Comparison of an AI-assisted system (S-detect) and sonographers of different experience levels in diagnosing thyroid nodules: a retrospective study
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Summary
This summary is machine-generated.Artificial intelligence (AI)-assisted ultrasonography, S-Detect, shows superior diagnostic performance compared to junior sonographers for thyroid nodules. Its efficacy is comparable to experienced sonographers, improving thyroid cancer diagnosis.
Area Of Science
- Oncology
- Medical Imaging
- Artificial Intelligence
Background
- Thyroid cancer (TC) is the most common neck malignancy with early metastasis potential.
- Conventional ultrasound diagnosis relies on subjective interpretation, necessitating objective tools for improved efficiency.
- Artificial intelligence (AI) offers potential for enhancing diagnostic accuracy in medical imaging.
Purpose Of The Study
- To compare the diagnostic efficacy of AI-assisted ultrasonography (S-Detect) against sonographers with varying experience levels.
- To evaluate the performance of S-Detect in differentiating benign from malignant thyroid nodules.
- To assess the impact of AI on diagnostic accuracy and efficiency in thyroid nodule evaluation.
Main Methods
- A retrospective study analyzed 315 thyroid nodules from 237 patients with biopsy/surgical confirmation.
- Sonographers were categorized into junior and advanced experience groups.
- Diagnostic performance metrics including sensitivity, specificity, accuracy, kappa, Youden's Index, and AUC were compared between S-Detect and sonographers.
Main Results
- S-Detect significantly outperformed junior sonographers in sensitivity, specificity, accuracy, kappa, and AUC (P<0.05).
- In comparison to advanced sonographers, S-Detect demonstrated comparable sensitivity for malignant nodules but lower specificity for benign nodules.
- While advanced sonographers showed higher accuracy and consistency, overall performance between S-Detect and advanced sonographers was not significantly different (P > 0.05).
Conclusions
- AI-assisted ultrasonography (S-Detect) surpasses junior sonographers in thyroid nodule diagnosis.
- S-Detect exhibits comparable overall diagnostic performance to experienced sonographers.
- AI tools like S-Detect show promise in improving the objective assessment of thyroid nodules.

