Aims: To compare the diagnostic value of S-Detect (a computer aided diagnosis system using deep learning) un differentiating thyroid nodules in radiologists with different experience and to assess if S-Detect can improve the diagnostic performance of radiologists. Materials and methods: Between February 2018 and October 2019, 204 thyroid nodules in 181 patients were included. An experienced radiologist performed ultrasound for thyroid nodules and obtained the result of S-Detect. Four radiologists with different experience on thyroid ultrasound (Radiologist 1, 2, 3, 4 with 1, 4, 9, 20 years, respectively) analyzed the conventional ultrasound images of each thyroid nodule and made a diagnosis of "benign" or "malignant" based on the TI-RADS category. After referring to S-Detect results, they re-evaluated the diagnoses. The diagnostic performance of radiologists was analyzed before and after referring to the results of S-Detect. Results: The accuracy, sensitivity, specificity, positive predictive value and negative predictive value of S-Detect were 77.0, 91.3, 65.2, 68.3 and 90.1%, respectively. In comparison with the less experienced radiologists (radiologist 1 and 2), S-Detect had a higher area under receiver operating characteristic curve (AUC), accuracy and specificity (p <0.05). In comparison with the most experienced radiologist, the diagnostic accuracy and AUC were lower (p<0.05), In the less experienced radiologists, the diagnostic accuracy, specificity and AUC were significantly improved when combined with S-Detect (p<0.05), but not for experienced radiologists (radiologist 3 and 4) (p>0.05). Conclusions: S-Detect may become an additional diagnostic method for the diagnosis of thyroid nodules and improve the diagnostic performance of less experienced radiologists.
基金:
Corps Science and Technology Key Project [2019DB012]; International Talent Cooperation Project of Henan [2015GH7]; Young and Middle-aged Medical Talents Project of Wuhan
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|4 区医学
小类|4 区声学4 区核医学
最新[2025]版:
大类|4 区医学
小类|4 区声学4 区核医学
JCR分区:
出版当年[2018]版:
Q2ACOUSTICSQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2ACOUSTICSQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Med Ultrasound, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Wei Qi,Zeng Shu-E,Wang Li-Ping,et al.The value of S-Detect in improving the diagnostic performance of radiologists for the differential diagnosis of thyroid nodules[J].MEDICAL ULTRASONOGRAPHY.2020,22(4):415-423.doi:10.11152/mu-2501.
APA:
Wei, Qi,Zeng, Shu-E,Wang, Li-Ping,Yan, Yu-Jing,Wang, Ting...&Dietrich, Christoph F..(2020).The value of S-Detect in improving the diagnostic performance of radiologists for the differential diagnosis of thyroid nodules.MEDICAL ULTRASONOGRAPHY,22,(4)
MLA:
Wei, Qi,et al."The value of S-Detect in improving the diagnostic performance of radiologists for the differential diagnosis of thyroid nodules".MEDICAL ULTRASONOGRAPHY 22..4(2020):415-423