The non-invasive thyroid ultrasound AI detection system has become one of the best auxiliary tools for clinicians. (file photo)
[Reporter Wu Liangyi/Taipei Report]A 70-year-old grandmother Lin was found to have a thyroid nodule eight years ago. She requires a puncture examination every year when she returns to the clinic. Recently, the doctor joined the thyroid ultrasound AI system to assist her. She no longer insists on puncturing, saves the trouble of needle sticking and anxiety every year.
May 25th is World Thyroid Day every year, and the medical community hopes to raise the outside world’s understanding of thyroid health and the latest diagnosis and treatment technology. According to the latest cancer registration report of the Ministry of Health and Welfare in 108, thyroid cancer ranks 8th among the top ten cancers.
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Dr. Cai Minghan, director of the Department of Endocrinology and Metabolism at Minsheng Hospital, said that the prevalence of thyroid nodules is not low, but because most of them are asymptomatic, they are mostly discovered during health checks.
The prevalence rate of thyroid nodules in health check-up units in my country is mostly 30% to 50%; a recent large-scale study in China observed health check data of about 7 million people and found that the prevalence rate of nodules was 36.9%, with a prevalence rate of 29.9% in men and 29.9% in women. 45.2%. In addition to women being higher than men, older age and higher weight are also at a relatively higher risk.
The probability of malignancy of thyroid nodules is about 5%, so people don’t need to panic too much. Cai Minghan suggested that the examination can be added during the first health check, and follow up according to the doctor’s order. Features such as low echo, irregular edges, micro-calcification, height greater than width, etc., have a high probability of malignancy, and puncture or biopsy will be performed depending on the situation.
The international medical journal “The Lancet” once pointed out that AI’s deep learning ability is strong enough to be a powerful tool for clinicians to interpret thyroid nodules; Cai Minghan emphasized that the ultrasound AI software uses a large number of ultrasound images and malignant files to carry out in-depth analysis. Learning can assist physicians to make more accurate interpretations and analyze the probability of benign and malignant, which helps to alleviate the anxiety of patients and reduce unnecessary medical waste.
Cai Minghan explained that the puncture examination uses a fine needle to extract cells for interpretation, not a complete tissue section, so the accuracy cannot be 100%. In addition, some people are quite afraid of needles. For example, he treated a patient who was very afraid of needles. The blood is quite resistant. After the doctor’s evaluation and ultrasound AI analysis, the nodule as long as 1.8 cm has a high probability of malignancy, so she was advised to undergo surgery directly.
He emphasized that non-invasive thyroid ultrasound AI does indeed provide clinicians and patients with a new weapon option. The results of the interpretation have a low probability of being malignant, so they should continue to observe the results. If the results of the interpretation have a high probability of being malignant, direct surgical treatment is recommended.
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