The minefield of indeterminate thyroid nodules: could artificial intelligence be a suitable diagnostic tool?

Fiorentino, Vincenzo; Pizzimenti, Cristina; Franchina, Mariausilia; Micali, Marina Gloria; Russotto, Fernanda; Pepe, Ludovica; Militi, Gaetano Basilio; Tralongo, Pietro; Pierconti, Francesco; Ieni, Antonio; Martini, Maurizio; Tuccari, Giovanni; Rossi, Esther Diana; Fadda, Guido

doi:10.1016/j.mpdhp.2023.06.013

Cited by 4 publications

(1 citation statement)

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“…Recent studies showed the promising application of AI tools in histo-cytology for standardization and enhancing the accuracy of indeterminate thyroid nodule classification [ 15 , 16 ]. The authors used digital images obtained from the thyroid fine needle aspiration biopsy technique.…”

Section: Introductionmentioning

confidence: 99%

A Framework for Detecting Thyroid Cancer from Ultrasound and Histopathological Images Using Deep Learning, Meta-Heuristics, and MCDM Algorithms

Sharma,

Mahanti,

Panda

et al. 2023

J. Imaging

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Computer-assisted diagnostic systems have been developed to aid doctors in diagnosing thyroid-related abnormalities. The aim of this research is to improve the diagnosis accuracy of thyroid abnormality detection models that can be utilized to alleviate undue pressure on healthcare professionals. In this research, we proposed deep learning, metaheuristics, and a MCDM algorithms-based framework to detect thyroid-related abnormalities from ultrasound and histopathological images. The proposed method uses three recently developed deep learning techniques (DeiT, Swin Transformer, and Mixer-MLP) to extract features from the thyroid image datasets. The feature extraction techniques are based on the Image Transformer and MLP models. There is a large number of redundant features that can overfit the classifiers and reduce the generalization capabilities of the classifiers. In order to avoid the overfitting problem, six feature transformation techniques (PCA, TSVD, FastICA, ISOMAP, LLE, and UMP) are analyzed to reduce the dimensionality of the data. There are five different classifiers (LR, NB, SVC, KNN, and RF) evaluated using the 5-fold stratified cross-validation technique on the transformed dataset. Both datasets exhibit large class imbalances and hence, the stratified cross-validation technique is used to evaluate the performance. The MEREC-TOPSIS MCDM technique is used for ranking the evaluated models at different analysis stages. In the first stage, the best feature extraction and classification techniques are chosen, whereas, in the second stage, the best dimensionality reduction method is evaluated in wrapper feature selection mode. Two best-ranked models are further selected for the weighted average ensemble learning and features selection using the recently proposed meta-heuristics FOX-optimization algorithm. The PCA+FOX optimization-based feature selection + random forest model achieved the highest TOPSIS score and performed exceptionally well with an accuracy of 99.13%, F2-score of 98.82%, and AUC-ROC score of 99.13% on the ultrasound dataset. Similarly, the model achieved an accuracy score of 90.65%, an F2-score of 92.01%, and an AUC-ROC score of 95.48% on the histopathological dataset. This study exploits the combination novelty of different algorithms in order to improve the thyroid cancer diagnosis capabilities. This proposed framework outperforms the current state-of-the-art diagnostic methods for thyroid-related abnormalities in ultrasound and histopathological datasets and can significantly aid medical professionals by reducing the excessive burden on the medical fraternity.

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Section: Introductionmentioning

confidence: 99%