摘要：This study aimed to analyze the application of the diagnostic model based on deep learning technology in the evaluation of thyroid contrast-enhanced ultrasound images and to provide a reference for the evaluation of benign and malignant thyroid. A diagnosis model of ultrasound images based on long- and short-term memory neural network (LSTM), C-LSTM, was proposed. The diagnostic method was compared with that based on support vector machine (SVM) and manual feature (MF), and it was applied to the diagnosis of thyroid contrast-enhanced ultrasound images. The results showed that the sensitivity, specificity, and accuracy of the C-LSTM model were greatly higher than those of SVM and MF, and the differences were considerable (P<0.05). The number of parameters and the calculation amount of the C-LSTM model were greatly lower than those of SVM- and MF-based diagnosis methods (P<0.05). The sensitivity, specificity, and accuracy of the C-LSTM model were greatly greater than those of the C-LSTM-0 model, while the amounts of parameters and calculations were greatly lesser than those of the C-LSTM-0 model (P<0.05). The numbers of benign tumors with contrast-enhanced ultrasound modes of no enhancement, no enhancement at early stage, and low enhancement were more than those of malignant tumors, while the numbers of high-enhancement tumors were greatly less than those of malignant tumors (P<0.05). The diagnostic area under the curve (AUC) of rise time (RT) ratio, time to peak (TTP) ratio, and mean transit time (mTT) ratio for malignant masses were large, which were 0.856, 0.794, and 0.761, respectively. RT ratio, TTP ratio, and mTT ratio were of high diagnostic sensitivity and specificity for malignant masses, while RT, TTP, and mTT were of low diagnostic sensitivity and specificity. In summary, the contrast-enhanced ultrasound images based on the deep learning C-LSTM model can effectively improve the diagnostic effect of benign and malignant thyroid masses. The image feature parameters RT ratio, TTP ratio, and mTT ratio were of good efficiency in diagnosing benign and malignant thyroid masses.
