Evidence map›Paper›PMID 42157115›Full record

ArticleBMC medical imaging2026

Preliminary machine-learning model with clinical, US, and CEUS features for the diagnosis of thyroid follicular-patterned lesions.

Qiong Wu, Yilun Liu, Yutong Chen, Yichun Zhang, Jian Shen, Chaoran Dou, Baosong Zhou, Yuanyi Zheng, Yan Wang

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Article in BMC medical imaging, 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

Authors and funding

9 authors.

Qiong Wu *Department of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China.ORCID http://orcid.org/0000-0002-2113-7714
Yilun Liu *Department of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China.
Yutong Chen *Department of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China.
Yichun ZhangDepartment of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China.
Jian ShenDepartment of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China.
Chaoran DouDepartment of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China.
Baosong ZhouSchool of data science, Fudan University, 220 Handan Road, Shanghai, China.
Yuanyi Zheng *Department of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China. zhengyuanyi@163.com.
Yan Wang *Department of Ultrasound in Medicine, Shanghai Sixth People's Hospital, Shanghai Institute of Ultrasound in Medicine, 600 Yishan Road, Shanghai, 200233, China. yannanfly@126.com.

Funding

college project of Shanghai Sixth People's Hospital ynhg202207Fundamental Research Funds for the Central Universities YG2024QNA38Fundamental Research Funds of Shanghai Sixth People's Hospital ynqn202312National Natural Science Foundation of China 82030050Natural Science Foundation of Shanghai Municipality 21Y21901100
6 · The paper itself

Abstract

backgroundThough follicular thyroid carcinoma can be confirmed postoperatively by the histological findings of capsular or vascular invasion, preoperative diagnosis of follicular-patterned lesions has long been a diagnostic challenge. This study seeks to establish a machine-learning (ML) model based on clinical, US, and CEUS features for the differential diagnosis of thyroid follicular-patterned lesions (TFPLs).

methodsPatients with surgical pathologically confirmed TFPLs who underwent preoperative US and CEUS between January 2013 to April 2023 were enrolled in this retrospective study. We utilized five ML algorithms (logistic regression, random forest [RF], k-nearest neighbor [KNN], support vector machine [SVM], and elastic net [EN]) to construct an optimized model via US, CEUS and clinical data for the differential diagnosis of TFPLs. Model performance was evaluated with sensitivity, area under the precision-recall curve (AUPRC), and area under the receiver operating characteristic curve (AUROC).

results114 patients were finally included. The sensitivities of the five ML algorithms (Logistic, RF, KNN, SVM, EN) were 0.93, 0.97, 0.93, 0.97, 0.93 for the training set, and 0.40, 1.00, 0.80, 1.00, 0.60 for the test set. The AUPRCs were 0.91, 0.97, 0.99, 0.91, 0.91 for the training set, and 0.65, 0.71, 0.38, 0.57, 0.65 for the test set. The AUROCs were 0.95, 0.98, 0.99, 0.89, 0.93 for the training set. When applied to the test set, the RF model had a significantly higher AUROC value (0.92; 95% CI: 0.88, 0.96) than other ML algorithms (0.91, 0.89, 0.91, 0.91, P < .05) with significant features including peripheral halo sign, thyroglobulin, rim enhancement, peak intensity and wash-out time.

conclusionsOur ML model integrating clinical, US, and CEUS features achieved high sensitivity for preoperative differentiation of TFPLs, potentially guiding surgical planning-a step toward clinical use that requires CEUS standardization and external validation.

trial registrationThis study was registered at www.chictr.org.cn (no. ChiCTR2200066254, date: November 29, 2022).

Indexed as

Adenocarcinoma, FollicularMachine LearningThyroid NeoplasmsAdultAlgorithmsContrast MediaDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesSensitivity and SpecificityUltrasonographyContrast MediaContrast-enhanced ultrasoundConventional ultrasoundFollicular-patterned lesionFollicular thyroid carcinomaMachine learning

Identifiers

PMID42157115
PMCPMC13540863

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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.