Evidence map›Paper›PMID 40319170›Full record

ArticleNPJ digital medicine2025

Multimodal GPT model for assisting thyroid nodule diagnosis and management.

Jincao Yao, Yunpeng Wang, Zhikai Lei, Kai Wang, Na Feng, Fajin Dong, Jianhua Zhou, Xiaoxian Li, Xiang Hao, Jiafei Shen and 19 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Genomics and Multi-Omics to Guide Clinical Management in Thyroid Cancer.International journal of molecular sciences · 2026
    Review
  5. Article
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  8. Radiomics in thyroid nodule assessment.BMC medical imaging · 2026
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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

29 authors.

Jincao Yao *Department of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yunpeng Wang *College of Optical Science and Engineering, Zhejiang University, Hangzhou, China.
Zhikai Lei *Department of Ultrasound, Zhejiang Provincial Hospital of Chinese Medicine, Hangzhou, China.
Kai Wang *Department of Ultrasound, The Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, China.
Na FengDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Fajin DongDepartment of Ultrasound, The Second Clinical Medical College, Jinan University, Shenzhen, China.
Jianhua ZhouDepartment of Ultrasound, Sun Yat-sen University Cancer centre, State Key Laboratory of Oncology in South China, Collaborative Innovation centre for Cancer Medicine, Guangzhou, China.
Xiaoxian LiDepartment of Ultrasound, Sun Yat-sen University Cancer centre, State Key Laboratory of Oncology in South China, Collaborative Innovation centre for Cancer Medicine, Guangzhou, China.
Xiang HaoCollege of Optical Science and Engineering, Zhejiang University, Hangzhou, China.
Jiafei ShenDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Shanshan ZhaoDepartment of Ultrasound, Shaoxing People's Hospital (Zhejiang University Shaoxing Hospital), Shaoxing, China.
Yuan GaoDepartment of Ultrasound, Shaoxing People's Hospital (Zhejiang University Shaoxing Hospital), Shaoxing, China.
Vicky WangWenling Medical Big Data and Artificial Intelligence Research Institute, Taizhou, China.
Di OuDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Wei LiDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yidan LuDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Liyu ChenDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Chen YangDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Liping WangDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Bojian FengDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yahan ZhouWenling Medical Big Data and Artificial Intelligence Research Institute, Taizhou, China.
Chen ChenDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Yuqi YanDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China.
Zhengping WangDepartment of Ultrasound, The Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, China.
Rongrong RuAffiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China.
Yaqing ChenAffiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou, China.
Yanming ZhangFaculty of Applied Sciences, Macao Polytechnic University, Macao, China. zhangyanming_3@sina.com.
Ping LiangDepartment of Ultrasound, Chinese PLA General Hospital, Chinese PLA Medical School, Beijing, China. liangping301@126.com.
Dong XuDepartment of Diagnostic Ultrasound Imaging & Interventional Therapy, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, China. xudong@zjcc.org.cn.

Funding

National Natural Science Foundation of China 82071946"Pioneer" and "Leading Goose" R&D Program of Zhejiang 2023C04039Research Program of Zhejiang Provincial Department of Health 2022KY110Research Program of Zhejiang Provincial Department of Health 2023KY066
6 · The paper itself

Abstract

Although using artificial intelligence (AI) to analyze ultrasound images is a promising approach to assessing thyroid nodule risks, traditional AI models lack transparency and interpretability. We developed a multimodal generative pre-trained transformer for thyroid nodules (ThyGPT), aiming to provide a transparent and interpretable AI copilot model for thyroid nodule risk assessment and management. Ultrasound data from 59,406 patients across nine hospitals were retrospectively collected to train and test the model. After training, ThyGPT was found to assist in reducing biopsy rates by more than 40% without increasing missed diagnoses. In addition, it detects errors in ultrasound reports 1,610 times faster than humans. With the assistance of ThyGPT, the area under the curve for radiologists in assessing thyroid nodule risks improved from 0.805 to 0.908 (p < 0.001). As an AI-generated content-enhanced computer-aided diagnosis (AIGC-CAD) model, ThyGPT has the potential to revolutionize how radiologists use such tools.

Identifiers

PMID40319170
PMCPMC12049458

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.