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Wu W, Yao S, Liu D, Luo Y, Sun Y, Ruan T, Liu M, Shi L, Liu C, Xiao M, Zhang Q, Liu Z, Ju X, Wang J, Fei X, Lu L, Gao Y, Zhang Y, Gong L, Chen X, Zheng W, Niu X, Yang X, Cao H, Chang S, Cui J, Ma Z. Prediction of Seronegative Hashimoto's thyroiditis using machine learning models based on ultrasound radiomics: a multicenter study. BMC Immunol 2025; 26:27. [PMID: 40189494 PMCID: PMC11974213 DOI: 10.1186/s12865-025-00708-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2024] [Accepted: 03/28/2025] [Indexed: 04/09/2025] Open
Abstract
BACKGROUND Seronegative Hashimoto's thyroiditis is often underdiagnosed due to the lack of antibody markers. Combining ultrasound radiomics with machine learning offers potential for early detection in patients with normal thyroid function. METHODS Data from 164 patients with single thyroid lesions and normal thyroid function, treated surgically between 2016 and 2024, were retrospectively collected from four hospitals. Radiomics features were extracted from ultrasound images of non-tumorous hypoechoic areas. Pathological lymphocytic infiltration and hypoechoic ratios were evaluated by senior pathologists and ultrasound physicians. A machine learning model, CCH-NET, was developed using a random forest classifier after feature selection with Least Absolute Shrinkage and Selection Operator (LASSO) regression. The model was trained and tested with an 80:20 split and compared to senior ultrasound physicians. RESULTS The CCH-NET model achieved a sensitivity of 0.762, specificity of 0.714, and an area under the curve (AUC) of 0.8248, outperforming senior ultrasound physicians (AUC = 0.681). It maintained consistent accuracy across test sets, with F1 scores of 0.778 and 0.720 in Test_1 and Test_2, respectively, and exhibited superior predictive rates. CONCLUSION The CCH-NET model enhances accuracy in detecting early Seronegative Hashimoto's thyroiditis over senior ultrasound physicians. ETHICS No. [2023] H013 TRIAL REGISTRATION: Chinese Clinical Trial Registry;CTR2400092179; 12 November 2024.
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Affiliation(s)
- Wenjun Wu
- Liaoning University of Chinese Medicine, Shenyang, China
| | - Shengsheng Yao
- Department of Thyroid and Breast Surgery, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Daming Liu
- Department of Ultrasound Medicine, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Yuan Luo
- Department of Pathology, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Yihan Sun
- Department of Cardiology, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Ting Ruan
- Liaoning University of Chinese Medicine, Shenyang, China
| | - Mengyou Liu
- Department of Thyroid Surgery, Lixin County People's Hospital, Haozhou, China
| | - Li Shi
- Jinzhou Medical College Linghai Dalinghe Hospital, Jinzhou, China
| | - Chang Liu
- School of Intelligent Medicine, China Medical University, Shenyang, China
| | - Mingming Xiao
- Department of Pathology, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Qi Zhang
- Department of Ultrasound Medicine, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | | | - Xingai Ju
- Department of General Medicine, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Jiahao Wang
- School of Intelligent Medicine, China Medical University, Shenyang, China
| | - Xiang Fei
- Department of Thyroid and Breast Surgery, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Li Lu
- Department of Endocrinology, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Yang Gao
- Department of Thyroid and Breast Surgery, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Ying Zhang
- Department of Thyroid and Breast Surgery, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Liying Gong
- Department of Medical Laboratory, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | | | | | - Xiali Niu
- Department of General Medicine, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Xiao Yang
- Department of Pathology, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China
| | - Huimei Cao
- Jinzhou Medical College Linghai Dalinghe Hospital, Jinzhou, China
| | - Shijie Chang
- School of Intelligent Medicine, China Medical University, Shenyang, China.
| | - Jianchun Cui
- Department of Thyroid and Breast Surgery, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China.
| | - Zuoxin Ma
- Department of Medical Laboratory, People's Hospital of China Medical University (Liaoning Provincial People's Hospital), Shenyang, China.
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