[1]刘凌晓,董 怡.人工智能技术在甲状腺结节诊断及预测淋巴结转移中的应用 [J].介入放射学杂志,2021,30(04):323-326.
 LIU Lingxiao,DONG Yi..Application of artificial intelligence technology in diagnosing thyroid nodules and predicting lymph node metastasis[J].journal interventional radiology,2021,30(04):323-326.
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人工智能技术在甲状腺结节诊断及预测淋巴结转移中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年04
页码:
323-326
栏目:
专论
出版日期:
2021-05-04

文章信息/Info

Title:
Application of artificial intelligence technology in diagnosing thyroid nodules and predicting lymph node metastasis
作者:
刘凌晓 董 怡
Author(s):
LIU Lingxiao DONG Yi.
Department of Ultrasound, Affiliated Zhongshan Hospital of Fudan University, Shanghai 200032, China
关键词:
【关键词】 甲状腺结节 淋巴结转移 人工智能 影像组学
文献标志码:
A
摘要:
【摘要】 甲状腺结节是临床常见的疾病之一,早期精准诊断甲状腺结节性质对患者治疗及预后具有重要意义。人工智能(artificial intelligence,AI)辅助技术被日益广泛应用于甲状腺结节临床诊疗中,AI技术术前精准诊断甲状腺结节良恶性并预测颈部淋巴结转移,是目前的研究热点。影像组学利用深度学习和卷积神经网络技术构建预测模型,为甲状腺结节术前决策提供重要信息。本文就AI技术在甲状腺结节诊断及预测淋巴结转移中的应用进展进行述评。

参考文献/References:

[1] 中华医学会内分泌学分会,中华医学会外科学分会内分泌学组,中国抗癌协会头颈肿瘤专业委员会,等. 甲状腺结节和分化型甲状腺癌诊治指南[J]. 中国肿瘤临床, 2012, 28:1249- 1272.
[2] 田 文,孙 辉,贺青卿. 超声引导下甲状腺结节细针穿刺活检专家共识及操作指南(2018版)[J]. 中国实用外科杂志, 2018, 38:241- 244.
[3] 马云海,程若川. 甲状腺癌的超声管理——外科医生的基本功[J]. 中国普通外科杂志, 2017, 26:551- 555.
[4] Hamet P, Tremblay J. Artificial intelligence in medicine[J]. Metabolism, 2017, 69(Suppl): S36- S40.
[5] Lambin P, Rios- Velazquez E, Leijenaar R, et al. Radiomics: extracting more information from medical images using advanced feature analysis[J]. Eur J Cancer, 2012, 48: 441- 446.
[6] Wei X, Li Y, Zhang S, et al. Meta- analysis of thyroid imaging reporting and data system in the ultrasonographic diagnosis of 10,437 thyroid nodules[J]. Head Neck, 2016, 38: 309- 315.
[7] Vyborny CJ, Giger ML. Computer vision and artificial intelligence in mammography[J]. AJR Am J Roentgenol, 1994, 162: 699- 708.
[8] Jiang M, Li C, Tang S, et al. Nomogram based on shear- wave elastography radiomics can improve preoperative cervical lymph node staging for papillary thyroid carcinoma[J]. Thyroid, 2020, 30: 885- 897.
[9] 巴 黎,刘千琪,田 洁,等. 计算机辅助检测和诊断系统鉴别甲状腺良恶性结节的价值研究[J]. 中国超声医学杂志, 2018, 34:108- 111.
[10] 原利晶,陈 武,黄玉琴,等. 超声计算机辅助联合造影鉴别诊断甲状腺良恶性结节的研究[J]. 中国超声医学杂志, 2019, 35:299- 302.
[11] Liu T, Guo Q, Lian C, et al. Automated detection and classification of thyroid nodules in ultrasound images using clinical- knowledge- guided convolutional neural networks[J]. Med Image Anal, 2019, 58: 101555.
[12] Ma J, Duan S, Zhang Y, et al. Efficient deep learning architecture for detection and recognition of thyroid nodules[J]. Comput Intell Neurosci, 2020, 2020: 1242781.
[13] Wang L, Yang S, Yang S, et al. Automatic thyroid nodule recognition and diagnosis in ultrasound imaging with the YOLOv2 neural network[J]. World J Surg Oncol, 2019, 17: 12.
[14] Ma J, Wu F, Jiang T, et al. Cascade convolutional neural networks for automatic detection of thyroid nodules in ultrasound images[J]. Med Phys, 2017, 44: 1678- 1691.
[15] Buda M, Wildman- Tobriner B, Hoang JK, et al. Management of thyroid nodules seen on US images: deep learning may match performance of radiologists[J]. Radiology, 2019, 292: 695- 701.
[16] Chi JN, Walia E, Babyn P, et al. Thyroid nodule classification in ultrasound images by fine- tuning deep convolutional neural network[J]. J Digit Imaging, 2017, 30: 477- 486.
[17] So YK, Kim MJ, Kim S, et al. Lateral lymph node metastasis in papillary thyroid carcinoma: a systematic review and meta- analysis for prevalence, risk factors, and location[J]. Int J Surg, 2018, 50: 94- 103.
[18] 樊秀齐,薛继平,李慧展,等. 甲状腺微小乳头状癌常规超声特征及剪切波弹性成像定量参数与中央区淋巴结转移的关系[J]. 临床超声医学杂志, 2020, 22:175- 179.
[19] 吴 垠,刘家开,石 波,等. 常规超声及剪切波弹性成像在预测甲状腺微小乳头状癌淋巴结转移中的应用价值[J]. 临床和实验医学杂志, 2020, 19:2004- 2008.
[20] 刘晓芳,徐 琨,黄晓春,等. 高频超声结合造影特征对甲状腺微小乳头状癌颈部淋巴结转移的预测价值[J]. 中华全科医师杂志, 2020, 19:612- 617.
[21] Zhao Q, Ming J, Liu C, et al. Multifocality and total tumor diameter predict central neck lymph node metastases in papillary thyroid microcarcinoma[J]. Ann Surg Oncol, 2013, 20: 746- 752.
[22] Wang H, Song B, Ye N, et al. Machine learning- based multiparametric MRI radiomics for predicting the aggressiveness of papillary thyroid carcinoma[J]. Eur J Radiol, 2020, 122: 108755.
[23] Liu T, Zhou S, Yu J, et al. Prediction of lymph node metastasis in patients with papillary thyroid carcinoma: a radiomics method based on preoperative ultrasound images[J]. Technol Cancer Res Treat, 2019, 18: 1533033819831713.
[24] Liu T, Ge X, Yu J, et al. Comparison of the application of B- mode and strain elastography ultrasound in the estimation of lymph node metastasis of papillary thyroid carcinoma based on a radiomics approach[J]. Int J Comput Assist Radiol Surg, 2018, 13: 1617- 1627.
[25] 章美武,张 燕,范晓翔,等. 甲状腺细针穿刺细胞学联合BRAF基因检测的诊断价值[J]. 介入放射学杂志, 2017, 26:622- 626.
[26] Kwon MR, Shin JH, Park H, et al. Radiomics study of thyroid ultrasound for predicting BRAF mutation in papillary thyroid carcinoma: preliminary results[J]. AJNR Am J Neuroradiol, 2020, 41: 700- 705.

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备注/Memo

备注/Memo:
(收稿日期:2020- 09- 28)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2021-04-30