Department of Breast and Thyroid Surgery, Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi, 830017, Xinjiang, China.
The Clinical Medical Research Center of Breast and Thyroid Tumor in Xinjiang, Urumqi, 830017, Xinjiang, China.
Sci Rep. 2024 Nov 25;14(1):29125. doi: 10.1038/s41598-024-80590-0.
The diagnosis of cervical lymph node metastasis from thyroid cancer is an essential stage in the progression of thyroid cancer. The metastasis of cervical lymph nodes directly affects the prognosis and survival rate of patients. Therefore, timely and early diagnosis is crucial for effective treatment and can significantly improve patients' survival rate and quality of life. Traditional diagnostic methods, such as ultrasonography and radionuclide scanning, have limitations, such as complex operations and high missed diagnosis rates. Raman spectroscopy and FTIR spectroscopy can well reflect the molecular information of samples, have characteristics such as sensitivity and specificity, and are simple to operate. They have been widely used in clinical research in recent years. With the development of intelligent medical diagnosis technology, medical data shows a multi-modal trend. Compared with single-modal data, multi-modal data fusion can achieve complementary information, provide more comprehensive and valuable diagnostic information, significantly enhance the richness of data features, and improve the modeling effect of the model, helping to achieve better results. Accurate disease diagnosis. Existing research mostly uses cascade processing, ignoring the important correlations between multi-modal data, and at the same time not making full use of the intra-modal relationships that are also beneficial to prediction. We developed a new multi-modal separation cross-fusion network (MSCNet) based on deep learning technology. This network fully captures the complementary information between and within modalities through the feature separation module and feature cross-fusion module and effectively integrates Raman spectrum and FTIR spectrum data to diagnose thyroid cancer cervical lymph node metastasis accurately. The test results on the serum vibrational spectrum data set of 99 cases of cervical lymph node metastasis showed that the accuracy and AUC of a single Raman spectrum reached 63.63% and 63.78% respectively, and the accuracy and AUC of a single FTIR spectrum reached 95.84% respectively and 96%. The accuracy and AUC of Raman spectroscopy combined with FTIR spectroscopy reached 97.95% and 98% respectively, which is better than existing diagnostic technology. The omics correlation verification obtained correlation pairs of 5 Raman frequency shifts and 84 infrared spectral bands. This study provides new ideas and methods for the early diagnosis of cervical lymph node metastasis of thyroid cancer.
甲状腺癌颈部淋巴结转移的诊断是甲状腺癌进展过程中的一个重要阶段。颈部淋巴结转移直接影响患者的预后和生存率。因此,及时、早期诊断对于有效治疗至关重要,可显著提高患者的生存率和生活质量。传统的诊断方法,如超声和放射性核素扫描,存在操作复杂、漏诊率高等局限性。拉曼光谱和傅里叶变换红外光谱(FTIR)能够很好地反映样本的分子信息,具有灵敏度高、特异性好等特点,且操作简单,近年来在临床研究中得到了广泛应用。随着智能医疗诊断技术的发展,医学数据呈现出多模态化的趋势。与单模态数据相比,多模态数据融合可以实现信息互补,提供更全面、更有价值的诊断信息,显著增强数据特征的丰富度,提高模型的建模效果,有助于实现更准确的疾病诊断。现有的研究大多采用级联处理,忽略了多模态数据之间的重要相关性,同时也没有充分利用模态内的关系,而这些关系对于预测也同样有益。我们基于深度学习技术开发了一种新的多模态分离交叉融合网络(MSCNet)。该网络通过特征分离模块和特征交叉融合模块充分捕捉模态间和模态内的互补信息,有效融合拉曼光谱和 FTIR 光谱数据,准确诊断甲状腺癌颈部淋巴结转移。在 99 例颈部淋巴结转移的血清振动光谱数据集上的测试结果表明,单一拉曼光谱的准确率和 AUC 分别达到 63.63%和 63.78%,单一 FTIR 光谱的准确率和 AUC 分别达到 95.84%和 96%。拉曼光谱与 FTIR 光谱相结合的准确率和 AUC 分别达到 97.95%和 98%,优于现有诊断技术。组学相关性验证获得了 5 个拉曼频移和 84 个红外光谱带的相关对。本研究为甲状腺癌颈部淋巴结转移的早期诊断提供了新的思路和方法。