Radiomics for prediction of central lymph node metastasis in the neck in patients with thyroid papillary carcinoma / 南方医科大学学报
Journal of Southern Medical University
;
(12): 1094-1098, 2019.
Article
in Chinese
| WPRIM
| ID: wpr-773485
ABSTRACT
OBJECTIVE@#To explore the feasibility of radiomics for predicting lymph node metastasis in the central region of the neck in patients with thyroid papillary carcinoma (PTC).@*METHODS@#A total of 189 patients with PTC confirmed by thyroid fine needle aspiration biopsy were prospectively enrolled in this study. The cross-sectional and longitudinal ultrasound images and the images of both sections were analyzed for predicting central lymph node metastasis using a radiomics approach with pathological results as the gold standard.@*RESULTS@#In the 189 patients, the accuracy, sensitivity and specificity of preoperative thyroid ultrasonography for diagnosis of central lymph node metastasis was 69.39%, 64% and 73%, respectively. Based on the ultrasound images of the cross-sections, longitudinal sections and both sections, the accuracy, sensitivity and specificity of radiomics for predicting central lymph node metastasis was 66.06%/68.12%/77.69%, 53%/46%/40%, and 52%/53%/51%, respectively.@*CONCLUSIONS@#Radiomics with combined analysis of the ultrasound images on the cross-section and longitudinal section images achieves a higher accuracy for predicting central lymph node metastasis than analysis a single section, and its diagnostic accuracy is much higher than that of conventional ultrasound examination.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Thyroid Neoplasms
/
Diagnostic Imaging
/
Image Interpretation, Computer-Assisted
/
Carcinoma, Papillary
/
Prospective Studies
/
Ultrasonography
/
Lymph Nodes
/
Lymphatic Metastasis
/
Neck
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2019
Type:
Article
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