Evidence map›Paper›PMID 42104301›Full record

ArticleBMC endocrine disorders2026

A multimodal study on predicting extrathyroidal extension of papillary thyroid carcinoma based on radiopathomics.

Jiao Yao, Di Wang, Kun-Ming Pu, Wei-Han Xiao, Xiao-Min Hu, Jin-Feng Qin, Wei Yuan, Hong-Mei Yuan, Xiao-Ling Liu, Fan-Ding He and 2 more

Abstract readMulticenter Study
In one paragraph

Article in BMC endocrine disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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12 authors.

Jiao Yao *Department of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Di Wang *Department of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Kun-Ming Pu *Department of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Wei-Han XiaoDepartment of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Xiao-Min HuDepartment of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Jin-Feng QinDepartment of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Wei YuanDepartment of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China.
Hong-Mei YuanNorth Sichuan Medical College, Nanchong, Sichuan, 637000, China.
Xiao-Ling LiuDepartment of Ultrasound, Nanchong Central Hospital, Second Clinical Medical College of North Sichuan Medical College, Nanchong, Sichuan, 637000, China.
Fan-Ding HeDepartment of Ultrasound, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, China.
Chao-Xue ZhangDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230022, China. zcxay@163.com.
Xia-Chuan QinDepartment of Ultrasound, West China School of Medicine, Sichuan University, Sichuan University Affiliated Chengdu Second People's Hospital, Chengdu Second People's Hospital, Chengdu, Sichuan, 610017, China. 11326636@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to develop and validate a radiopathomics model for predicting extrathyroidal extension (ETE) in papillary thyroid carcinoma (PTC).

methodsThis retrospective study included 388 PTC patients with preoperative ultrasound and 400× cytology images from five medical centers between June 2017 and April 2024. We analyzed ultrasound and cytology images using Python and CellProfiler to extract features. Feature selection was performed using univariate analysis, Spearman correlation, and LASSO regression. The XGBoost algorithm was then used to build radiomics, pathomics, and combined radiopathomics models. The diagnostic performance of the radiopathomics model was compared with that of radiologists in an external validation cohort. Model and radiologist performance was evaluated using the area under the receiver operating characteristic curve (AUC). The radiopathomics model was visualized and interpreted through SHAP analysis.

resultsThe radiopathomics model selected 21 features for construction. The AUC of the radiopathomics model was 0.887, 0.857, and 0.873 in the training, internal validation, and external validation cohorts, respectively, exceeding those of the single radiomics model (0.824, 0.787, and 0.804) and the pathomics model (0.809, 0.811, and 0.794). Compared with radiologists, the radiopathomics model improved the mean accuracy from 0.661 to 0.821. SHAP analysis showed that radiomics features played a major role in diagnosing ETE, while pathomics features provided additional support.

conclusionThe radiopathomics model serves as a promising auxiliary tool for preoperative ETE risk stratification and can help improve radiologists' diagnostic performance. CLINICAL TRIAL NUMBER: Not Applicable.

Indexed as

Thyroid Cancer, PapillaryThyroid NeoplasmsAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedMultimodal ImagingPrognosisRadiomicsRetrospective StudiesUltrasonographyCytologyExtrathyroidal extensionPapillary thyroid carcinomaPathomicsRadiomicsUltrasound

Identifiers

PMID42104301
PMCPMC13326306

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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.