Evidence map›Paper›PMID 42443968›Full record

ReviewThyroid research2026

Artificial intelligence-based ultrasound diagnosis of Hashimoto's thyroiditis: a systematic review and meta-analysis.

JiangSheng Huang, Xia Long, ZheXu Cao

Abstract readReview
In one paragraph

Review in Thyroid research, 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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1 · What the graph read from it

What it found

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

3 authors.

JiangSheng HuangDepartment of Thyroid Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xia LongDepartment of Thyroid Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
ZheXu CaoDepartment of Thyroid Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China. xy2caozhexu@csu.edu.cn.ORCID http://orcid.org/0000-0003-3834-5111

Funding

the Key Guidance Project of Scientific Research Subject of Hunan Provincial Health Commission 202204014372
6 · The paper itself

Abstract

backgroundHashimoto's thyroiditis (HT) is the most common autoimmune thyroid disorder, often diagnosed using ultrasound. However, conventional gray-scale ultrasound is subject to high subjectivity and operator dependence. Artificial intelligence (AI)-assisted ultrasound has the potential to enhance diagnostic accuracy, but its clinical value remains unclear due to heterogeneous study designs and reference standards.

objectiveTo systematically review and conduct a diagnostic test accuracy meta-analysis of AI-based gray-scale ultrasound models for diagnosing HT.

methodsWe searched PubMed, Embase, Cochrane Library, Scopus, and Web of Science databases up to February 2026. Studies were included if they used AI models including machine learning (ML) and deep learning (DL) for diagnosing HT via gray-scale ultrasound. Pooled sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) were calculated. Subgroup analyses were performed based on modeling strategy, reference standard and population.

resultsSixteen studies were included, comprising research from China, Poland, Korea, and Romania. The pooled sensitivity and specificity for AI-based gray-scale ultrasound diagnosis of HT were 0.84 (95% CI: 0.77-0.90) and 0.90 (95% CI: 0.84-0.95), respectively, with a summary AUC of 0.94 (95% CI: 0.91-0.95). DL models showed superior performance, with higher sensitivity (0.87) and specificity (0.92) compared to ML models (sensitivity: 0.81, specificity: 0.88). Non-histopathological reference standards showed better diagnostic accuracy (AUC: 0.96) compared to histopathology (AUC: 0.84). Studies in European populations had higher diagnostic performance (AUC: 0.97) than those in Asian populations (AUC: 0.87).

conclusionsAI-based gray-scale ultrasound offers promising diagnostic performance for HT, with significant variability across studies.

Indexed as

Artificial intelligenceDeep learningHashimoto’s thyroiditisMachine learningUltrasound

Identifiers

PMID42443968
PMCPMC13647531

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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.