This research work focuses on developing an advanced diagnostic method for thyroid nodules using ultrasonography images. The core idea revolves around the observation that the presence and amount of calcium flecks in thyroid nodules can indicate their severity, potentially leading to severe thyroid cancer. A novel technique, named Bilateral Mean Clustering Strategy (Bi-MCS), is proposed, combining the strengths of Fuzzy C mean and K-mean clustering approaches. This technique enhances color sense-based segmentation accuracy by precisely identifying the edges of thyroid nodules, crucial for determining their severity. This precise identification is achieved by analyzing the variations in pixel intensity associated with calcium flecks. Furthermore, this technique is incorporated into a deep convolutional neural network, specifically a modified ResNet101 structure, referred to as Bi-ResNet101. This DCNN framework is specifically designed to process and analyze the grayscale intensity profiles of ultrasonography images, focusing on the density of calcium flecks around thyroid states. The experimental analysis compares the efficiency of Bi-ResNet101 with other models like Resnet18, Resnet50, and standard Resnet101, demonstrating its superior capability in computing the density of calcium flecks and classifying different stages of thyroid nodules.
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http://dx.doi.org/10.1016/j.compbiomed.2024.109647 | DOI Listing |
ACS Appl Mater Interfaces
January 2025
Laboratory Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province 510080, China.
Thyroid nodules are a very common entity. The overall prevalence in the populace is estimated to be around 65-68%, among which a small portion (less than 5%) is malignant (cancerous). Therefore, it is important to discriminate benign thyroid nodules from malignant thyroid nodules.
View Article and Find Full Text PDFJ Clin Med
December 2024
Division of Thyroid-Endocrine Surgery, Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju 26426, Republic of Korea.
The aim of this study was to investigate the preoperative clinical and hematologic variables, including the neutrophil-to-lymphocyte ratio (NLR), that can be used to predict malignancy in patients with atypia of undetermined significance (AUS) thyroid nodules; we further aimed to develop a machine learning-based prediction model. We enrolled 280 patients who underwent surgery for AUS nodules at the Wonju Severance Christian Hospital between 2018 and 2022. A logistic regression-based model was trained and tested using cross-validation, with the performance evaluated using metrics such as the area under the receiver operating characteristic curve (AUROC).
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Endocrine Surgery, Faculty of Medicine, Jagiellonian University Medical College, 31-501 Kraków, Poland.
An accurate diagnosis of thyroid nodules is crucial for avoiding unnecessary surgical procedures and making timely treatment possible. The objective of the present study was to evaluate the diagnostic accuracy of fine-needle aspiration biopsy (FNAB) using histopathological findings as the reference standard. Patients with the diagnostic categories (DCs) III, IV, and V were subjected to special analysis.
View Article and Find Full Text PDFDiagnostics (Basel)
December 2024
Department of Radiology and Diagnostic Imaging, University of Alberta Hospital, Edmonton, AB T6G2B7, Canada.
To determine the cancer risk in thyroid nodules using ACR TI-RADS. A retrospective analysis of all thyroid biopsies was performed over a 3-year period (2021 to 2023). Variables including gender, age, history of thyroid cancer or neck irradiation, nodule size and location, TR level, and sonographic features such as punctate echogenic foci (PEF), a very hypoechoic appearance, taller-than-wide shape, and suspected extrathyroidal extension were analyzed.
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