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Machine learning-based prediction of central lymph node metastasis in unifocal papillary thyroid microcarcinoma.

Future oncology (London, England) 2026 Vol.22(3) p. 371-382

Dai X, Zhou X, Ruan Y, Wang Z, Chen P, Wang D

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[OBJECTIVE] This study aims to develop a machine learning (ML) model to predict the risk of central lymph node metastasis (CLNM) in patients with papillary thyroid microcarcinoma (PTMC) using a combin

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BibTeX ↓ RIS ↓
APA Dai X, Zhou X, et al. (2026). Machine learning-based prediction of central lymph node metastasis in unifocal papillary thyroid microcarcinoma.. Future oncology (London, England), 22(3), 371-382. https://doi.org/10.1080/14796694.2026.2619126
MLA Dai X, et al.. "Machine learning-based prediction of central lymph node metastasis in unifocal papillary thyroid microcarcinoma.." Future oncology (London, England), vol. 22, no. 3, 2026, pp. 371-382.
PMID 41567100

Abstract

[OBJECTIVE] This study aims to develop a machine learning (ML) model to predict the risk of central lymph node metastasis (CLNM) in patients with papillary thyroid microcarcinoma (PTMC) using a combination of clinical and ultrasound features.

[METHODS] Multiple ML models were integrated, with least absolute shrinkage and selection operator regression applied for feature selection and a LightGBM model optimized for prediction. Clinical and ultrasound features were used to construct the predictive model.

[RESULTS] The model demonstrated high predictive accuracy in the validation cohort, with an area under the curve of 0.87. Key features associated with CLNM risk included tumor size, extrathyroidal extension and vascularization.

[CONCLUSIONS] The ML model showed strong potential for predicting CLNM in PTMC, and interpretability analysis enhanced model transparency. These findings provide valuable support for personalized treatment strategies in clinical practice.

MeSH Terms

Humans; Machine Learning; Thyroid Neoplasms; Lymphatic Metastasis; Female; Middle Aged; Carcinoma, Papillary; Male; Adult; Ultrasonography; Lymph Nodes; Prognosis; Aged

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