A Beneficial Role of Computer-aided Diagnosis System for Less Experienced Physicians in the Diagnosis of Thyroid Nodule on Ultrasound

Abstract Ultrasonography is the primary diagnostic tool for thyroid nodules, while the accuracy is highly operator-dependent. The aim of this study was to investigate whether ultrasonography with computer-aided diagnosis (CAD) has assisting roles to physicians in the diagnosis of thyroid nodules. 451 thyroid nodules (³ 1 cm) evaluated by fine-needle aspiration cytology following surgery were included. 300 (66.5%) of them were diagnosed as malignancy. Thirteen physicians who had 0 months (E0, n=8), 1 year (E1, n=2), or more than 5 years (E5, n=3) of experience in ultrasonography reviewed the prepared ultrasound images of thyroid nodules before and after CAD assistance. The diagnostic performance of CAD was comparable to that of the E5 group, and better than those of the E0 and E1 groups. The AUC of the CAD for conventional PTC was higher than that for FTC and follicular variant PTC (0.925 vs. 0.499), independent of tumor size. CAD assistance significantly improved diagnostic performance in E0 group, but not in the E1 and E5 groups. In conclusion, the CAD system showed good performance in the diagnosis of conventional PTC. CAD assistance improved the diagnostic performance of physicians with less experience in ultrasonography, especially in the diagnosis of conventional PTC..

Medienart:

Preprint

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

ResearchSquare.com - (2021) vom: 01. Juni Zur Gesamtaufnahme - year:2021

Sprache:

Englisch

Beteiligte Personen:

Kang, Sunyoung [VerfasserIn]
Lee, Eunjung [VerfasserIn]
Chung, Chae Won [VerfasserIn]
Jang, Han Na [VerfasserIn]
Moon, Joon Ho [VerfasserIn]
Shin, Yujin [VerfasserIn]
Kim, Kyuho [VerfasserIn]
Li, Ying [VerfasserIn]
Shin, Soo Myoung [VerfasserIn]
Kim, Yoo Hyung [VerfasserIn]
Kwon, Seul Ki [VerfasserIn]
Ahn, Chang Ho [VerfasserIn]
Jung, Kyong Yeun [VerfasserIn]
Hong, A Ram [VerfasserIn]
Park, Young Joo [VerfasserIn]
Park, Do Joon [VerfasserIn]
Kwak, Jin Young [VerfasserIn]
Cho, Sun Wook [VerfasserIn]

Links:

Volltext [kostenfrei]

doi:

10.21203/rs.3.rs-568240/v1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XRA034843671