Intelligent Diagnosis of Thyroid Ultrasound Imaging Using an Ensemble of Deep Learning Methods.

Journal: Medicina (Kaunas, Lithuania)
Published Date:

Abstract

: At present, thyroid disorders have a great incidence in the worldwide population, so the development of alternative methods for improving the diagnosis process is necessary. : For this purpose, we developed an ensemble method that fused two deep learning models, one based on convolutional neural network and the other based on transfer learning. For the first model, called 5-CNN, we developed an efficient end-to-end trained model with five convolutional layers, while for the second model, the pre-trained VGG-19 architecture was repurposed, optimized and trained. We trained and validated our models using a dataset of ultrasound images consisting of four types of thyroidal images: autoimmune, nodular, micro-nodular, and normal. : Excellent results were obtained by the ensemble CNN-VGG method, which outperformed the 5-CNN and VGG-19 models: 97.35% for the overall test accuracy with an overall specificity of 98.43%, sensitivity of 95.75%, positive and negative predictive value of 95.41%, and 98.05%. The micro average areas under each receiver operating characteristic curves was 0.96. The results were also validated by two physicians: an endocrinologist and a pediatrician. We proposed a new deep learning study for classifying ultrasound thyroidal images to assist physicians in the diagnosis process.

Authors

  • Corina Maria Vasile
    PhD School Department, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Anca Loredana Udristoiu
    Faculty of Automation, Computers and Electronics, University of Craiova, Craiova, Romania. . anca_soimu@yahoo.com.
  • Alice Elena Ghenea
    Department of Bacteriology-Virology-Parasitology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Mihaela Popescu
    Department of Endocrinology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Cristian Gheonea
    Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Carmen Elena Niculescu
    Department of Pediatrics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Anca Marilena Ungureanu
    Department of Bacteriology-Virology-Parasitology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Ștefan Udriștoiu
    Faculty of Automation, Computers and Electronics, University of Craiova, 200776 Craiova, Romania.
  • Andrei Ioan Drocaş
    Department of Urology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
  • Lucian Gheorghe Gruionu
    Faculty of Mechanics, University of Craiova, Craiova, Romania. lgruionu@yahoo.com.
  • Gabriel Gruionu
    Faculty of Mechanics, University of Craiova, Craiova, Romania. gruionu@gmail.com.
  • Andreea Valentina Iacob
    Faculty of Automation, Computers and Electronics, University of Craiova, Craiova, Romania. andr33a_soimu@yahoo.com.
  • Dragoş Ovidiu Alexandru
    Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.