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Xiaoqing Y, Danfeng F, Hongmin L, Zhengyuan C, Haiyue L, Tianyi H, Huanjun W. Application of Hyperspectral Imaging and Machine Learning for Differential Diagnosis of Hashimoto's Thyroiditis and Papillary Thyroid Carcinoma. JOURNAL OF BIOPHOTONICS 2025:e202500123. [PMID: 40364460 DOI: 10.1002/jbio.202500123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/11/2025] [Revised: 03/29/2025] [Accepted: 04/08/2025] [Indexed: 05/15/2025]
Abstract
BACKGROUND Hashimoto's thyroiditis (HT) and papillary thyroid carcinoma (PTC) often share similar features, leading to frequent misdiagnoses. Hyperspectral imaging (HSI) offers detailed spatial and spectral insights, promising improved tumor detection. OBJECTIVE This study aims to discern HT and PTC spectral characteristics using HSI and evaluate deep learning models for pathologic diagnostic effects. METHODS Hyperspectral data from HT and PTC samples were processed using second-order derivatives and Savitzky-Golay smoothing. The adaptive spectral feature selection network model classified spectral data from various wavelengths to assess performance. RESULTS PTC showed unique spectral features in the 400-500 nm range with higher peak intensities at lower wavelengths than HT. The model achieved 88.36% accuracy, highlighting the importance of low-wavelength data in differentiating PTC from HT. CONCLUSION The model effectively identifies spectral differences between HT and PTC, offering a novel approach for precise thyroid disease diagnosis.
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Affiliation(s)
- Yue Xiaoqing
- College of Integrative Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing, China
- Department of Traditional Chinese Medicine, Yucheng People's Hospital, Dezhou, China
| | - Fan Danfeng
- College of Integrative Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing, China
| | - Li Hongmin
- Department of Traditional Chinese Medicine, Yucheng People's Hospital, Dezhou, China
| | - Chen Zhengyuan
- College of Integrative Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing, China
| | - Lv Haiyue
- Shandong University of Traditional Chinese Medicine, School of Acupuncture and Tuina, Jinan, China
| | - Hang Tianyi
- College of Integrative Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing, China
| | - Wang Huanjun
- Department of Endocrinology and Metabology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Shandong Institute of Nephrology, Jinan, China
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Wan W, Liu H, Zou J, Xie T, Zhang G, Ying W, Zou X. The optimization and application of photodynamic diagnosis and autofluorescence imaging in tumor diagnosis and guided surgery: current status and future prospects. Front Oncol 2025; 14:1503404. [PMID: 39845324 PMCID: PMC11750647 DOI: 10.3389/fonc.2024.1503404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2024] [Accepted: 12/19/2024] [Indexed: 01/24/2025] Open
Abstract
Photodynamic diagnosis (PDD) and autofluorescence imaging (AFI) are emerging cancer diagnostic technologies that offer significant advantages over traditional white-light endoscopy in detecting precancerous lesions and early-stage cancers; moreover, they hold promising potential in fluorescence-guided surgery (FGS) for tumors. However, their shortcomings have somewhat hindered the clinical application of PDD and AFI. Therefore, it is imperative to enhance the efficacy of PDD and AFI, thereby maximizing their potential for practical clinical use. This article reviews the principles, characteristics, current research status, and advancements of PDD and AFI, focusing on analyzing and discussing the optimization strategies of PDD and AFI in tumor diagnosis and FGS scenarios. Considering the practical and technical feasibility, optimizing PDD and AFI may result in an effective real-time diagnostic tool to guide clinicians in tumor diagnosis and surgical guidance to achieve the best results.
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Affiliation(s)
- Wei Wan
- The First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China
| | - Huiquan Liu
- The First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China
| | - Junrong Zou
- Institute of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China
| | - Tianpeng Xie
- Department of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China
| | - Guoxi Zhang
- Department of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China
| | - Weihai Ying
- School of Biomedical Engineering and Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, China
| | - Xiaofeng Zou
- The First Clinical College, Gannan Medical University, Ganzhou, Jiangxi, China
- Institute of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China
- Department of Urology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, China
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Lai CL, Karmakar R, Mukundan A, Natarajan RK, Lu SC, Wang CY, Wang HC. Advancing hyperspectral imaging and machine learning tools toward clinical adoption in tissue diagnostics: A comprehensive review. APL Bioeng 2024; 8. [DOI: https:/doi.org/10.1063/5.0240444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2025] Open
Abstract
Hyperspectral imaging (HSI) has become an evident transformative apparatus in medical diagnostics. The review aims to appraise the present advancement and challenges in HSI for medical applications. It features a variety of medical applications namely diagnosing diabetic retinopathy, neurodegenerative diseases like Parkinson's and Alzheimer's, which illustrates its effectiveness in early diagnosis, early caries detection in periodontal disease, and dermatology by detecting skin cancer. Regardless of these advances, the challenges exist within every aspect that limits its broader clinical adoption. It has various constraints including difficulties with technology related to the complexity of the HSI system and needing specialist training, which may act as a drawback to its clinical settings. This article pertains to potential challenges expressed in medical applications and probable solutions to overcome these constraints. Successful companies that perform advanced solutions with HSI in terms of medical applications are being emphasized in this study to signal the high level of interest in medical diagnosis for systems to incorporate machine learning ML and artificial intelligence AI to foster precision diagnosis and standardized clinical workflow. This advancement signifies progressive possibilities of HSI in real-time clinical assessments. In conclusion despite HSI has been presented as a significant advanced medical imaging tool, addressing its limitations and probable solutions is for broader clinical adoption.
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Affiliation(s)
- Chun-Liang Lai
- Division of Pulmonology and Critical Care, Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation 1 , No. 2, Minsheng Road, Dalin, Chiayi 62247,
- Public School of Medicine, Tzu Chi University 2 , 701 Zhongyang Rd., Sec. 3, Hualien 97004,
| | - Riya Karmakar
- Department of Mechanical Engineering, National Chung Cheng University 3 , 168, University Road, Min Hsiung, Chiayi City 62102,
| | - Arvind Mukundan
- Department of Mechanical Engineering, National Chung Cheng University 3 , 168, University Road, Min Hsiung, Chiayi City 62102,
| | - Ragul Kumar Natarajan
- Department of Biotechnology, Karpagam Academy of Higher Education 4 , Salem - Kochi Hwy, Eachanari, Coimbatore, Tamil Nadu 641021,
| | - Song-Cun Lu
- Department of Mechanical Engineering, National Chung Cheng University 3 , 168, University Road, Min Hsiung, Chiayi City 62102,
| | - Cheng-Yi Wang
- Department of Gastroenterology, Kaohsiung Armed Forces General Hospital 5 , 2, Zhongzheng 1st. Rd., Kaohsiung City 80284,
| | - Hsiang-Chen Wang
- Department of Mechanical Engineering, National Chung Cheng University 3 , 168, University Road, Min Hsiung, Chiayi City 62102,
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Lai CL, Karmakar R, Mukundan A, Natarajan RK, Lu SC, Wang CY, Wang HC. Advancing hyperspectral imaging and machine learning tools toward clinical adoption in tissue diagnostics: A comprehensive review. APL Bioeng 2024; 8:041504. [PMID: 39660034 PMCID: PMC11629177 DOI: 10.1063/5.0240444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2024] [Accepted: 11/19/2024] [Indexed: 12/12/2024] Open
Abstract
Hyperspectral imaging (HSI) has become an evident transformative apparatus in medical diagnostics. The review aims to appraise the present advancement and challenges in HSI for medical applications. It features a variety of medical applications namely diagnosing diabetic retinopathy, neurodegenerative diseases like Parkinson's and Alzheimer's, which illustrates its effectiveness in early diagnosis, early caries detection in periodontal disease, and dermatology by detecting skin cancer. Regardless of these advances, the challenges exist within every aspect that limits its broader clinical adoption. It has various constraints including difficulties with technology related to the complexity of the HSI system and needing specialist training, which may act as a drawback to its clinical settings. This article pertains to potential challenges expressed in medical applications and probable solutions to overcome these constraints. Successful companies that perform advanced solutions with HSI in terms of medical applications are being emphasized in this study to signal the high level of interest in medical diagnosis for systems to incorporate machine learning ML and artificial intelligence AI to foster precision diagnosis and standardized clinical workflow. This advancement signifies progressive possibilities of HSI in real-time clinical assessments. In conclusion despite HSI has been presented as a significant advanced medical imaging tool, addressing its limitations and probable solutions is for broader clinical adoption.
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Affiliation(s)
| | - Riya Karmakar
- Department of Mechanical Engineering, National Chung Cheng University, 168, University Road, Min Hsiung, Chiayi City 62102, Taiwan
| | - Arvind Mukundan
- Department of Mechanical Engineering, National Chung Cheng University, 168, University Road, Min Hsiung, Chiayi City 62102, Taiwan
| | - Ragul Kumar Natarajan
- Department of Biotechnology, Karpagam Academy of Higher Education, Salem - Kochi Hwy, Eachanari, Coimbatore, Tamil Nadu 641021, India
| | - Song-Cun Lu
- Department of Mechanical Engineering, National Chung Cheng University, 168, University Road, Min Hsiung, Chiayi City 62102, Taiwan
| | - Cheng-Yi Wang
- Department of Gastroenterology, Kaohsiung Armed Forces General Hospital, 2, Zhongzheng 1st. Rd., Kaohsiung City 80284, Taiwan
| | - Hsiang-Chen Wang
- Department of Mechanical Engineering, National Chung Cheng University, 168, University Road, Min Hsiung, Chiayi City 62102, Taiwan
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