Research Article

Construction of a Diagnostic Model for Lymph Node Metastasis of the Papillary Thyroid Carcinoma Using Preoperative Ultrasound Features and Imaging Omics

Table 2

Characteristics comparison for the training and testing sets.

VariablesTotal (n = 973)Training set (n = 681)Testing set (n = 292)Statistics

Gender, n (%)
Male207 (21.27)143 (21.00)64 (21.92)χ2 = 0.1030.748
Female766 (78.73)538 (79.00)228 (78.08)

Age, mean ± SD44.74 ± 11.2544.66 ± 11.0544.91 ± 11.70t = −0.320.752
BMI, mean ± SD23.87 ± 3.3923.90 ± 3.4323.82 ± 3.29t = 0.300.763
Carcinoembryonic antigen, M(Q1, Q3)1.34 (0.86, 2.02)1.34 (0.84, 2.02)1.33 (0.89, 2.05)Z = 0.0670.947
The free triiodide, M(Q1, Q3)5.10 (4.60, 5.50)5.10 (4.60, 5.50)5.00 (4.60, 5.50)Z = −0.2010.841
Free thyroxine, mean ± SD18.61 ± 5.0318.58 ± 4.8018.67 ± 5.55t = −0.240.812
T stimulating hormone, M(Q1, Q3)1.91 (1.11, 3.19)1.94 (1.15, 3.25)1.78 (1.06, 2.99)Z = −1.3740.169
T globulin antibody, M(Q1, Q3)20.92 (12.98, 78.98)20.92 (13.04, 83.68)19.11(12.27, 73.34)Z = −0.9820.326
Part, n (%)
Ru105 (10.79)73 (10.72)32 (10.96)χ2 = 6.0650.416
Right middle school266 (27.34)199 (29.22)67 (22.95)
Lower right148 (15.21)101 (14.83)47 (16.10)
Left73 (7.50)47 (6.90)26 (8.90)
Left middle school237 (24.36)167 (24.52)70 (23.97)
The lower left100 (10.28)64 (9.40)36 (12.33)
Isthmus44 (4.52)30 (4.41)14 (4.79)

Max diameter of nodule, M(Q1, Q3)0.80 (0.54, 1.20)0.80(0.53, 1.20)0.80(0.57, 1.31)Z = 0.8670.386
Form, n (%)
Rules95 (9.76)64 (9.40)31 (10.62)χ2 = 1.3270.515
Under-rule318 (32.68)217 (31.86)101 (34.59)
Irregular560 (57.55)400 (58.74)160 (54.79)

Boundary, n (%)
Clear170 (17.47)113 (16.59)57 (19.52)χ2 = 1.2260.542
Lack of clarity368 (37.82)261 (38.33)107 (36.64)
Unclear or vague435 (44.71)307 (45.08)128 (43.84)

Aspect ratio, n (%)
≤1415 (42.65)282 (41.41)133 (45.55)χ2 = 1.4310.232
>1558 (57.35)399 (58.59)159 (54.45)

Composition, n (%)
Cystic or almost totally cystic1 (0.10)1 (0.15)0 (0.00)Fisher1.000
Capsule solidity19 (1.95)13 (1.91)6 (2.05)
Real or almost all real953 (97.94)667 (97.94)286 (97.95)

Echo, n (%)
Isoechoic or hyperechoic5 (0.51)3 (0.44)2 (0.68)Fisher0.898
Low echo926 (95.17)649 (95.30)277 (94.86)
Extremely low echo21 (2.16)14 (2.06)7 (2.40)
Mixed echo21 (2.16)15 (2.20)6 (2.05)

Calcification, n (%)
No calcification362 (37.20)262 (38.47)100 (34.25)Fisher0.293
Coarse calcification62 (6.37)47 (6.90)15 (5.14)
Eggshell calcification6 (0.62)5 (0.73)1 (0.34)
Microcalcification543 (55.81)367 (53.89)176 (60.27)

Relative coating position, n (%)
Stay away from398 (40.90)286 (42.00)112 (38.36)χ2 = 1.1230.570
Cling485 (49.85)333 (48.90)152 (52.05)
Breakthrough90 (9.25)62 (9.10)28 (9.59)

TI_DS classification, n (%)χ2 = 0.8120.937
LNM transfer, n (%)
No576 (59.20)410 (60.21)166 (56.85)χ2 = 0.9530.329
Yes397 (40.80)271 (39.79)126 (43.15)

T: thyroid; TI_DS: ultrasonic thyroid imaging and data system; LNM: lymph node metastases.