Volume 22 Issue 10
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(10): 1737-1741
TUO Jingmei, SI Xiaojuan, SONG Heqin. Qualitative efficacy of AI-assisted multimodal ultrasound combined with serum thyroid stimulating hormone in guiding thyroid nodules[J]. Chinese Journal of General Practice, 2024, 22(10): 1737-1741. doi: 10.16766/j.cnki.issn.1674-4152.003723
Citation: TUO Jingmei, SI Xiaojuan, SONG Heqin. Qualitative efficacy of AI-assisted multimodal ultrasound combined with serum thyroid stimulating hormone in guiding thyroid nodules[J]. Chinese Journal of General Practice, 2024, 22(10): 1737-1741. doi: 10.16766/j.cnki.issn.1674-4152.003723
shu

Qualitative efficacy of AI-assisted multimodal ultrasound combined with serum thyroid stimulating hormone in guiding thyroid nodules

doi: 10.16766/j.cnki.issn.1674-4152.003723
  • 1.

    Department of Ultrasound Medicine, Zhangjiakou First Hospital, Zhangjiakou, Hebai 075041, China

Funds:

 20221902

  • Received Date: 2024-04-18
    Available Online: 2024-12-28
    Abstract
  •   Objective   To explore the guiding efficacy of artificial intelligence (AI) assisted multimodal ultrasound combined with serum thyroid stimulating hormone (TSH) in qualitative diagnosis of thyroid nodules, in order to provide reference for clinical diagnosis and treatment of thyroid nodules.   Methods   A total of 100 patients with thyroid nodular disease treated in Zhangjiakou First Hospital from January 2021 to June 2022 were selected and examined by AI routine ultrasound, contra-ultrasound, and real-time shear wave elastography (SWE). The patients were divided into a benign group (23 cases) and a malignant group (77 cases) with pathological results as the gold standard. Serum TSH levels were detected in the two groups. The receiver operating characteristic curve (ROC) was used to analyze the predictive value of TSH in the qualitative diagnosis of thyroid nodules, and the diagnostic efficacy of AI-assisted multimodal ultrasound combined with TSH in the qualitative diagnosis of thyroid nodules was evaluated.   Results   A total of 113 nodules were found by pathological findings, including 26 benign nodules and 87 malignant nodules. The sensitivity of AI conventional ultrasound + CEUS +SWE combined diagnosis was 89.66% (78/87), which was higher than that of single and pairwise combined diagnosis (P < 0.05). The serum TSH level in the benign group was lower than that in the malignant group (P < 0.05). The ROC curve showed that the AUC (95% CI), sensitivity, specificity, and cut-off values of serum TSH diagnosis were 0.800, 74.71%, 84.62%, and 4.44 mIU/L, respectively. The accuracy, sensitivity, and negative predictive value of AI-assisted multimodal ultrasound combined with serum TSH diagnosis were 93.81% (106/113), 97.70% (85/87), and 91.30% (21/23), respectively, which were higher than that of single diagnosis (P < 0.05).   Conclusion   AI-assisted multimodal ultrasound combined with serum TSH is effective and valuable in the qualitative diagnosis of thyroid nodules.

     

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