Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer

Differentiated thyroid cancer (DTC) from follicular epithelial cells is the most common form of thyroid cancer. Beyond the common papillary thyroid carcinoma (PTC), there are a number of rare but difficult-to-diagnose pathological classifications, such as follicular thyroid carcinoma (FTC). We emplo...

Full description

Bibliographic Details
Main Authors: Wai-Kin Chan, Jui-Hung Sun, Miaw-Jene Liou, Yan-Rong Li, Wei-Yu Chou, Feng-Hsuan Liu, Szu-Tah Chen, Syu-Jyun Peng
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/12/1771
_version_ 1797506514956582912
author Wai-Kin Chan
Jui-Hung Sun
Miaw-Jene Liou
Yan-Rong Li
Wei-Yu Chou
Feng-Hsuan Liu
Szu-Tah Chen
Syu-Jyun Peng
author_facet Wai-Kin Chan
Jui-Hung Sun
Miaw-Jene Liou
Yan-Rong Li
Wei-Yu Chou
Feng-Hsuan Liu
Szu-Tah Chen
Syu-Jyun Peng
author_sort Wai-Kin Chan
collection DOAJ
description Differentiated thyroid cancer (DTC) from follicular epithelial cells is the most common form of thyroid cancer. Beyond the common papillary thyroid carcinoma (PTC), there are a number of rare but difficult-to-diagnose pathological classifications, such as follicular thyroid carcinoma (FTC). We employed deep convolutional neural networks (CNNs) to facilitate the clinical diagnosis of differentiated thyroid cancers. An image dataset with thyroid ultrasound images of 421 DTCs and 391 benign patients was collected. Three CNNs (InceptionV3, ResNet101, and VGG19) were retrained and tested after undergoing transfer learning to classify malignant and benign thyroid tumors. The enrolled cases were classified as PTC, FTC, follicular variant of PTC (FVPTC), Hürthle cell carcinoma (HCC), or benign. The accuracy of the CNNs was as follows: InceptionV3 (76.5%), ResNet101 (77.6%), and VGG19 (76.1%). The sensitivity was as follows: InceptionV3 (83.7%), ResNet101 (72.5%), and VGG19 (66.2%). The specificity was as follows: InceptionV3 (83.7%), ResNet101 (81.4%), and VGG19 (76.9%). The area under the curve was as follows: Incep-tionV3 (0.82), ResNet101 (0.83), and VGG19 (0.83). A comparison between performance of physicians and CNNs was assessed and showed significantly better outcomes in the latter. Our results demonstrate that retrained deep CNNs can enhance diagnostic accuracy in most DTCs, including follicular cancers.
first_indexed 2024-03-10T04:33:44Z
format Article
id doaj.art-6ff5ecddb8634fb98901e35e38a503cc
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T04:33:44Z
publishDate 2021-11-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-6ff5ecddb8634fb98901e35e38a503cc2023-11-23T03:55:18ZengMDPI AGBiomedicines2227-90592021-11-01912177110.3390/biomedicines9121771Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid CancerWai-Kin Chan0Jui-Hung Sun1Miaw-Jene Liou2Yan-Rong Li3Wei-Yu Chou4Feng-Hsuan Liu5Szu-Tah Chen6Syu-Jyun Peng7Division of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanDivision of Endocrinology and Metabolism, Department of Internal Medicine, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanProfessional Master Program in Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei 10675, TaiwanDifferentiated thyroid cancer (DTC) from follicular epithelial cells is the most common form of thyroid cancer. Beyond the common papillary thyroid carcinoma (PTC), there are a number of rare but difficult-to-diagnose pathological classifications, such as follicular thyroid carcinoma (FTC). We employed deep convolutional neural networks (CNNs) to facilitate the clinical diagnosis of differentiated thyroid cancers. An image dataset with thyroid ultrasound images of 421 DTCs and 391 benign patients was collected. Three CNNs (InceptionV3, ResNet101, and VGG19) were retrained and tested after undergoing transfer learning to classify malignant and benign thyroid tumors. The enrolled cases were classified as PTC, FTC, follicular variant of PTC (FVPTC), Hürthle cell carcinoma (HCC), or benign. The accuracy of the CNNs was as follows: InceptionV3 (76.5%), ResNet101 (77.6%), and VGG19 (76.1%). The sensitivity was as follows: InceptionV3 (83.7%), ResNet101 (72.5%), and VGG19 (66.2%). The specificity was as follows: InceptionV3 (83.7%), ResNet101 (81.4%), and VGG19 (76.9%). The area under the curve was as follows: Incep-tionV3 (0.82), ResNet101 (0.83), and VGG19 (0.83). A comparison between performance of physicians and CNNs was assessed and showed significantly better outcomes in the latter. Our results demonstrate that retrained deep CNNs can enhance diagnostic accuracy in most DTCs, including follicular cancers.https://www.mdpi.com/2227-9059/9/12/1771thyroid cancerartificial intelligencedeep learningCNNs
spellingShingle Wai-Kin Chan
Jui-Hung Sun
Miaw-Jene Liou
Yan-Rong Li
Wei-Yu Chou
Feng-Hsuan Liu
Szu-Tah Chen
Syu-Jyun Peng
Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer
Biomedicines
thyroid cancer
artificial intelligence
deep learning
CNNs
title Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer
title_full Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer
title_fullStr Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer
title_full_unstemmed Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer
title_short Using Deep Convolutional Neural Networks for Enhanced Ultrasonographic Image Diagnosis of Differentiated Thyroid Cancer
title_sort using deep convolutional neural networks for enhanced ultrasonographic image diagnosis of differentiated thyroid cancer
topic thyroid cancer
artificial intelligence
deep learning
CNNs
url https://www.mdpi.com/2227-9059/9/12/1771
work_keys_str_mv AT waikinchan usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT juihungsun usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT miawjeneliou usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT yanrongli usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT weiyuchou usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT fenghsuanliu usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT szutahchen usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer
AT syujyunpeng usingdeepconvolutionalneuralnetworksforenhancedultrasonographicimagediagnosisofdifferentiatedthyroidcancer