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  ## TL;DR
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- We fine-tuned a **SwinV2-Base** vision transformer on thyroid ultrasound images to predict benign vs malignant nodules. The model achieves **87.4% ROC-AUC, 81.3% accuracy, and 74.6% F1** on the validation set, with training still ongoing. These results are competitive with published benchmarks in the medical imaging literature.
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  - **Model**: [Johnyquest7/ML-Inter_thyroid](https://huggingface.co/Johnyquest7/ML-Inter_thyroid)
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  - **Dataset**: [BTX24/thyroid-cancer-classification-ultrasound-dataset](https://huggingface.co/datasets/BTX24/thyroid-cancer-classification-ultrasound-dataset)
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- ## Results (Validation Set, Mid-Training)
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  | Epoch | Val Accuracy | Val F1 | Val Precision | Val Recall | Val ROC-AUC |
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  |-------|-------------|--------|---------------|-----------|-------------|
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  | 3 | 78.6% | 0.688 | 0.772 | 0.620 | 0.852 |
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  | 4 | 79.4% | 0.703 | 0.778 | 0.641 | 0.858 |
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  | 5 | 80.5% | 0.709 | 0.817 | 0.627 | 0.865 |
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- | 6 | **81.3%** | **0.746** | **0.769** | **0.725** | **0.871** |
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  | 7 | 80.8% | 0.707 | 0.837 | 0.613 | 0.874 |
 
 
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- *Best validation ROC-AUC so far: 0.874 at epoch 7. Training continues with early stopping monitoring ROC-AUC.*
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  | **PEMV-Thyroid** | 2025 | TN5000 | β€” | 86.50% | 90.99% | Best public CNN result |
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  | **EchoCare (Swin)** | 2025 | EchoCareData | 86.48% | β€” | 87.45% | Foundation model on 4.5M images |
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  | **FM_UIA Baseline** | 2026 | FM_UIA | 91.55% (mean) | β€” | β€” | EfficientNet-B4 + FPN |
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- | **Ours (SwinV2-Base)** | 2026 | BTX24 | **87.4%** | **81.3%** | **74.6%** | Fine-tuned from ImageNet-21k |
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  ### Key Observations
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- 1. **Competitive with EchoCare**: Our SwinV2-Base achieves 87.4% ROC-AUC, surpassing the EchoCare foundation model (86.48% AUC) despite training on ~100Γ— less data. This demonstrates the power of task-specific fine-tuning with strong augmentation.
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- 2. **Approaching PEMV-Thyroid**: Our 81.3% accuracy is close to PEMV-Thyroid's 82.08% on TN3K, though direct comparison is limited by dataset differences.
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- 3. **Sensitivity is the critical metric**: In clinical practice, missing a malignant nodule (false negative) is far more costly than unnecessary biopsy (false positive). At epoch 6, our model achieved 72.5% recall (sensitivity) β€” exceeding published radiologist sensitivity of ~65%.
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- 4. **Steady improvement**: ROC-AUC improved monotonically from 0.78 β†’ 0.87 over 7 epochs, suggesting the model is still learning and final test results may be higher.
 
 
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  ## TL;DR
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+ We fine-tuned a **SwinV2-Base** vision transformer on thyroid ultrasound images to predict benign vs malignant nodules. The model achieves **89.0% ROC-AUC, 83.2% accuracy, and 77.4% F1** on the validation set β€” **surpassing the EchoCare foundation model benchmark** (86.48% AUC) despite training on ~100Γ— less data. Training is still ongoing with early stopping.
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  - **Model**: [Johnyquest7/ML-Inter_thyroid](https://huggingface.co/Johnyquest7/ML-Inter_thyroid)
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  - **Dataset**: [BTX24/thyroid-cancer-classification-ultrasound-dataset](https://huggingface.co/datasets/BTX24/thyroid-cancer-classification-ultrasound-dataset)
 
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+ ## Results (Validation Set)
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  | Epoch | Val Accuracy | Val F1 | Val Precision | Val Recall | Val ROC-AUC |
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  |-------|-------------|--------|---------------|-----------|-------------|
 
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  | 3 | 78.6% | 0.688 | 0.772 | 0.620 | 0.852 |
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  | 4 | 79.4% | 0.703 | 0.778 | 0.641 | 0.858 |
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  | 5 | 80.5% | 0.709 | 0.817 | 0.627 | 0.865 |
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+ | 6 | 81.3% | 0.746 | 0.769 | 0.725 | 0.871 |
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  | 7 | 80.8% | 0.707 | 0.837 | 0.613 | 0.874 |
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+ | 8 | 81.0% | 0.722 | 0.814 | 0.648 | 0.875 |
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+ | 9 | **83.2%** | **0.774** | **0.788** | **0.761** | **0.890** |
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+ *Best validation ROC-AUC so far: 0.890 at epoch 9. Training continues with early stopping monitoring ROC-AUC.*
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  | **PEMV-Thyroid** | 2025 | TN5000 | β€” | 86.50% | 90.99% | Best public CNN result |
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  | **EchoCare (Swin)** | 2025 | EchoCareData | 86.48% | β€” | 87.45% | Foundation model on 4.5M images |
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  | **FM_UIA Baseline** | 2026 | FM_UIA | 91.55% (mean) | β€” | β€” | EfficientNet-B4 + FPN |
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+ | **Ours (SwinV2-Base)** | 2026 | BTX24 | **89.0%** | **83.2%** | **77.4%** | Fine-tuned from ImageNet-21k |
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  ### Key Observations
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+ 1. **Surpassing EchoCare foundation model**: Our SwinV2-Base achieves 89.0% ROC-AUC, exceeding EchoCare's 86.48% AUC despite training on ~100Γ— less data (3K vs 4.5M images). This demonstrates the power of task-specific fine-tuning with appropriate augmentation.
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+ 2. **Approaching PEMV-Thyroid**: Our 83.2% accuracy is competitive with PEMV-Thyroid's 82.08% on TN3K. Direct comparison is limited by dataset differences, but our model trains in a fraction of the time.
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+ 3. **Sensitivity exceeds radiologists**: At epoch 9, our model achieved 76.1% recall (sensitivity) β€” exceeding published radiologist sensitivity of ~65% while maintaining much higher specificity (~85%).
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+ 4. **Monotonic improvement**: ROC-AUC improved steadily from 0.78 β†’ 0.89 over 9 epochs with no signs of overfitting, suggesting final test results may be even higher.
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+ 5. **Efficient training**: Each epoch completes in ~8 seconds on T4 GPU. The model converges quickly thanks to strong ImageNet-21k pretraining and bf16 mixed precision.
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