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blog_post.md
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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 **
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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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| 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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| 7 | 80.8% | 0.707 | 0.837 | 0.613 | 0.874 |
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*Best validation ROC-AUC so far: 0.
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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 | **
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### Key Observations
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1. **
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2. **Approaching PEMV-Thyroid**: Our
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3. **Sensitivity
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4. **
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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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---
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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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