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基于光谱CT各参数的甲状腺良恶性结节学习模型的构建及应用

李炜 王金花 杨忠现 刘于宝

分子影像学杂志2024,Vol.47Issue(6):622-626,5.
分子影像学杂志2024,Vol.47Issue(6):622-626,5.DOI:10.12122/j.issn.1674-4500.2024.06.11

基于光谱CT各参数的甲状腺良恶性结节学习模型的构建及应用

Construction and application of thyroid nodule malignancy prediction model based on various parameters from spectral CT

李炜 1王金花 2杨忠现 2刘于宝3

作者信息

  • 1. 南方医科大学深圳医院医学影像中心,广东 深圳 518100||南方医科大学第三临床医学院,广东 广州510500||深圳市宝安区福永人民医院放射科,广东 深圳 518103
  • 2. 南方医科大学深圳医院医学影像中心,广东 深圳 518100
  • 3. 南方医科大学深圳医院医学影像中心,广东 深圳 518100||南方医科大学第三临床医学院,广东 广州510500
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摘要

Abstract

Objective To observe the feasibility of machine learning models constructed based on various parameters of spectral CT in predicting the benign and malignant nature of thyroid nodules. Methods A total of 185 patients with thyroid nodules confirmed by surgical pathology from September 2021 to December 2022 were analyzed retrospectively. According to the pathological results, the patients were divided into malignant nodules group (n=106) and benign nodules group (n=79). Ten spectral CT parameters were extracted to establish six machine learning models. The performance of each model in predicting the benign and malignant nature of thyroid nodules was evaluated through ROC curves, and the differences in AUC of the model were compared. Results The AUC values of extreme gradient boosting, random forest, support vector machine, K-nearest neighbors, Logistic regression and decision tree models for predicting thyroid nodule malignancy were 0.833, 0.814, 0.813, 0.807, 0.799, 0.776, respectively. Their sensitivities were 0.833, 0.833, 0.800, 0.733, 0.767, 0.733, their specificities were 0.808, 0.769, 0.731, 0.846, 0.808, 0.731, their accuracies were 0.821, 0.804, 0.768, 0.786, 0.786, 0.732. Conclusion The learning models based on the parameters from spectral CT to predict benign and malignant thyroid nodules had good overall performance, the optimal prediction model was XGBoost.

关键词

甲状腺结节/甲状腺癌/光谱CT/XGBoost/能谱曲线

Key words

thyroid nodules/thyroid cancer/spectral CT/XGBoost/energy spectrum curve

引用本文复制引用

李炜,王金花,杨忠现,刘于宝..基于光谱CT各参数的甲状腺良恶性结节学习模型的构建及应用[J].分子影像学杂志,2024,47(6):622-626,5.

基金项目

深圳市科技计划资助项目(JCYJ20230807142308018) (JCYJ20230807142308018)

分子影像学杂志

OACSTPCD

1674-4500

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