临床外科杂志 ›› 2026, Vol. 34 ›› Issue (3): 253-257.doi: 10.3969/j.issn.1005-6483.20260081

• 专家笔谈 • 上一篇    下一篇

人工智能在甲状腺及颈部淋巴结超声诊断中的应用:现状、挑战与展望

张帆 殷素鹏 杨泽宇   

  1. 401121 重庆,重庆市人民医院(重庆大学附属人民医院)乳腺甲状腺外科
  • 收稿日期:2026-01-27 出版日期:2026-05-08 发布日期:2026-05-08
  • 通讯作者: 张帆,Email:zhangfancgh@163.com
  • 基金资助:
    重庆市医学领军人才项目(YXLJ2025015);重庆市科卫联合医学科研项目面上项目(2026MSXM123)

Artificial intelligence in ultrasonographic diagnosis of thyroid and cervical lymph nodes:current status,challenges,and future perspectives

ZHANG Fan,YIN Supeng,YANG Zeyu   

  1. Department of Breast and Thyroid Surgery,Chongqing General Hospital,Chongqing 401121,China
  • Received:2026-01-27 Online:2026-03-20 Published:2026-05-08

摘要: 超声检查是甲状腺结节和颈部淋巴结评估的首选影像学方法,传统诊断依赖医师经验,诊断一致性不高、易受操作者水平影响。人工智能(artificialintelligence,AI)技术,尤其是深度学习在该领域的应用,正推动其向自动化、标准化迈进。AI辅助诊断系统在甲状腺结节良恶性判别中表现突出,准确性已接近或超过高年资医师,部分产品已实现临床应用。但对颈部淋巴结转移的诊断准确性仍有待提升,相关产品尚待开发。此外,AI临床转化仍面临数据局限、模型可解释性不足、人机协作待优化及监管伦理等挑战。未来,本领域将聚焦模型优化、多模态融合及人机协同深化等方向,通过技术的持续发展推动诊疗水平的整体提升。

关键词: 人工智能; 甲状腺结节; 颈部淋巴结; 超声诊断

Abstract: Ultrasonography is the primary imaging modality for evaluating thyroid nodules and cervical lymph nodes.However,traditional diagnostic approaches heavily rely on physician expertise,presenting limitations such as inconsistent results and operator-dependent variability.The application of artificial intelligence(AI),particularly deep learning,in thyroid and cervical lymph node ultrasonography is advancing the field toward automation and standardization.AI-assisted diagnostic systems demonstrate remarkable performance in differentiating benign from malignant thyroid nodules,achieving accuracy comparable to or surpassing that of senior physicians,with some products already implemented in clinical practice.Nevertheless,diagnostic accuracy for cervical lymph node metastasis requires further improvement,and dedicated products remain under development.Additionally,the clinical translation of AI faces challenges including data limitations,insufficient model interpretability,suboptimal human-computer collaboration,and regulatory-ethical concerns.Future directions will focus on model optimization,multimodal integration,and enhanced human-AI collaboration to drive comprehensive advancements in diagnostic and therapeutic standards.

Key words: artificial intelligence; thyroid nodules; cervical lymph nodes; ultrasonographic diagnosis

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