Evidence map›Paper›PMID 42380901›Full record

ArticleReproductive biology and endocrinology : RB&E2026

Multi-dimensional predictive model for diminished ovarian reserve in Hashimoto's thyroiditis: development and application.

Jiemin Chen, Huohu Zhong, Yanyan Huang, Kailing Tan, Guorong Lyu, Qiuyue Chen

Abstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jiemin Chen *Department of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Huohu Zhong *Department of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Yanyan HuangDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Kailing TanDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Guorong LyuDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China. lgr_feus@sina.com.
Qiuyue ChenDepartment of Ultrasound, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China. qiuyuechen@fjmu.edu.cn.

Funding

the Science and Technology Bureau of Quanzhou 2025QZNY089
6 · The paper itself

Abstract

purposeThis study aimed to develop a predictive model for diminished ovarian reserve (DOR) in reproductive-aged women with Hashimoto's thyroiditis (HT) by integrating transvaginal three-dimensional ultrasound and clinical multimodal data, to enable early identification and accurate risk assessment of DOR, and provide a visualized decision-support tool for personalized reproductive health management.

methodsA prospective cross-sectional study enrolled 300 eligible reproductive-aged women with HT, who underwent transvaginal three-dimensional ultrasound to measure bilateral ovarian volume, blood flow parameters, and antral follicle count (AFC). Participants were randomized at a 7:3 ratio into training (n = 210) and validation (n = 90) sets. LASSO regression was used to identify independent DOR risk factors for nomogram construction, with performance assessed using ROC curves, calibration curves, and decision curve analysis (DCA).

resultsFour independent risk factors were identified: pelvic inflammation history, ovarian vascularization index (VI), bilateral AFC, and positive thyroid globulin antibody (TGAb). The nomogram exhibited a significantly higher AUC than each individual factor (Delong's test, all p < 0.05), with AUC values of 0.989 (training set) and 0.985 (validation set), corresponding sensitivities of 0.964 and 0.882, and specificities of 0.930 and 0.974. Calibration curves indicated strong concordance between predicted and actual DOR probabilities, and DCA showed greater net benefit across threshold probabilities.

conclusionThe nomogram integrating transvaginal three-dimensional ultrasound parameters and clinical indicators demonstrates excellent predictive accuracy for assessing DOR risk in reproductive-aged women with HT, providing a practical, visualized tool for personalized risk evaluation and reproductive health management.

Indexed as

Hashimoto DiseaseOvarian ReserveAdultCross-Sectional StudiesFemaleHumansImaging, Three-DimensionalNomogramsOvaryProspective StudiesRisk FactorsUltrasonographyDiminished ovarian reserveHashimoto’s thyroiditisNomogram modelTransvaginal three-dimensional ultrasound

Identifiers

PMID42380901
PMCPMC13584269

What Socratic holds

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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.