No abstract

Background:The aim of this study was to construct a deep convolutional neural network (CNN) model for localization and diagnosis of thyroid nodules on ultrasound and evaluate its diagnostic performance. Methods:We developed and trained a deep CNN model called the Brief Efficient Thyroid Network (BETNET) using 16,401 ultrasound images. According to the parameters of the model, we developed a computer-aided diagnosis (CAD) system to localize and differentiate thyroid nodules. The validation dataset (1,000 images) was used to compare the diagnostic performance of the model using three state-of-the-art algorithms. We used an internal test set (300 images) to evaluate the BETNET model by comparing it with diagnoses from five radiologists with varying degrees of experience in thyroid nodule diagnosis. Lastly, we demonstrated the general applicability of our artificial intelligence (AI) system for diagnosing thyroid cancer in an external test set (1,032 images).Results: The BETNET model accurately detected thyroid nodules in visualization experiments. The model demonstrated higher values for area under the receiver operating characteristic (AUC-ROC) curve [0.983, 95% confidence interval (CI): 0.973-0.990], sensitivity (99.19%), accuracy (98.30%), and Youden index (0.9663) than the three state-of-the-art algorithms (P<0.05). In the internal test dataset, the diagnostic accuracy of the BETNET model was 91.33%, which was markedly higher than the accuracy of one experienced (85.67%) and two less experienced radiologists (77.67% and 69.33%). The area under the ROC curve of the BETNET model (0.951) was similar to that of the two highly skilled radiologists (0.940 and 0.953) and significantly higher than that of one experienced and two less experienced radiologists (P<0.01).The kappa coefficient of the BETNET model and the pathology results showed good agreement (0.769). In addition, the BETNET model achieved an excellent diagnostic performance (AUC =0.970, 95% CI: 0.958-0.980) when applied to ultrasound images from another independent hospital. Conclusions:We developed a deep learning model which could accurately locate and automatically diagnose thyroid nodules on ultrasound images. The BETNET model exhibited better diagnostic performance than three state-of-the-art algorithms, which in turn performed similarly in diagnosis as the

No abstract

Purpose Clinically, the risk stratification of thyroid nodules is usually used to formulate the next treatment plan. The American College of Radiology (ACR) thyroid imaging reporting and data system (TI‐RADS) is a type of medical standard widely used in classification diagnosis. It divides the nodule’s ACR TI‐RADS level into five levels by quantitative scoring, from benign to high suspicion of malignancy. However, such assessment often relies on the radiologists’ experience and is time consuming. So computer‐aided diagnosis is necessary. But many deep learning (DL) models are difficult for doctors to understand, limiting their applicability in clinical practice. In this work, we mainly focus on how to achieve automatic thyroid nodules risk stratification based on deep integration of deep learning and clinical experience. Methods An automatic hierarchical method of thyroid nodules risk based on deep learning is proposed, called risk stratification network (RS‐Net). It incorporates medical experience based on ACR TI‐RADS. The convolutional neural network (CNN) is used to classify the five categories in ACR TI‐RADS and assign their points respectively. According to the point totals, the level of risk can be obtained. In addition, a dataset involving 13 984 thyroid ultrasound images is established to develop and evaluate the proposed method. Results We have extensively compared the results of this paper with the evaluation results of sonographers. The accuracy of the risk stratification (TR1 to TR5) of the proposed method is 65%, and the mean absolute error (MAE) is 0.54. The MAE of the point totals (0 to 13 points) is 1.67. The Pearson's correlation between our method evaluation and doctor evaluation reached 0.84. For the benign and malignant classification, the performance indices accuracy, sensitivity, specificity, PPV, and NPV were 88.0%, 98.1%, 79.1%, 80.5%, and 97.9%, respectively. Our method's level of thyroid nodules risk stratification is comparable to that of a senior doctor. Conclusions This work provides a way to automate the risk stratification of thyroid nodules. Our method can effectively avoid missed diagnosis and misdiagnosis caused by the difference of observers so as to assist doctors to improve efficiency and diagnosis rate. Compared with the previous benign and malignant classification, the proposed method incorporates clinical experience. So it can greatly increase the clinicians’ trust in the DL model, thereby improving the applicability of the model in clinical practice.

Ground object detection, based on remote sensing satellite imagery, provides the groundwork of numerous applications, so the detection accuracy is of vital importance. The background of remote sensing images is complex, the object size is various, and there are many small objects. In view of the above problems, a multi-attention object detection method (MA-FPN) based on multi-scale is proposed in this paper, which can effectively make the network pay attention to the location of the object and reduce the loss of small object information. According to feature pyramid network (FPN), we firstly put forward a global spatial attention module, which extracts spatial location-related information from shallow features and fuses it with deep features to enhance the position expression ability of deep features. Besides, the paper provides a pixel feature attention module: the multi-scale convolution kernel is employed to generate the feature map of the same size as the input, as well as channel attention is used to assign weights to each layer of feature maps to obtain pixel-level attention maps with good details. Experiments on NWPU, RSOD, and DOTA datasets show that the proposed algorithm outperforms state of the art methods.