Clinical validation of S-Detect TM mode in semi-automated ultrasound classification of thyroid lesions in surgical office

作者: Marcin Barczyński , Małgorzata Stopa-Barczyńska , Beata Wojtczak , Agnieszka Czarniecka , Aleksander Konturek

DOI: 10.21037/GS.2019.12.23

关键词:

摘要: Background: In recent years well-recognized scientific societies introduced guidelines for ultrasound (US) malignancy risk stratification of thyroid nodules. These categorize the in relation to a combination several US features. Based on these image lexicons an US-based computer-aided diagnosis (CAD) systems were developed. Nevertheless, their clinical utility has not been evaluated any study surgeon-performed office thyroid. Hence, aim this pilot was validate s-Detect TM mode semi-automated classification lesions during US. Methods: This is prospective 50 patients who underwent (basic skills without CAD vs . with expert CAD) out-patient as part preoperative workup. The real-time system software using artificial intelligence (S-Detect Thyroid; Samsung Medison Co.) integrated into RS85 system. Primary outcome added-value evaluation. Secondary outcomes were: diagnostic accuracy system, intra and interobserver variability assessment Surgical pathology report used pre-surgical diagnosis. Results: by surgeon basic equal 6% (overall 82% evaluation 76% system; P Conclusions: sensitivity negative predictive value similar whereas specificity positive significantly inferior but markedly better than judgement alone.

参考文章(26)
Edward G. Grant, Franklin N. Tessler, Jenny K. Hoang, Jill E. Langer, Michael D. Beland, Lincoln L. Berland, John J. Cronan, Terry S. Desser, Mary C. Frates, Ulrike M. Hamper, William D. Middleton, Carl C. Reading, Leslie M. Scoutt, A. Thomas Stavros, Sharlene A. Teefey, Thyroid Ultrasound Reporting Lexicon: White Paper of the ACR Thyroid Imaging, Reporting and Data System (TIRADS) Committee Journal of The American College of Radiology. ,vol. 12, pp. 1272- 1279 ,(2015) , 10.1016/J.JACR.2015.07.011
Jennifer A. Sipos, Advances in Ultrasound for the Diagnosis and Management of Thyroid Cancer Thyroid. ,vol. 19, pp. 1363- 1372 ,(2009) , 10.1089/THY.2009.1608
Bryan R. Haugen, Erik K. Alexander, Keith C. Bible, Gerard M. Doherty, Susan J. Mandel, Yuri E. Nikiforov, Furio Pacini, Gregory W. Randolph, Anna M. Sawka, Martin Schlumberger, Kathryn G. Schuff, Steven I. Sherman, Julie Ann Sosa, David L. Steward, R. Michael Tuttle, Leonard Wartofsky, 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer Thyroid. ,vol. 26, pp. 1- 133 ,(2016) , 10.1089/THY.2015.0020
Patrick M Bossuyt, Johannes B Reitsma, David E Bruns, Constantine A Gatsonis, Paul P Glasziou, Les Irwig, Jeroen G Lijmer, David Moher, Drummond Rennie, Henrica C W de Vet, Herbert Y Kressel, Nader Rifai, Robert M Golub, Douglas G Altman, Lotty Hooft, Daniël A Korevaar, Jérémie F Cohen, STARD 2015: An Updated List of Essential Items for Reporting Diagnostic Accuracy Studies. Clinical Chemistry. ,vol. 61, pp. 1446- 1452 ,(2015) , 10.1373/CLINCHEM.2015.246280
Yongjun Chang, Anjan Kumar Paul, Namkug Kim, Jung Hwan Baek, Young Jun Choi, Eun Ju Ha, Kang Dae Lee, Hyoung Shin Lee, DaeSeock Shin, Nakyoung Kim, None, Computer-aided diagnosis for classifying benign versus malignant thyroid nodules based on ultrasound images: A comparison with radiologist-based assessments. Medical Physics. ,vol. 43, pp. 554- 567 ,(2016) , 10.1118/1.4939060
Dong Gyu Na, Jung Hwan Baek, Jin Yong Sung, Ji-Hoon Kim, Jae Kyun Kim, Young Jun Choi, Hyobin Seo, Thyroid Imaging Reporting and Data System Risk Stratification of Thyroid Nodules: Categorization Based on Solidity and Echogenicity Thyroid. ,vol. 26, pp. 562- 572 ,(2016) , 10.1089/THY.2015.0460
Jung Hwan Baek, Jin Chung, Eun Joo Ha, Ji-hoon Kim, Young Hen Lee, Hyun Kyung Lim, Won-Jin Moon, Dong Gyu Na, Jeong Seon Park, Yoon Jung Choi, Soo Yeon Hahn, Se Jeong Jeon, So Lyung Jung, Dong Wook Kim, Eun-Kyung Kim, Jin Young Kwak, Chang Yoon Lee, Hui Joong Lee, Jeong Hyun Lee, Joon Hyung Lee, Kwang Hui Lee, Sun-Won Park, Jin Young Sung, , Jung Hee Shin, Ultrasonography Diagnosis and Imaging-Based Management of Thyroid Nodules: Revised Korean Society of Thyroid Radiology Consensus Statement and Recommendations Korean Journal of Radiology. ,vol. 17, pp. 370- 395 ,(2016) , 10.3348/KJR.2016.17.3.370
Elizabeth R. DeLong, David M. DeLong, Daniel L. Clarke-Pearson, Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics. ,vol. 44, pp. 837- 845 ,(1988) , 10.2307/2531595