Evidence map›Paper›PMID 32903883›Full record

ArticleEuropean thyroid journal2020

Machine Learning Prediction of Radiofrequency Thermal Ablation Efficacy: A New Option to Optimize Thyroid Nodule Selection.

Roberto Negro, Matteo Rucco, Annalisa Creanza, Alberto Mormile, Paolo Piero Limone, Roberto Garberoglio, Stefano Spiezia, Salvatore Monti, Christian Cugini, Ghassan El Dalati and 1 more

Abstract read
In one paragraph

Article in European thyroid journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Role of Computational Modelling in Enhancing Thermal Safety During Cardiac Ablation.Interdisciplinary cardiovascular and thoracic surgery · 2025
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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

11 authors.

Roberto NegroDivision of Endocrinology, V. Fazzi Hospital, Lecce, Italy.
Matteo RuccoUnited Technology Research Center, Trento, Italy.
Annalisa CreanzaDivision of Endocrinology and Metabolism, Mauriziano Hospital Umberto I, Turin, Italy.
Alberto MormileDivision of Endocrinology and Metabolism, Mauriziano Hospital Umberto I, Turin, Italy.
Paolo Piero LimoneDivision of Endocrinology and Metabolism, Mauriziano Hospital Umberto I, Turin, Italy.
Roberto GarberoglioDivision of Endocrinology and Metabolism, Molinette Hospital, Turin, Italy.
Stefano SpieziaEndocrine Surgery, Ospedale del Mare, ASL NA1 Centro, Naples, Italy.
Salvatore MontiEndocrinology Unit, Azienda Ospedaliera Universitaria Sant'Andrea, Rome, Italy.
Christian CuginiRadiology Department, Villa Salus Hospital, Venice, Italy.
Ghassan El DalatiRadiology Department, Policlinico G.B. Rossi, Verona, Italy.
Maurilio DeandreaDivision of Endocrinology and Metabolism, Mauriziano Hospital Umberto I, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiofrequency (RF) is a therapeutic modality for reducing the volume of large benign thyroid nodules. If thermal therapies are interpreted as an alternative strategy to surgery, critical issues in their use are represented by the extent of nodule reduction and by the durability of nodule reduction over a long period of time.

objectiveTo assess the ability of machine learning to discriminate nodules with volume reduction rate (VRR) < or ≥50% at 12 months following RF treatment.

methodsA machine learning model was trained with a dataset of 402 cytologically benign thyroid nodules subjected to RF at six Italian Institutions. The model was trained with the following variables: baseline nodule volume, echostructure, macrocalcalcifications, vascularity, and 12-month VRR.

resultsAfter training, the model could distinguish between nodules having VRR <50% from those having VRR ≥50% in 85% of cases (accuracy: 0.85; 95% confidence interval [CI]: 0.80-0.90; sensitivity: 0.70; 95% CI: 0.62-0.75; specificity: 0.99; 95% CI: 0.98-1.0; positive predictive value: 0.95; 95% CI: 0.92-0.98; negative predictive value: 0.95; 95% CI: 0.92-0.98).

conclusionsThis study demonstrates that a machine learning model can reliably identify those nodules that will have VRR < or ≥50% at 12 months after one RF treatment session. Predicting which nodules will be poor or good responders represents valuable data that may help physicians and patients decide on the best treatment option between thermal ablation and surgery or in predicting if more than one session might be necessary to obtain a significant volume reduction.

Indexed as

Artificial IntelligenceLaserMachine learningNodulesRadiofrequencyThermal ablationThyroid

Identifiers

PMID32903883
PMCPMC7445654

What OpenQuestion holds

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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.