Artificial intelligence in thyroid field : a comprehensive review
Bini, FabianoDepartment of Mechanical and Aerospace Engineering, Sapienza-University of Rome, Rome, Italy
Pica, AndradaDepartment of Mechanical and Aerospace Engineering, Sapienza-University of Rome, Rome, Italy
Azzimonti, LauraIstituto Dalle Molle di studi sull'intelligenza artificiale (IDSIA), Facoltà di scienze informatiche, Università della Svizzera italiana, Svizzera
Giusti, AlessandroIstituto Dalle Molle di studi sull'intelligenza artificiale (IDSIA), Facoltà di scienze informatiche, Università della Svizzera italiana, Svizzera
Ruinelli, LorenzoInformation and Communications Technology, Ente Ospedaliero Cantonale, Bellinzona, Switzerland - Clinical Trial Unit, Ente Ospedaliero Cantonale, Bellinzona, Switzerland
Marinozzi, FrancoDepartment of Mechanical and Aerospace Engineering, Sapienza-University of Rome, Rome, Italy
Trimboli, PierpaoloServizio di Endocrinologia e Diabetologia, Ospedale Regionale di Lugano e Mendrisio, Ente Ospedaliero Cantonale, Lugano, Switzerland - Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
English
Artificial intelligence (AI) uses mathematical algorithms to perform tasks that require human cognitive abilities. AI-based methodologies, e.g., machine learning and deep learning, as well as the recently developed research field of radiomics have noticeable potential to transform medical diagnostics. AI-based techniques applied to medical imaging allow to detect biological abnormalities, to diagnostic neoplasms or to predict the response to treatment. Nonetheless, the diagnostic accuracy of these methods is still a matter of debate. In this article, we first illustrate the key concepts and workflow characteristics of machine learning, deep learning and radiomics. We outline considerations regarding data input requirements, differences among these methodologies and their limitations. Subsequently, a concise overview is presented regarding the application of AI methods to the evaluation of thyroid images. We developed a critical discussion concerning limits and open challenges that should be addressed before the translation of AI techniques to the broad clinical use. Clarification of the pitfalls of AI-based techniques results crucial in order to ensure the optimal application for each patient.