Evidence map›Paper›PMID 24358156›Full record

ArticlePloS one2013

A model to discriminate malignant from benign thyroid nodules using artificial neural network.

Lu-Cheng Zhu, Yun-Liang Ye, Wen-Hua Luo, Meng Su, Hang-Ping Wei, Xue-Bang Zhang, Juan Wei, Chang-Lin Zou

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Lu-Cheng ZhuDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Yun-Liang YeDepartment of Oncology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Wen-Hua LuoDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Meng SuDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Hang-Ping WeiDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Xue-Bang ZhangDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Juan WeiDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Chang-Lin ZouDepartment of Radiation Oncology and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, China.
Wenzhou Medical University · CNFirst Affiliated Hospital of Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to construct a model for using in differentiating benign and malignant nodules with the artificial neural network and to increase the objective diagnostic accuracy of US. MATERIALS AND

methods618 consecutive patients (528 women, 161 men) with 689 thyroid nodules (425 malignant and 264 benign nodules) were enrolled in the present study. The presence and absence of each sonographic feature was assessed for each nodule - shape, margin, echogenicity, internal composition, presence of calcifications, peripheral halo and vascularity on color Doppler. The variables meet the following criteria: important sonographic features and statistically significant difference were selected as the input layer to build the ANN for predicting the malignancy of nodules.

resultsSix sonographic features including shape (Taller than wide, p<0.001), margin (Not Well-circumscribed, p<0.001), echogenicity (Hypoechogenicity, p<0.001), internal composition (Solid, p<0.001), presence of calcifications (Microcalcification, p<0.001) and peripheral halo (Absent, p<0.001) were significantly associated with malignant nodules. A three-layer 6-8-1 feed-forward ANN model was built. In the training cohort, the accuracy of the ANN in predicting malignancy of thyroid nodules was 82.3% (AURO  = 0.818), the sensitivity and specificity was 84.5% and 79.1%, respectively. In the validation cohort, the accuracy, sensitivity and specificity was 83.1%, 83.8% and 81.8%, respectively. The AUROC was 0.828.

conclusionANN constructed by sonographic features can discriminate benign and malignant thyroid nodules with high diagnostic accuracy.

Indexed as

Neural Networks, ComputerAdultDiagnosis, DifferentialFemaleHumansMaleMiddle AgedSensitivity and SpecificityThyroid NeoplasmsThyroid NoduleUltrasonography

Identifiers

PMID24358156
PMCPMC3864947
OpenAlexW1997297977

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.