Transportation Mode Selection for Organ Transplant Networks by a New Multi-Criteria Group Decision Model Under Interval-Valued Intuitionistic Fuzzy Uncertainty

. This study introduces a new multi-criteria group decision-making model in organ transplant transportation networks under uncertain situations. A new combined weighting approach is presented to obtain expert weights with various kinds of opinions by integrating similarity measure and subjective judgments of experts. Also, the CRITIC approach is given to obtain transportation criteria weights. Finally, a novel integrated ranking approach is proposed to calculate the rank of each alternative based on ideal point solution and relative preference relation (RPR) methods. This study regards an interval-valued intuitionistic fuzzy set to cope with the vagueness of uncertain conditions in a real case study.


Introduction
The first organ transplant surgery in 1954 showed the important status of transplantation in the therapy of various diseases.Solid organs can be categorized into kidneys, livers, intestines, hearts, lungs, and heart-lung integrations.In this respect, the demand for organs is a significant issue that outmatched the supply.Therefore, the proper allocation of organs can be considered for an optimization condition.Furthermore, organ allocation is one of the first statements of medical optimization, which is related to transportation requirements (Alagoz et al., 2009).The different transportation modes are used to transfer organs among echelons of the network.In general, the transplant supply chain network is created based on three sections: donor hospitals, transplant centres, and recipient zones.Nevertheless, after taking the confirmation of the organs' health, organs are separated from a brain-dead patient or volunteer and are transferred from the removal department of the donor hospital to the transplant centre (Zahiri et al., 2014;Salimian andMousavi, 2022b, 2022c).In this network, the first phase is related to facility locations, the second phase concerns assigning the collected organs after making demands, and the quantities of different transportation modes constitute the third phase.Transportation selections contain several modes available, either by purchasing or leasing transport fleets or by engaging with outside providers (Haddadsisakht and Ryan, 2018).
In this regard, two types of ground and air transport modes are utilized to connect the various echelons of the supply chain.The selection of an appropriate transportation mode with a suitable vehicle is an important decision that needs a proper decision technique.The vehicle selection in an organ transplant network is related to the quality of the organs by considering the proper speed of vehicles in a risky environment.Hence, the change of the weather condition is one of the network risks that influences choosing the vehicle in different conditions (Kengpol et al., 2014;Wang et al., 2019).Consequently, combining climate change with transportation evaluation authority to assess the risk of transplant destruction due to climate change becomes decisive (Chang et al., 2021).
The multi-criteria group decision-making (MCGDM) approach is one of the appropriate ways to solve complex management and engineering problems (Zavadskas et al., 2019(Zavadskas et al., , 2021;;Mohammadian et al., 2021;Kaya et al., 2022;Krishankumar et al., 2022), e.g. the selection of a suitable transportation mode.Qu and Chen (2008) proposed a hybrid multi-criteria decision-making (MCDM) approach to select a route in multi-modal transportation networks.Farkas (2009) introduced the selection method to evaluate a route or site in urban transportation.This paper utilized the combination of MCDM and GIS method to assess the transportation system.Tuzkaya (2009) generated a combined MCDM approach based on the preference ranking organization method for enrichment evaluation (PROMETHEE) approach to evaluate a suitable transportation mode that reduced the environmental impacts in the network.Fierek and Zak (2012) regard an integrated MCDM and simulation-based technique to evaluate the urban transportation system in Tehran.Kundu et al. (2014) presented a fuzzy MCDM method to assess the solid transportation mode with an experimental application.Żak and Węgliński (2014) proposed an MCDM technique to select the logistic centre location for four transportation modes: rail, water, air, and road.Kumru and Kumru (2014) applied an analytic hierarchy process (AHP) method to assess transportation modes in a logistic company.Zheng (2015) suggested a fuzzy technique for order of preference by similarity to ideal solution (TOPSIS) method to assess the transportation with an experience of Suburban university.Nassereddine and Eskandari (2017) introduced an integrated Delphi-GAHP-PROMETHEE method to evaluate the public transportation system in Tehran.Galińska (2019) utilized an MCDM technique with an intelligent way to select a suitable transportation mode.Zhang et al. (2021) proposed a hybrid MCDM approach to locate a logistic hub in China under the belt and route initiative.Görçün (2021) proposed a hybrid approach with respecting the criteria importance through intercriteria correlation (CRITIC) approach to calculate the weights of criteria in the metro and tram choice in the urban transportation system.Simic et al. (2021) analysed the combination of CRITIC and MACBAC methods to select the suitable price of an urban transportation system under type-2 fuzzy environments.Salimian et al. (2022) proposed a combination approach based on integrating an extended VIKOR method and MARCOS approach under interval-valued intuitionistic fuzzy (IVIF) conditions to evaluate the organ transplantation network problem.Salimian and Mousavi (2022a) introduced a hybrid MCDM method under IVIF situations to evaluate the digital technology to handle COVID-19 pandemic conditions.
Transportation selection processes with uncertain situations can be added as a new study region to explain difficult evaluation and selection problems.However, the available methods have had additions to select transportation modes under vagueness conditions by employing a traditional fuzzy set; most of the relevant studies represented the specific efficiency of alternatives.Because of the complicated and unknown character and circumstances of many real-world transportation mode assessment problems, display details of options regularly have to be represented by the usage of more difficult uncertain modelling media.Lately, multiple kinds of research have begun to suggest new techniques for the selection of high uncertainty, which can represent uncertain transportation condition information more accurately and effectively.However, there are few types of studies that can be observed in the recent papers regarding the selection by employing intervalvalued intuitionistic fuzzy sets (IVIFSs).The IVIFS theory was proposed by Atanassov and Gargov (1989) to cope with the vagueness in the knowledge and the opinion of the decision-makers (DMs) in effective decision-making problems.Its primary characteristic is that both membership and non-membership values of a factor to a provided stage are recognized and used as interval values rather than exact quantities, with remarkable applications in management and engineering (Hashemi et al., 2018;Davoudabadi et al., 2019Davoudabadi et al., , 2020Davoudabadi et al., , 2021)).So, there is an especially critical requirement to examine additional efficient and proper mathematical techniques by using the IVIFSs in order to properly control selection issues of increased vagueness and indecision (Atanassov, 1999).The main advantage of IVIFSs is the capability of mitigating membership and non-membership degrees together with respecting fuzzy numbers that is a strong point over traditional fuzzy sets (Davoudabadi et al., 2020).Furthermore, the IVIFS examines the interval matters to determine the degrees rather than applying a crisp value.Also, uncertain values can be considered sufficiently by using IVIFSs in comparison with other fuzzy kinds of approaches.Moreover, by examining the membership and non-membership values, IVIFs are introduced as ranges instead of exact degrees (Davoudabadi et al., 2021).
In relation to the previous issues, this study objects to developing a new account of the integrated soft computing approach by considering the decision-making methods under IVIFs for controlling transportation evaluation system problems.The presented transportation system choice model has the capability to handle both subjective opinions and objective data in naturalistic usage with the IVIF requirements.The proposed method utilizes the combination form of subjective judgments and similarity measures to obtain the DMs weights.Moreover, the criteria weights are obtained with the CRITIC method, and the alternative rank is done with an integrated approach based on positive and negative distance from ideal solutions and the relative preference relation (RPR) method.Eventually, an application example is reported for the transportation system selection in organ transplant networks to determine the IVIF operation-integrated model.The outcomes determine that the introduced model can help the DMs and managers become well-organized to solve complex decisions of transportation systems and uncertain choice problems.The main innovations of this study are described below: • Introducing integrated subjective judgment weights and objective similarity measure weights of DMs under IVIF conditions to choose the transportation modes in an organ transplantation chain problem.• Applying the CRITIC method to compute the criteria weights in an organ transplant network for transportation modes selection.• Introducing a novel combination approach according to the ideal solutions and RPR method under IVIF situations to rank the alternatives of transportation modes in an organ transplant network.
The rest of the paper is organized as follows.Section 2 briefly represents some primary descriptions of IVIFSs.Section 3 presents the introduced integrating soft computing model.Section 4 applies an application example and Section 5 provides a sensitivity analysis.Eventually, the paper is discussed in Section 6.

Basic Definitions
This sector provides the basic definitions and equations of the IVIFS to make a suitable decision with vague information.These are presented with the following definitions: Definition 1 (Atanassov and Gargov, 1989).Let R = {r 1 , r 2 , . . ., r t } be a universe.An IVIFS P in R is defined from Eq. (1).

Proposed Soft Computing Model
This section introduces a novel methodology to compute the experts' weights, the indicators' weights, and ranking the candidate alternatives of transportation selection mode problem in an organ transplant network.The integrated DMs' weighting approach is obtained based on similarity measures and subjective weights that are gathered from experts.
According to the CRITIC approach, the weights of the indicators are calculated.Furthermore, based on integrating the positive ideal degree distance and negative ideal distance values from ideal solutions and RPR approach, alternative ranking is obtained.Eventually, this model is introduced under IVIFSs to cope with an uncertain condition.The framework of the proposed model is depicted in Fig. 1.Also, the introduced approach stages are presented in the following: Stage 1. Collecting the experts' opinions to create a decision matrix (P k ): Stage 2. Computing the DMs' weights with a new integrated approach.
Sub-stage 2.4.Computing the weights of DMs from Eq. ( 20): Sub-stage 2.5.Gathering the subjective weights (Sub k ) of the DMs from the experts.
Sub-stage 3.1.Obtaining the score function of normalized decision matrix (N k ) with Eq. ( 22): Sub-stage 3.2.Computing the standard deviation of indicators with Eq. ( 23): Sub-stage 3.3.Calculating the correlation degree among pairs of criteria by Eq. ( 25): where, CD jq is a symmetric matrix with dimension n × n.

An Application of Introduced Soft Computing Approach
This sector provides an empirical example from the recent literature studies to illustrate and validate the introduced approach (Kundu et al., 2014).This example extended to three types of vehicles that consist of ground vehicle, aircraft, and helicopter.Furthermore, in regards to the transportation criteria, experts want to evaluate the three types based on several further indicators that are very significant for transportation policy.In this regard, three DMs (DM 1 , DM 2 , DM 3 ) evaluate five criteria (Cr 1 , Cr 2 , . . ., Cr 5 ) that include cost

Criteria
DMs Alternatives (Cr 1 ), speed (Cr 2 ), quality (Cr 3 ), flexibility of vehicles (Cr 4 ), and safety factors (Cr 5 ).Afterward, the three main alternatives: ground vehicle (Al 1 ), aircraft (Al 2 ), and helicopter (Al 3 ), are ranked with a new proposed integrated approach.Hence, the linguistic variables are used to evaluate the rate of attributes and alternatives.For this reason, the linguistic values are presented in Table 1 (Rouyendegh et al., 2020).The linguistic-based decision matrix is introduced in Table 2. Firstly, the weights of the DMs are obtained according to similarity measure approach with Eq. (20).Afterward, the subjective weights are gathered from experts, and the final weights are calculated with Eq. ( 21).The final values show that the first DM has greater importance than others.Also, the second and third DMs have the next priorities, respectively.The final outcomes are determined in Table 3.
Furthermore, the standard deviation (SD j ) is computed based on Eq. ( 23).Also, the criteria number (∅ j ) is computed from Eq. ( 26).Finally, the criteria weights with a CRITIC method are computed with Eq. ( 27), and the final outcomes are determined in Table 4.This table demonstrates that the fourth criterion has a higher importance than others.This criterion relates to the flexibility of the vehicle that is an essential factor in the organ transplant network because various conditions have different impacts on the organs, and the flexibility of the vehicle can help the manager to keep the quality and safety of the organs in various situations.One of the essential conditions that has an impact and shows the importance of the flexibility of vehicles is related to climate change.Moreover, the alternative rank technique is one of the new concepts of this study that is constructed based on an integrating approach.This method is made based on ideal point solutions and RPR method.In the first part, the χ i , ρ i , and collective index C i are computed with Eqs. ( 38)-( 40), and the final outcomes are shown in Table 5.The outcomes determine that the second alternative has a higher importance than others.This alternative is relevant to the aircraft vehicle.
Afterward, the distance Di(A i , Ā), the collective index (CI i ) from RPR method and the ultimate ranks are examined in Table 6.The collective index of the RPR method shows that the third alternative has higher importance than others.This alternative regards the helicopter as having the lowest risk among other types of vehicles.Also, the final rank shows that the third alternative has a high priority.The RPR method has a higher impact than ideal solution method to compute the rank of the alternatives.In this integration method, θ = 0.5 and the RPR method have a larger effect on the final ranking with equal θ effects.

Discussion of Results
In this section, sensitivity analysis and comparative analysis were performed in order to get proper outcomes.The purpose of sensitivity analysis is to change every indicator's weight with another indicator's weight; therefore, 10 various computations are developed.This part seeks to find C* values for each consideration, and several names are given for each calculation.For example, C13 means criterion 1's and criterion 3's weights have been exchanged and C45 means criterion 4's and criterion 5's weights have been exchanged.Fig. 2 describes new C* values of the alternatives on the graph.Therefore, Table 7 displays new C* values.As can be seen from Fig. 2 and Table 7, Al 3 is also the best alternative in all calculations.In the rest of the calculations, Al 3 is the best alternative.The decision-maker can take one of them according to criteria values.
Furthermore, the impact of variable (θ ) is discussed in the final ranking results.This value is changed from 0.1 to 0.9, and the final outcomes are shown in Fig. 3.All of them determined that the RPR method has a high effect on the ultimate ranking outcomes, and only the final result is similar to the ideal point solution approach in θ = 0.9.This analysis determines the effectiveness of using the RPR method by comparing the ideal solution method in this problem.
Finally, the introduced methodology is compared with the IVIF-RPR approach based on Dorfeshan and Mousavi (2019)' study to validate the final outcomes and shows the per-Fig.2. Alternatives values with different amounts of criteria weights.formance of using this approach to rank the main alternatives of the transportation systems in the organ transplantation network.The final result shows that the ultimate ranking of the introduced approach is similar to the IVIF-RPR approach.This point is indicated in Table 8, which determines the validity of the introduced model in real-world application problems.Also, helicopter is selected to be utilized in the network due to suitable speed and appropriate safety to maintain organ quality unaffected in various situations.

Conclusion and Future Suggestions
The choice of a proper transportation mode is one of the most crucial decision problems in the transportation system of an organ transplant network with a perishable product.This paper proposed a multi-criteria group decision-making (MCGDM) approach to obtain the most ideal transportation mode among possible modes concerning some assessment criteria for a transportation problem.Besides, there is uncertainty in realistic conditions.In this respect, uncertainty exists throughout the possible experience.So here, the study made an attempt to employ an interval-valued intuitionistic fuzzy set (IVIFS) to describe the vague information, so all the parameters are estimated as IVIFS values.Moreover, a multi-item organ was inscribed using the transportation mode.The models utilized in this paper are general and computationally practical.This model was made based on the computation of the weights of decision-makers (DMs) with an integrated approach that consisted of a similarity measure method and subjective weights.Afterward, the criteria weights were computed with the CRITIC approach, and the ranking method was constructed based on combining an ideal point solution method and relative preference relation (RPR) approach.After that, an application example was represented from previous studies to determine the validity and efficiency of the introduced approach, and some sensitivity analyses were suggested to demonstrate the performance of the introduced methodology.The introduced approach has potential purposes, and it can be introduced to some industry-based MCDM problems in the future.Also, the presented organ transportation network problem can be developed into various kinds of realistic healthcare transportation problems with perishable items.Furthermore, the presented soft computing model is able to solve various kinds of the research areas, such as maintenance strategy selection, material selection, infrastructure project evaluation, warehouse location selection, supplier selection, product design and selection, energy technology assessment, low-carbon port evaluation, etc.Moreover, the proposed model can be combined with an interval-valued Pythagorean fuzzy set, which is similar to the IVIFS in the main procedure; they can be compared with each other to determine the way that improves the soft computing model.Another direction for future research is to handle mixed uncertainties, including intuitionistic fuzzy and stochastic, in the decision problems for organ transplantation networks.

Table 1
Linguistic terms.

Table 7
Sensitivity analysis on criteria weights impact on alternatives values.
Fig. 3. Impact of θ on final ranking results.

Table 8
Comparing proposed model with IVIF-RPR method.
is an associate professor at the Department of Industrial Engineering, Faculty of Engineering, Shahed University in Tehran, Iran.His main research interests include: cross-docking systems planning, quantitative methods in project management, logistics planning and scheduling, fuzzy sets theory, multiple criteria decision making under uncertainty, and applied soft computing.He has published many papers and book chapters in reputable journals and international conference proceedings.Z. Turskis is a professor, Dr. of technical sciences, chief research fellow at the Laboratory of Operations Research, Institute of Sustainable Construction, Faculty of Civil Engineering, Vilnius Gediminas Technical University, Lithuania.Research interests: operation research; optimization and decision analysis; multicriteria decision making (MCDM); multiple-criteria optimization; multiattribute decision making (MADM); multiobjective optimization (MODM); approximations; mathematics for decision making; decision support systems; evaluation sustainable development; civil engineering; management; knowledge management; game theory and economical computing; finance engineering; algorithms and software engineering; energy; fuzzy set theory; negotiations; the consensus in groups.He has published many papers in reputable journals and international conference proceedings.