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      Thyroid Nodules Classification using Weighted Average Ensemble and D-CRITIC Based TOPSIS Methods for Ultrasound Images

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          Abstract

          Background

          Thyroid disorders are prevalent worldwide and impact many people. The abnormal growth of cells in the thyroid gland region is very common and even found in healthy people. These abnormal cells can be cancerous or non-cancerous, so early detection of this disease is the only solution for minimizing the death rate or maximizing a patient's survival rate. Traditional techniques to detect cancerous nodules are complex and time-consuming; hence, several imaging algorithms are used to detect the malignant status of thyroid nodules timely.

          Aim

          This research aims to develop computer-aided diagnosis tools for malignant thyroid nodule detection using ultrasound images. This tool will be helpful for doctors and radiologists in the rapid detection of thyroid cancer at its early stages. The individual machine learning models are inferior to medical datasets because the size of medical image datasets is tiny, and there is a vast class imbalance problem. These problems lead to overfitting; hence, accuracy is very poor on the test dataset.

          Objective

          This research proposes ensemble learning models that achieve higher accuracy than individual models. The objective is to design different ensemble models and then utilize benchmarking techniques to select the best model among all trained models.

          Methods

          This research investigates four recently developed image transformer and mixer models for thyroid detection. The weighted average ensemble models are introduced, and model weights are optimized using the hunger games search (HGS) optimization algorithm. The recently developed distance correlation CRITIC (D-CRITIC) based TOPSIS method is utilized to rank the models.

          Results

          Based on the TOPSIS score, the best model for an 80:20 split is the gMLP + ViT model, which achieved an accuracy of 89.70%, whereas using a 70:30 data split, the gMLP + FNet + Mixer-MLP has achieved the highest accuracy of 82.18% on the publicly available thyroid dataset.

          Conclusion

          This study shows that the proposed ensemble models have better thyroid detection capabilities than individual base models for the imbalanced thyroid ultrasound dataset.

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          Most cited references43

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          2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer.

          Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent. Since the American Thyroid Association's (ATA's) guidelines for the management of these disorders were revised in 2009, significant scientific advances have occurred in the field. The aim of these guidelines is to inform clinicians, patients, researchers, and health policy makers on published evidence relating to the diagnosis and management of thyroid nodules and differentiated thyroid cancer.
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            An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale

            While the Transformer architecture has become the de-facto standard for natural language processing tasks, its applications to computer vision remain limited. In vision, attention is either applied in conjunction with convolutional networks, or used to replace certain components of convolutional networks while keeping their overall structure in place. We show that this reliance on CNNs is not necessary and a pure transformer applied directly to sequences of image patches can perform very well on image classification tasks. When pre-trained on large amounts of data and transferred to multiple mid-sized or small image recognition benchmarks (ImageNet, CIFAR-100, VTAB, etc.), Vision Transformer (ViT) attains excellent results compared to state-of-the-art convolutional networks while requiring substantially fewer computational resources to train. Fine-tuning code and pre-trained models are available at https://github.com/google-research/vision_transformer. ICLR camera-ready version with 2 small modifications: 1) Added a discussion of CLS vs GAP classifier in the appendix, 2) Fixed an error in exaFLOPs computation in Figure 5 and Table 6 (relative performance of models is basically not affected)
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              Hunger games search: Visions, conception, implementation, deep analysis, perspectives, and towards performance shifts

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                Author and article information

                Journal
                CMIR
                Curr Med Imaging
                Current Medical Imaging
                Curr. Med. Imaging
                Bentham Science Publishers
                1573-4056
                1875-6603
                06 June 2024
                2024
                : 20
                : E050423215446
                Affiliations
                [1 ] deptDepartment of Electronics and Communication Engineering , National Institute of Technology Durgapur , West Bengal, , India, ;
                [2 ] deptDepartment of Electronics and Telecommunication , C. V. Raman Global University , Bhubaneswar, , Orissa, , India;
                [3 ] Department of Dental Surgery , District Hospital, Firozabad, Uttar Pradesh, , India,
                Author notes
                [* ]Address correspondence to this author at the Department of Electronics and Communication Engineering, National Institute of Technology Durgapur, West Bengal, India; E-mail: rohithmr.21791@ 123456gmail.com
                Article
                CMIR-20-E050423215446
                10.2174/1573405620666230405085358
                5ff0f699-4946-4ed3-837a-2c6b793aa2d0
                © 2024 The Author(s). Published by Bentham Open.

                This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 11 October 2022
                : 12 January 2023
                : 27 February 2023
                Categories
                Medicine, Imaging, Radiology, Nuclear Medicine

                Medicine,Chemistry,Life sciences
                Thyroid nodule,Vision transformer,Cancerous,Ultrasound images,TOPSIS,Distance correlation,Hunger games search

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