coefficient with FFSs to enhance the control of uncertainties in real-world applications, particularly in the fields of medicine, biology, and decision-making.Within the current segment, we introduce a suite of Tanimoto similarity measures, along with their weighted forms, for FFSs, capitalizing on the Tanimoto similarity measure.We introduce the corresponding distance measures for comparison with established distance measures.The validity of these new measures is confirmed through a series of computational trials.Additionally, we showcase the ability of the newly introduced measures to resolve the paradoxical issues inherent in existing measures and to excel in distinguishing between diverse FFSs, as supported by multiple illustrative instances.

New Similarity Measures for FFSs
The Tanimoto similarity measure for the FFSs can be given as: Theorem 1.With respect to any two FFSs, F and G, the T FFS (F, G) must satisfy: Proof of Theorem 1.

1.
Considering the ith item of the summation in Equation ( 11): According to 0 Hence, the demonstrations have been concluded.
Considering the weights associated with z i , a weighted Tanimoto similarity measure for FFSs F and G is introduced as follows: Definition 12.For z i ∈ Z, a weight ω i is allocated.The weighted Tanimoto measure T ω FFS (F, G) can be given by: In a manner analogous to the demonstration provided for Theorem 1, the following can be derived: Theorem 2. With respect to any two FFSs, F and G, the T ω FFS (F, G) must satisfy: Taking into account the indeterminacy degree, the following can be derived: Definition 13.For z i ∈ Z, take the degree of indeterminacy θ i .The measure T θ FFS (F, G)is given by: When considering the degree of indeterminacy and the weights of z i , we can obtain: Definition 14.For z i ∈ Z, take the degree of indeterminacy θ i and the weight ω i .The measure T θω FFS (F, G) can be defined as:

New Distance Measures for FFSs
To facilitate comparison with existing distance measures, we propose the distance form for Tanimoto similarity.
two FFSs, the Tanimoto distance is given by: The larger the DT FFS (F, G) is, the larger the disparity between two FFSs.
Theorem 3.With respect to any two FFSs, F and G, the DT FFS (F, G) must satisfy: Definition 16.For z i ∈ Z, a weight ω i is allocated.The weighted Tanimoto distance DT ω FFS (F, G) can be given by: Theorem 4. With respect to any two FFSs, F and G, the DT ω FFS (F, G) must satisfy: Definition 17.For z i ∈ Z, take the degree of indeterminacy θ i .The Tanimoto distance DT θ FFS (F, G) can be described as: Definition 18.For z i ∈ Z, take the degree of indeterminacy θ i and the weight ω i .The Tanimoto measure DT θω FFS (F, G) is given by:
According to equations in Sections 3.1 and 3.2, the similarity (sm) and distance (dm) between FFSs are calculated, The computed values are depicted as Tables 1 and 2. Taking the weights ω = {0.4,0.6}, the weighted Tanimoto measures between FFSs are presented in Tables 3 and 4.
Table 1.The outcomes using Tanimoto similarity measures.

Measures
T DT  Example 2. Within the set Z, two FFSs F 1 and F 2 are identified, characterized by F 1 = {⟨z, ρ, σ⟩} and F 2 = {⟨z, σ, ρ⟩}, respectively.In the present example, the membership and non-membership degrees of F 1 and F 2 are alternatively denoted by variables ρ and σ, respectively.The variables ρ and σ fall within the interval [0, 1], and these parameters satisfy condition 0 ≤ ρ 3 + σ 3 ≤ 1.The similarity and distance between F 1 and F 2 are measured by Equations ( 21) and (26), respectively.According to Figures 1 and 2, the similarity and distance values fall within the interval [0,1].Notably, when ρ equals σ, the similarity measure between F 1 and F 2 attains its maximum value of 1. Conversely, when ρ is set to 1 while σ is zero (or vice versa), the similarity measure reaches its minimum value of 0. As parameters ρ and σ vary within the range of [0, 1], the corresponding similarity measure undergoes alterations within the identical interval [0, 1].The change in distance measure is reversed.These results affirm that the Tanimoto similarity measures and the distance measures satisfy the boundedness Property (1) as stipulated in Definition 11 and Definition 15, respectively.The general direction shown in Figures 1 and 2 is consistent with instinctive reasoning, indicating that the Tanimoto measures adhere to the requirements of Property (1) in Definition 11 and Definition 15.
Example 3. In the present study, two FFSs, labeled as F and G, under various Cases are examined, as detailed in Table 5.It is evident that the F values for Case 1 and Case 2 are identical, whereas the G values differ significantly.Consequently, the similarity measure sm(F, G) for Case 1 is anticipated to be distinct from that of Case 2. Similarly, the similarity measures sm(F, G) for Cases 3, 4, 5, and 6 are also expected to exhibit distinct values from one another.The outcomes of employing diverse similarity measures are presented in Table 6.
Table 5. FFSs F and G under different Cases.
Example 4.There are three FFSs in Z = {z 1 , z 2 }, denoted as F, G 1 and G 2 , and presented in Table 7.The data in Table 7 clearly indicate that G 1 ̸ = G 2 , implying that the distance between F and G 1 , dm(F, G 1 ) and the similarity between F and G 2 , dm(F, G 2 ) must be distinct.In Table 8, the outcomes of the Tanimoto distance measures and those of the Hellinger distance measure and the triangular distance measure proposed by Deng [69] (indicated as d H and d T ) are compared.Obviously, the Tanimoto distance measures offer precise results that correspond well with expectations.Nevertheless, the other distance measures yield results that are at odds with intuition and may not effectively differentiate both FFSs correctly in practice.It can be concluded from this example that our proposed measures enhance accuracy and demonstrate superior performance compared to the Hellinger distance measure and the triangular distance measure.The current study employs the proposed similarity measures to quantify the resemblance between the two entities, subsequently calculating the discrepancy by taking the difference between the maximum and minimum values derived from these assessments, denoted as D i .We conducted 50 such experiments and averaged the final results to obtain the average difference between the minimum and maximum values of the similarity results in these 50 experiments, denoted as D AVG .Specifically, the D i and D AVG for FFSs can be calculated as follow: Similarly, we compare the D i s and D AVG s obtained using other measures.Figure 3a presents the frequency of different similarity measures attaining the maximum D i in these 50 experiments, while Figure 3b depicts the D AVG s of different similarity measures across these 50 experiments.We conducted the same experiment using distance measures and the results are presented in Figure 4. Figure 3a illustrates that the Tanimoto similarity measures tend to maximize differences of the similarity between different FFSs while Figure 3b illustrates that the Tanimoto similarity reveals that they produce the maximum average differences between the maximum and minimum similarity values.These findings suggest that our proposed similarity measures generate similarity scores with greater variation, thereby endowing the Tanimoto similarity measures with a greater ability to discern differences across various levels of FFSs.Furthermore, it can exhibit better performance in discriminating FFSs with high similarity.The heightened differences in similarity scores assigned to different FFSs can bolster the trustworthiness of FFSs classification and facilitate more confident decision-making.However, S 1 and S 2 exhibit the smaller values in Figure 3a,b, indicating a tendency to assign similar values to diverse samples, potentially resulting in greater hesitation when making decisions within the same environment, thereby impeding efficient and confident decision-making.These outcomes underscore the preeminence of our proposed similarity measures over the extant ones under scrutiny.Similarly, we performed the identical analysis on distance measures and achieved the same outcomes, as depicted in Figure 4 corroborating the superiority of our proposed distance measures.

Applications
This section presents two models that are designed to tackle pattern recognition, medical diagnosis, and MADM, which are grounded in the suggested measures.To substantiate the efficiency of the models introduced, a series of experiments comparing with the existing measures were conducted.

A Novel Model for Pattern Recognition and Medical Diagnosis
In the presence of an attribute set Z = {z 1 , z 2 , . . ., z n }, we aim to classify the test samples S = {S 1 , S 2 , . . ., S m } based on k patterns F = {F 1 , F 2 , . . ., F k }.Pattern instances are represented by FFSs, indicated as Similarly, test samples are expressed as FFSs, indicated as S j = { z l , ρ S j , σ S j : z l ∈ Z} (j = 1, 2, 3, . . ., m).Our goal is to achieve precise classification of the test samples to the provided patterns.The process of recognition is outlined below: Step 1 Compute the Tanimoto similarity(or distance) between S j (j = 1, 2, 3, . . ., m) and F i (i = 1, 2, 3, . . ., k).
A comparative assessment is conducted with the existing similarity and distance measures mentioned in Section 2. The computational results are presented in Tables 9 and 10, and the visualized outcomes are displayed in Figures 5 and 6.According to the tenet of minimum distance, it was determined that sample S is most similar to sample F 2 , which is consistent with the findings in reference [69].It should be noteworthy that similar recognition results have also been yielded by other distance measures.Furthermore, based on the principle of maximum similarity, similarity measures S 1 FFS , S 4 FFS , S 5 FFS and S 6 FFS yielded the same recognition results, classifying sample S into F 2 .Conversely, the results of S 2 FFS and S 3 FFS are different, as they classify sample S as F 1 .Therefore, the accuracy of S 2 FFS and S 3 FFS remains to be discussed.These findings effectively demonstrate the utility of our proposed Tanimoto similarity and distance measures.
Example 7.This instance is about mineral categories in pattern recognition.Suppose that there are five typical mixed minerals represented by FFS F i (i = 1, 2, 3, 4, 5), and each mineral is composed of six basic minerals which form the universe of discourse z i (i = 1, 2, 3, 4, 5, 6).Our objective is to use the proposed measures to identify the category to which an unknown mixed mineral S belongs.Table 11 shows the known FFSs and unknown S, while Tables 12 and 13 summarize the results obtained from similarity and distance measures, respectively.Table 12 reveals that the Tanimoto similarity of mineral S and F 4 is the highest, suggesting that mineral S belongs to F 4 .This is consistent with the results of other similarity measures.In addition, as depicted in Table 13, the Tanimoto distance between mineral S and F 4 is minimal, indicating that mineral S is the closest to F 4 .These findings align with the results obtained from other distance measures.The results of our experiments provide evidence for the effectiveness of the proposed measures.

Example 8 ([77]
).There are four individuals afflicted with the following symptoms: Headache, Acidity, Burning eyes, Back pain, and Depression.These patients, identified as Ragu, Mathi, Velu, and Karthi, are collectively referred to as I i (i = 1, 2, 3, 4).Their symptoms are encapsulated as z i (i = 1, 2, 3, 4, 5).The set of possible diagnoses is denoted by D i (i = 1, 2, 3, 4, 5), and includes: D 1 : Stress; D 2 : Ulcer; D 3 : Visual impairment (VI); D 4 : Spinal problem (SP); D 5 : Blood pressure (BP).The relationship I → Z is expressed by FFSs, as presented in Table 14, while the relationship Z → D is represented by FFSs and listed in Table 15.Every entry in both tables is determined through the FFS, with the values indicating the degrees of membership and non-membership, respectively.The introduced similarity and distance measures are employed to quantify the similarity and distance between each patient and potential diagnosis.Diagnoses are established for each patient aligning with the principles of maximum similarity or minimum distance.present the similarity measure outcomes and distance of patient I towards each diagnosis D, alongside the ultimate diagnosis results.Based on the findings presented in Tables 16 and 17, it is observed that I 1 exhibits the highest Tanimoto similarity measure and the smallest Tanimoto distance measure towards D 1 ; I 2 displays the highest Tanimoto similarity measure and the smallest Tanimoto distance measure towards D 4 ; I 3 demonstrates the highest Tanimoto similarity measure and the smallest Tanimoto distance measure towards D 3 , and I 4 showcases the highest Tanimoto similarity measure and the smallest Tanimoto distance measure towards D 1 .Thus, we can conclude that Ragu exhibits signs of stress, while Mathi is suffering from spinal issues, Velu is experiencing vision-related difficulties, and Karthi is under stress.
We compared and analyzed the proposed measures with other technologies to verify their effectiveness, and the outcomes have been outlined in Table 18.The information revealed in Table 18 reveals that our suggested measures yield diagnostic outcomes that align with those derived from Ding and Xiao's method [77] and Deng's method [69], indicating the potential of our measures to address medical diagnostic challenges.The experimental findings lend support to the viability of our introduced similarity and distance measures.These measures assist healthcare professionals in identifying the diagnosis that best matches the patient's symptoms, thereby facilitating the formulation of the most appropriate treatment plan.By comparing the similarity between the patient's symptoms and established diagnoses, a probabilistic diagnosis can be derived, which is particularly useful for cases characterized by atypical symptoms or multiple morbidities.
Step 2 Computing the weighted Tanimoto similarity measures(or the Tanimoto distance measures) between I i (i = 1, 2, 3, . . ., m) and I + through the following formula: or Step 3 Evaluate and order all available options I i (i = 1, 2, 3, . . ., m) and determine the most preferable choice(s) based on their respective weighted Tanimoto similarity measures or the weighted Tanimoto distance measures.If an alternative exhibits a higher weighted Tanimoto similarity or the smaller weighted Tanimoto distance, it is a more important alternative.If any alternative has the highest weighted Tanimoto similarity value or the smallest Tanimoto distance value, then, it would be considered the most significant alternative.

Example 9.
A certain company intends to procure a set of computers from a pool of five alternative model options, denoted as I i (i = 1, 2, 3, 4, 5).The company has identified four crucial attributes for selection, namely, manufacturing materials, response speed, service life, and after-sales quality A j (j = 1, 2, 3, 4, 5).These attributes are allocated weights, denoted as ω j (j = 1, 2, 3, 4)), where ω = (0.We advocate for the application of the MADM model to identify the most suitable solution.
Here, campus disciplinary behavior is not considered a positive factor and is therefore defined as (0, 1).
Step 2 Computing the weighted Tanimoto measures between I i (i = 1, 2, . . ., m) and I + as Tables 22 and 23: Step 3 Table 24 presents the sorted similarity measures and distance measures based on the obtained data, in accordance with principles of maximum similarity and minimum distance.Adhering to the principles of maximum similarity and minimum distance, we choose I 4 and I 5 as the optimal choices.

Conclusions
Fermatean fuzzy sets (FFSs) are an effective tool for representing uncertain information.However, the accurate measure of similarity and distance between two FFSs remains a long-term research issue.In the present investigation, we present a suite of novel similarity and distance measures for FFSs, drawing upon the Tanimoto measure.Computational experiments validate that our proposed measures circumvent the counter-intuitive outcomes prevalent in many current measures while offering more discernible differentiation when distinguishing FFSs.Our measures exhibit enhanced efficacy and superiority when contrasted with certain existing FFSs measures.Furthermore, we utilized our measures in the context of pattern recognition, medical diagnostics, and multi-attribute decisionmaking within Fermatean fuzzy settings, yielding outcomes that are both effective and rational.Consequently, our methods are adeptly suited for assessing feature similarity and facilitating decision-making in intricate and uncertain situations.Moving forward, we intend to explore synergies with a variety of complementary methodologies, such as learning operators with coupled attention [78], the extension of the COPRAS method [79], complex cubic q-rung ortho-pair fuzzy sets [80], minimum weight optimization [81], Frank aggregation operators [82], and IVq-ROF weighted geometric operators [83].We aim to apply these integrated approaches to address uncertainty within image segmentation, object recognition, and image classification tasks, as well as to tackle data analysis challenges in clustering, classification, and regression.By leveraging these advanced techniques, we aspire to enhance the robustness and accuracy of our methodologies in managing the intricacies of uncertainty across these diverse application domains.

Figures 1
Figures 1 and 2 illustrate the trends of similarity and distance between F 1 and F 2 as the parameters ρ and σ vary within a range of values, respectively.

Figure 1 .
Figure 1.Tanimoto similarity measure between F 1 and F 2 .(a) T FFS ; (b) Opposite side of T FFS ; (c) Variations of ρ and σ; (d) Variations of σ and T FFS ; (e) Variations of ρ and T FFS .

Figure 2 .
Figure 2. Tanimoto distance measure between F 1 and F 2 .(a) DT FFS ; (b) Opposite side of DT FFS ; (c) Variations of ρ and σ; (d) Variations of σ and DT FFS ; (e) Variations of ρ and DT FFS .

Figure 3 .
Figure 3. Differences in results obtained from each similarity measure.

Figure 4 .
Figure 4. Differences in results obtained from each distance measures.

Figure 7 .Figure 8 .
Figure 7.The computational results derived from the Tanimoto similarity measures.

Example 10 .
At present, there are five students I i (i = 1, 2, 3, 4, 5) available, from whom a certain company needs to select two interns.A suite of selection criteria A j (j = 1, 2, 3, 4, 5) has been developed, which considers the student's academic performance, competition participation, school activities, mastery of professional knowledge related to the position and violations of discipline on campus.However, violations of discipline on campus are not considered positive attributes.Weights ω = (0.4,0.2, 0.1, 0.2, 0.1) have been assigned to each attribute, resulting in the formation of a Fermatean fuzzy decision matrix R:

Table 2 .
The outcomes using Tanimoto distance measures.

Table 3 .
The outcomes using weighted Tanimoto similarity measures.

Table 4 .
The outcomes using weighted Tanimoto distance measures.
According to the results above, observations indicate that in cases where F 1

Table 6 .
The outcomes using different similarity measures.The counter-intuitive results in Cases 1 and 2 are highlighted in red, the counter-intuitive results in Cases 3 and 4 are highlighted in blue, and the counter-intuitive results in Cases 5 and 6 are highlighted in green.

Table 8 .
The outcomes using different distance measures.The counter-intuitive results are highlighted in red.

Table 9 .
The outcomes of different similarity measures.

Table 10 .
The outcomes of different distance measures.

Table 11 .
Known FFSs and a simple S.

Table 12 .
The results of different similarity measures.

Table 13 .
The results of different distance measures.

Table 14 .
Symptomatic characteristic of the patients.

Table 15 .
Symptomatic characteristic of the diagnosis.

Table 16 .
Diagnostic results of the Tanimoto similarity measures.

Table 17 .
Diagnostic results of the Tanimoto distance measures.

Table 18 .
The results of different measures.

Table 19 .
The computational results derived from the Tanimoto similarity measures.

Table 20 .
The computational results derived from the Tanimoto distance measures.

Table 21 .
The results of Murat.

Table 22 .
The results of Tanimoto similarity measures.

Table 23 .
The results of Tanimoto distance measures.