Size-Specific Predictors for Malignancy Risk in Follicular Thyroid Neoplasms: Machine Learning Analysis
- Xin Li 1, Wen-Yu Yang 2, Fan Zhang 3, Rui Shan 4, Fang Mei 5, Shi-Bing Song 1, Bang-Kai Sun 6, Jing Chen 4, Run-Ze Hu 4, Yang Yang 4, Yi-Hang Yang 4, Jing-Yao Liu 4, Chun-Hui Yuan 1, Zheng Liu 4
- Xin Li 1, Wen-Yu Yang 2, Fan Zhang 3
- 1Department of General Surgery, Peking University Third Hospital, Beijing, China.
- 2China Center for Health Development Studies, Peking University, Beijing, China.
- 3Department of Ultrasound, Peking University Third Hospital, Beijing, China.
- 4Department of Maternal and Child Health, School of Public Health, Peking University, 38 Huayuan Road, Haidian District, Beijing, Beijing, 100191, China, 86 82801222.
- 5Department of Pathology, Peking University Third Hospital, School of Basic Medical Sciences, Peking University Health Science Center, Beijing, China.
- 6Information Management and Big Data Center, Peking University Third Hosptial, Beijing, China.
- 0Department of General Surgery, Peking University Third Hospital, Beijing, China.
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View abstract on PubMed
Summary
This summary is machine-generated.Predicting follicular thyroid neoplasm (FTN) malignancy risk is challenging. This study identified size-specific predictors, including calcification and nodule appearance, to aid preoperative diagnosis of FTNs.
Area Of Science
- Endocrinology
- Oncology
- Radiology
Background
- Distinguishing benign from malignant follicular thyroid neoplasms (FTNs) poses a surgical challenge, especially for small tumors.
- Preoperative risk stratification for FTNs is crucial for surgical planning and patient management.
Purpose Of The Study
- To identify preoperative predictors for malignancy risk in follicular thyroid neoplasms (FTNs).
- To investigate size-specific predictors for malignancy risk in FTNs, differentiating between small and large tumors.
Main Methods
- A retrospective cohort study included 1494 patients with follicular thyroid adenoma (FTA) or carcinoma (FTC).
- Follicular thyroid neoplasms (FTNs) were categorized as small (<3.0 cm) or large (≥3.0 cm) based on diameter.
- Machine learning identified key predictors from demographic, sonographic, and hormonal variables, with odds ratios calculated for malignancy risk.
Main Results
- Small FTNs with macrocalcification, peripheral calcification, or in younger patients had higher malignancy risk.
- Large FTNs with a nodule-in-nodule appearance showed increased malignancy risk.
- Lower thyroid-stimulating hormone levels and larger mean diameter were associated with malignancy risk in both small and large FTNs.
Conclusions
- Size-specific predictors for FTN malignancy risk were identified.
- Stratified prediction based on tumor size is essential for improving the accuracy of preoperative diagnosis of follicular thyroid neoplasms.
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