Value of ultrasound artificial intelligence in assisting naval grassroots doctors for diagnosis of thyroid nodule
10.3969/j.issn.1009-0754.2025.09.007
- VernacularTitle:超声人工智能辅助海军基层军医诊断甲状腺结节的价值
- Author:
Zufeng CHEN
1
;
Haibo JIANG
;
Ruoyu SHEN
;
Wei WANG
;
Hai WANG
;
Dahai TANG
Author Information
1. 200433 上海,海军军医大学第一附属医院
- Keywords:
Artificial intelligence;
Thyroid nodules;
Naval grassroots doctors;
Ultrasound
- From:
Journal of Navy Medicine
2025;46(9):899-903
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of ultrasound artificial intelligence(AI)in assisting naval grassroots doctors for the diagnosis of thyroid nodule in naval.Methods A total of 177 patients with thyroid nodules(200 thyroid nodules)who visited The First Affiliated Hospital of Naval Medical University from November 2020 to November 2023 were selected as research objects.The thyroid nodules were diagnosed by naval grassroots doctors,naval grassroots doctors assisted by AI,and senior doctors,respectively.Results The pathological results showed that there were 110 malignant nodules and 90 benign nodules.The diagnostic accuracy rate of AI-assisted group(85.0%)was similar to that of senior doctor group(87.0%),which were higher than that of naval grassroots doctor group(71.5%).Pathological results were taken as the gold standard,Kappa consistency test was carried out,and the area under the receiver operating characteristic(ROC)curve(AUC)was compared among groups.The diagnostic results of naval grassroots doctor group had a moderate consistency with pathological results(Kappa value was 0.424,P<0.001).The diagnostic results of AI group and senior doctor group had strong consistencies with pathological results(Kappa values were 0.693 and 0.735,respectively,both P<0.001).There was no significant difference in the AUC between AI group and senior doctor group(0.842 vs.0.864,P>0.05).However,there was a significant difference in the AUC between naval grassroots doctor group and AI group(0.712 vs.0.842,P<0.001).Conclusion AI can assist naval grassroots doctors in improving the diagnostic level of thyroid nodules.It has certain application prospects in naval forces.
