Evidence map›Paper›PMID 32246401›Full record

ArticleJournal of ultrasound2020

Computer-aided diagnostic system for thyroid nodule sonographic evaluation outperforms the specificity of less experienced examiners.

Daniele Fresilli, Giorgio Grani, Maria Luna De Pascali, Gregorio Alagna, Eleonora Tassone, Valeria Ramundo, Valeria Ascoli, Daniela Bosco, Marco Biffoni, Marco Bononi and 10 more

Open access · greenAbstract read
In one paragraph

Article in Journal of ultrasound, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. A comparison of artificial intelligence versus radiologists in the diagnosis of thyroid nodules using ultrasonography: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
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  8. Thyroid nodules: diagnosis and management.Nature reviews. Endocrinology · 2024
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  17. Discriminative deep learning based benignity/malignancy diagnosis of dermatologic ultrasound skin lesions with pretrained artificial intelligence architecture.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2022
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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

20 authors at 3 institutions in 2 countries.

Daniele FresilliDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy. daniele.fresilli@hotmail.it.
Giorgio GraniDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, Rome, Italy.
Maria Luna De PascaliDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Gregorio AlagnaDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Eleonora TassoneDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Valeria RamundoDepartment of Translational and Precision Medicine, "Sapienza" University of Rome, Rome, Italy.
Valeria AscoliDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Daniela BoscoDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Marco BiffoniDepartment of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy.
Marco BononiDepartment of Surgery "P. Valdoni", Sapienza" University of Rome, Rome, Italy.
Vito D'AndreaDepartment of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy.
Fabrizio FrattaroliDepartment of Surgery "P. Stefanini", Sapienza" University of Rome, Rome, Italy.
Laura GiacomelliDepartment of Surgical Sciences, "Sapienza" University of Rome, Rome, Italy.
Yana SolskayaPauls Stradins Clinical University Hospital, Riga, Latvia.
Giorgia PoltiDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Patrizia PaciniDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Olga GuibanDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Raffaele Gallo CurcioDepartment of Health Management, Policlinico Umberto I-"Sapienza" University of Rome, Rome, Italy.
Marcello CaratozzoloDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Vito CantisaniDepartment of Radiological, Oncological, and Pathological Sciences, "Sapienza" University of Rome, Rome, Italy.
Sapienza University of Rome · ITPauls Stradiņš Clinical University Hospital · LVPoliclinico Umberto I · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeComputer-aided diagnosis (CAD) may improve interobserver agreement in the risk stratification of thyroid nodules. This study aims to evaluate the performance of the Korean Thyroid Imaging Reporting and Data System (K-TIRADS) classification as estimated by an expert radiologist, a senior resident, a medical student, and a CAD system, as well as the interobserver agreement among them.

methodsBetween July 2016 and 2018, 107 nodules (size 5-40 mm, 27 malignant) were classified according to the K-TIRADS by an expert radiologist and CAD software. A third-year resident and a medical student with basic imaging training, both blinded to previous findings, retrospectively estimated the K-TIRADS classification. The diagnostic performance was calculated, including sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve.

resultsThe CAD system and the expert achieved a sensitivity of 70.37% (95% CI 49.82-86.25%) and 81.48% (61.92-93.7%) and a specificity of 87.50% (78.21-93.84%) and 88.75% (79.72-94.72%), respectively. The specificity of the student was significantly lower (76.25% [65.42-85.05%], p = 0.02).

conclusionIn our opinion, the CAD evaluation of thyroid nodules stratification risk has a potential role in a didactic field and does not play a real and effective role in the clinical field, where not only images but also specialistic medical practice is fundamental to achieve a diagnosis based on family history, genetics, lab tests, and so on. The CAD system may be useful for less experienced operators as its specificity was significantly higher.

Indexed as

Clinical CompetenceDiagnosis, Computer-AssistedDiagnosis, DifferentialFemaleHumansMaleMiddle AgedObserver VariationProspective StudiesReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityThyroid GlandThyroid NoduleUltrasonographyComputer-assisted diagnosisMedical studentsObserver variationThyroid nodule

Identifiers

PMID32246401
PMCPMC7242558
OpenAlexW3014247536

What OpenQuestion holds

Textmetadata
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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.