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The value of S-Detect in improving the diagnostic performance of radiologists for the differential diagnosis of thyroid nodules

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Med Ultrasound, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Hubei Canc Hosp, Tongji Med Coll, Dept Med Ultrasound, Wuhan, Peoples R China [3]Zhengzhou Univ, Affliated Hosp 1, Dept Med Ultrasound, Zhengzhou, Peoples R China [4]Julei Technol, Dept Artifcial Intelligence, Wuhan, Peoples R China [5]Kliniken Hirslanden Beau Site, Dept Allgemeinc Innere Med DAIM, Bern, Switzerland
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关键词: thyroid nodule ultrasound computer-aided diagnosis diagnosis

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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.

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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
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出版当年[2018]版:
Q2 ACOUSTICS Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 ACOUSTICS Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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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
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