Evidence map›Paper›PMID 41098080›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Cytological Classification Diagnosis for Thyroid Nodules via Multimodal Model Deep Learning.

Yuanzheng Lou, Yongjian Su, Haoda Lu, Wencai Li, Weihua Yin, Shengnan Li, Huobiao Zhu, Kok Haur Ong, Gang Chen, Yong Jiang and 18 more

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Cytological Classification Diagnosis for Thyroid Nodules via Multimodal Model Deep Learning.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors.

Yuanzheng LouDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Yongjian SuChongqing Institute of Advanced Pathology, Jinfeng Laboratory, Chongqing, 400041, China.
Haoda LuIntelligent Digital and Molecular Pathology (IDMP) Lab, Bioinformatics Institute (BII), Agency of Science Technology and Research (A*STAR), Singapore, 138671, Singapore.
Wencai LiDepartment of Pathology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jian She Dong Avenue, Zhengzhou, 450002, China.
Weihua YinDepartment of Pathology, Peking University Shenzhen Hospital, Shenzhen, 518036, China.
Shengnan LiGuangzhou F.Q. PATHOTECH Co., Ltd, Guangzhou, 510515, China.
Huobiao ZhuGuangzhou F.Q. PATHOTECH Co., Ltd, Guangzhou, 510515, China.
Kok Haur OngIntelligent Digital and Molecular Pathology (IDMP) Lab, Bioinformatics Institute (BII), Agency of Science Technology and Research (A*STAR), Singapore, 138671, Singapore.
Gang ChenDepartment of Pathology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian, 35000, China.
Yong JiangDepartment of Pathology, West China Hospital of Sichuan University, Chengdu, 610044, China.
Yifei LiuDepartment of Pathology, Affiliated Hospital of Nantong University and Medical School of Nantong University, Nantong, 226007, China.
Shenglei LiDepartment of Pathology, The First Affiliated Hospital of Zhengzhou University, No. 1 Jian She Dong Avenue, Zhengzhou, 450002, China.
Manchun YangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Zhengyu ZhangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Xiaoyan WangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Xiaohui ZhuDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Xinmi HuoIntelligent Digital and Molecular Pathology (IDMP) Lab, Bioinformatics Institute (BII), Agency of Science Technology and Research (A*STAR), Singapore, 138671, Singapore.
Longjie LiIntelligent Digital and Molecular Pathology (IDMP) Lab, Bioinformatics Institute (BII), Agency of Science Technology and Research (A*STAR), Singapore, 138671, Singapore.
Chao WangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Nanyan ZhangDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Weijun PanDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Bin ShangGuangzhou F.Q. PATHOTECH Co., Ltd, Guangzhou, 510515, China.
Xudan YangDepartment of Pathology, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610072, China.
Yongqiang ZhuGuangzhou Huayin Health Medical Group Co., Ltd, Guangzhou, 510663, China.
Xiaolin LiuDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.
Weimiao YuIntelligent Digital and Molecular Pathology (IDMP) Lab, Bioinformatics Institute (BII), Agency of Science Technology and Research (A*STAR), Singapore, 138671, Singapore.
Xiuwu BianInstitute of Pathology & Southwest Cancer Center, the First Affiliated Hospital (Southwest Hospital) and School of Basic Medical Sciences, Army Medical University (Third Military Medical University), and the Key Laboratory of Tumor Immunopathology, the Ministry of Education (Third Military Medical University), Chongqing, 400038, China.
Yanqing DingDepartment of Pathology, Nanfang Hospital and School of Basic Medical Sciences, Southern Medical University, Guangzhou, 510515, China.ORCID https://orcid.org/0000-0003-1775-6923

Funding

2022 Major Science and Technology Innovation R&D Project of Chongqing Municipality CSTB2022TIAD-STX00082023 Nantong Social Livelihood Science and Technology Plan Project MS20230672025 Chongqing Municipal Joint Science and Health Medical Research Project 2025MSXM035BMRC, A*STARDepartment of Pathology and Department of Biochemistry at NUS Yong Loo Lin School of MedicineIndustrial Alignment Funding - Pre-Positioning Grant H24J4a0044Major Project of Guangzhou National Laboratory GZNL2023A03001National Natural Science Foundation of China 82273491Strategic Scientists Project of Jinfeng Laboratory JFLKYXM202303AZ-102the School of Biological Sciences at NTU
6 · The paper itself

Abstract

The rising prevalence of thyroid nodules is straining limited cytopathology resources, resulting in excessive overdiagnosis and overtreatment with significant patient and healthcare consequences. To address this, AI-TFNA is developed, a robust artificial intelligence platform leveraging extensive clinical data to enhance diagnostic accuracy and clinical efficiency. A total of 20,803 thyroid samples are collected from seven medical centers across different regions in China. Of these, 4,421 thyroid fine-needle aspiration (TFNA) samples from three hospitals are used to train AI-TFNA, ensuring strong generalizability across diverse clinical settings. For the internal validation, AI-TFNA demonstrates exceptional performance: the overall accuracy of TBS I is 93.27%, the sensitivity of TBS V and TBS VI reaches 85.37% and 83.78%, while the specificity of TBS II is 97.13%. Consistent results are observed in an external cohort of 2,153 samples, demonstrating robust generalizability. The incorporation of BRAF mutation data into AI-TFNA and the development of a multi-modal model further improve precision by significantly improving the differentiation between benign and malignant thyroid nodules. Image Appearance Migration (IAM) is an innovative technique that substantially improves cross-institutional model generalizability, increasing AI-TFNA sensitivity by 1.90% and specificity by 8.12%. AI-TFNA offers rapid, reliable decision support, advancing thyroid nodule diagnostics.

Indexed as

CytodiagnosisDeep LearningThyroid NoduleAdultBiopsy, Fine-NeedleChinaFemaleHumansMaleMiddle AgedSensitivity and SpecificityThyroid Glandartificial intelligencecytopathological diagnosisfine needle aspiration cytology (FNAC)thyroid noduleswhole‐slide image (WSI)

Identifiers

PMID41098080
PMCPMC12752556

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.