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SQUIRREL SEARCH GRADIENT OPTIMIZED DEEP BELIEF NETWORK CLASSIFIER FOR THYROID DISEASE PREDICTION

Journal of Theoretical and Applied Information Technology

Abstract

Thyroid disease is a range of disorders that affect the thyroid gland, a butterfly-shaped organ located in the neck responsible for producing hormones that regulate metabolism, energy levels, and overall bodily functions. Early detection and management of thyroid disease are crucial, as untreated conditions leads to severe complications, including cardiovascular issues, infertility, and metabolic disorders. Advanced diagnostic methods, including machine learning and deep learning techniques, are increasingly used to improve the accuracy and timeliness of thyroid disease detection, facilitating better treatment outcomes. But, severity of thyroid disease prediction accuracy with minimal time is major challenging issues. In order to improve the accuracy of thyroid disease prediction, a novel Squirrel Search Gradient Optimized Deep Belief Neural Classifier (SSGODBNC) model is developed with minimal time consumption. The proposed Deep Belief Network (DBN) is a fully connected artificial feed-forward deep learning method comprising two visible layers such as the input and output layer and multiple hidden layers for processing the given input. In the layer-by-layer process, the first hidden layer receives weighted input and performs data preprocessing. Then extracting significant features and eliminates the insignificant features from the dataset using the Sparse Autoencoder model. These selected significant features are utilized to classify the severity level of thyroid disease using Sokal–Michener’s simple matching method. During fine-tuning, error back-propagation algorithms adjust the hyperparameters using Squirrel Search Gradient Optimization to increase the accuracy of thyroid disease classification. This optimized fine-tuning process significantly enhances the performance of the deep belief network and improves overall learning efficiency in classification tasks. Finally, the accurate thyroid disease severity prediction results with minimal error are obtained at the output layer. Experimental assessment is conducted with different evaluation metrics such as Accuracy, Precision, Recall, F1-score, specificity and Thyroid disease prediction time. The observed result shows the effectiveness of the proposed SSGODBNC model with higher accuracy in thyroid disease prediction with minimum time than the existing methods.

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Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4268 SQUIRREL SEARCH GRADIENT OPTIMIZED DEEP BELIEF NETWORK CLASSIFIER FOR THYROID DISEASE PREDICTION R.VANITHA1, D .K. PERUMAL2 1 Resea ch Schola , Depa men o Compu e Applica ions, Madu ai Kama aj Uni e si y, Madu ai, India 2 P o esso , Depa men o Compu e Applica ions, Madu ai Kama aj Uni e si y, Madu ai, India E-mail: 1 ani hachezian200[email p o ec ed], 2 pe uma[email p o ec ed]m ABSTRACT Thy oid disease is a ange o diso de s ha a ec he hy oid gland, a bu e ly-shaped o gan loca ed in he neck esponsible o p oducing ho mones ha egula e me abolism, ene gy le els, and o e all bodily unc ions. Ea ly de ec ion and managemen o hy oid disease a e c ucial, as un ea ed condi ions leads o se e e complica ions, including ca dio ascula issues, in e ili y, and me abolic diso de s. Ad anced diagnos ic me hods, including machine lea ning and deep lea ning echniques, a e inc easingly used o imp o e he accu acy and imeliness o hy oid disease de ec ion, acili a ing be e ea men ou comes. Bu , se e i y o hy oid disease p edic ion accu acy wi h minimal ime is majo challenging issues. In o de o imp o e he accu acy o hy oid disease p edic ion, a no el Squi el Sea ch G adien Op imized Deep Belie Neu al Classi ie (SSGODBNC) model is de eloped wi h minimal ime consump ion. The p oposed Deep Belie Ne wo k (DBN) is a ully connec ed a i icial eed- o wa d deep lea ning me hod comp ising wo isible laye s such as he inpu and ou pu laye and mul iple hidden laye s o p ocessing he gi en inpu . In he laye -by-laye p ocess, he i s hidden laye ecei es weigh ed inpu and pe o ms da a p ep ocessing. Then ex ac ing signi ican ea u es and elimina es he insigni ican ea u es om he da ase using he Spa se Au oencode model. These selec ed signi ican ea u es a e u ilized o classi y he se e i y le el o hy oid disease using Sokal–Michene ’s simple ma ching me hod. Du ing ine- uning, e o back-p opaga ion algo i hms adjus he hype pa ame e s using Squi el Sea ch G adien Op imiza ion o inc ease he accu acy o hy oid disease classi ica ion. This op imized ine- uning p ocess signi ican ly enhances he pe o mance o he deep belie ne wo k and imp o es o e all lea ning e iciency in classi ica ion asks. Finally, he accu a e hy oid disease se e i y p edic ion esul s wi h minimal e o a e ob ained a he ou pu laye . Expe imen al assessmen is conduc ed wi h di e en e alua ion me ics such as Accu acy, P ecision, Recall, F1-sco e, speci ici y and Thy oid disease p edic ion ime. The obse ed esul shows he e ec i eness o he p oposed SSGODBNC model wi h highe accu acy in hy oid disease p edic ion wi h minimum ime han he exis ing me hods. Keywo ds: Thy oid Disease P edic ion, Deep Belie Ne wo k, Fine-Tuning, Adap i e G adien Me hod, Squi el Sea ch G adien Op imiza ion, Sokal–Michene ’s Simple Ma ching Me hod. 1. INTRODUCTION Thy oid disease poses a subs an ial heal h isk, nega i ely impac ing an indi idual's quali y o li e while also leading o inc eased medical expenses o diagnosis and ea men . Iden i ying hy oid disease pa icula ly challenging, especially o less expe ienced heal hca e p o essionals, as i s symp oms o en o e lap wi h hose o o he condi ions. Recen ad ancemen s in medical esea ch ha e highligh ed he po en ial o machine lea ning echniques as e ec i e ools o diagnosing diseases. By analyzing pa e ns in clinical da a, machine lea ning models suppo s p ac i ione s in making accu a e and imely diagnoses, he eby imp o ing pa ien ou comes and educing he bu den on heal hca e sys ems. The scopes o he DBNs sugges he po en ial pa h o p edic ing hy oid diseases, wi h he aid o ea ly diagnosis and modi ied ea men . I s con ex ex ends o enhance he accu acy and e iciency in iden i ying di e en hy oid condi ions. The DBNs can be ained o o ecas he en i y pa ien esponses o a ious ea men s, allowing o u he pe sonalized and managemen o hy oid diso de and u ilized o de e mine he medical images such as, X- ays and CT scans o hy oid abno mali ies. I Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4269 classi ies and diagnoses hy oid condi ions based on hy oid scin ig aphy images, o e ing ano he ool o diagnosis. A Dynamic Selec ion Hyb id Model (DSHM) was p oposed in [1] o p edic hy oid disease and imp o e accu acy h ough obus ea u e selec ion. Howe e , he DSHM model equi es highe compu a ional ime o hy oid disease p edic ion. A S acked Ensemble wi h IG ea u e selec ion model was designed in [2] wi h he aiming o enhance hy oid disease de ec ion and educe sc eening ime and cos s conside ing ew clinical a ibu es. Bu i ailed o p edic he se e i y le el o hy oid disease p edic ion. Di e en machine lea ning models we e de eloped in [3] o de ec ing hy oid disease, inco po a ing a di e en ial e olu ion (DE)-based op imiza ion algo i hm o ine- une pa ame e s and minimize e o s. Bu , i did no add ess inc easing he da ase size, limi ing he abili y o u he analyze he pe o mance o deep lea ning models. A gene alized deep lea ning-based decision suppo sys em was p oposed in [4] o imp o e hy oid cance diagnosis and enhance o e all diagnos ic pe o mance. Howe e , challenges ela ed o p ecision and ecalls in hy oid cance de ec ion emain un esol ed. To enhance he pe o mance o p ecision and ecall, a no el andom o es -based sel -s acking classi ie model was de eloped in [5] o e icien hy oid disease de ec ion. Howe e , he ime complexi y o hy oid cance p edic ion emained unadd essed. Va ious machine lea ning app oaches we e de eloped in [6] o p edic ing papilla y hy oid cance . Howe e , deep lea ning models we e no u ilized o enhance he accu acy o cance p edic ion while minimizing ime consump ion. A Quan um Suppo Vec o Machine classi ie model was de eloped in [7] o mo e accu a e classi ica ion o hy oid cance by selec ing signi ican ea u es using he Quan um Pa icle Swa m Op imiza ion me hod. Howe e , i ailed o apply e ec i e ea u e selec ion and classi ica ion algo i hms o imp o e he pe o mance o hy oid disease p edic ion and achie e be e accu acy a es. Se e al machine lea ning echniques we e p oposed in [8] o classi ying hy oid disease p edic ions, which include da a p epa a ion, ea u e selec ion, and hype pa ame e uning. Howe e , hese me hods did no add ess he educ ion o ime complexi y in hy oid disease p edic ion. A obus and e ec i e machine lea ning- based me hod was de eloped in [9] o p edic ing hy oid disease by add essing class imbalance and pe o ming ea u e selec ion. Howe e , a ious ea u e selec ion echniques and obus handling o missing da a we e no adequa ely add essed. A ine- uned Ligh G adien Boos ing Machine (LGBM) model was de eloped in [10] o achie e high accu acy in hy oid disease p edic ion. Howe e , i did no inco po a e deep lea ning models o u he enhance he diagnos ic pe o mance o hy oid disease. Di e en machine lea ning algo i hms we e designed in [11] o p edic hypo hy oidism and hype hy oidism by iden i ying he mos signi ican ea u es o dis inguish hy oid diseases mo e accu a ely. Howe e , i ailed o de elop a mo e e ec i e ea u e selec ion scheme o u he imp o e he esul s. An ensemble lea ning model was de eloped in [12] o au oma ic, eliable, and accu a e hy oid ecogni ion wi h he aim o imp o ing p edic ion accu acy. Howe e , i ailed o cons uc a mul iclass hy oid classi ica ion model. A h ee-s age hyb id classi ie (3SHC) model was de eloped in [13] o disease p edic ion by educing he da ase dimension and pe o ming ea u e selec ion. Bu , he designed classi ie model equi es highe compu a ional esou ces and esul s in inc eased compu a ional cos s. An op imized ex eme g adien boos ing mul iclass classi ie model was in oduced in [14] o classi y pa ien s wi h di e en ypes o hy oid disease. Howe e , sophis ica ed deep lea ning models ha e no been applied o achie e e en mo e accu a e and e ec i e ou comes. The eg esso and classi ie model de eloped in [15] aimed o p edic he occu ence o hypo hy oidism by analyzing he ea u es equi ed o classi ica ion. Howe e , i ailed o op imize he model hype pa ame e s o minimize he s a is ical loss unc ions. 1.1 A No el Con ibu ion o The SSGODBNC Me hod The majo con ibu ions o he SSGODBNC model is lis ed as ollows,  To enhance he accu acy o hy oid disease p edic ion, he SSGODBNC model has been de eloped, inco po a ing p ep ocessing, da a ea u e selec ion, and classi ica ion.  A no el y o deep lea ning model pe o ms da a p ep ocessing and ea u e selec ion in he hidden laye using SSGODBNC model designed in o minimize he aining ime o hy oid disease p edic ion Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4270  A no el me hod o Sokal–Michene ’s simple ma ching echnique is de eloped o analyzing he aining and es ing da a samples and p o ides he mul i class classi ica ion ou come o enhance he accu acy wi h minimum e o .  A no el y o squi el Sea ch Algo i hm is ob ained in ine- uning p ocess o op imize he e o a e and imp o e he accu acy o hy oid disease p edic ion.  Finally, an expe imen al e alua ion is ca ied ou o es ima e he pe o mance o he SSGODBNC model using a ious me ics and compa ing i o o he classi ica ion me hods. 1.2 P oblem S a emen The hy oid disease p edic ion is imp o ing he occu ence o hy oid diso de s and equi e o co ec and ea ly de ec ion o enhance he pa ien esul s and minimum heal hca e cos s. The hy oid disease p edic ion [1] designed o enhance accu acy by obus ea u e selec ion. Bu , he DSHM model was no educing he compu a ional ime. The ea u e selec ion model [2] in oduced wi h imp o ed hy oid disease de ec ion wi h lesse sc eening ime and cos s. Howe e , he se e i y le el o hy oid disease p edic ion was no de e mined. The di e en machine lea ning me hods a e designed in [6] o hy oid cance . Bu , i ailed o imp o e accu acy o cance p edic ion wi h educed ime consump ion. To o e come his issue, he p oposed SSGODBNC model achie ed wi h be e accu acy in hy oid disease p edic ion wi h lesse ime han he exis ing me hods. 1.3 O ganiza ion The pape is s uc u ed as ollows: Sec ion 2 p o ides a e iew o ela ed wo ks in he ield, highligh ing issues. Sec ion 3 in oduces he p oposed SSGODBNC model, o e ing a de ailed explana ion along wi h a diag am o be e unde s anding. Sec ion 4 ou lines he expe imen al se up and p o ides a desc ip ion o he da ase used o e alua ion. In Sec ion 5, he pe o mance o he p oposed model is compa ed wi h exis ing me hods, conside ing a ious pa ame e con igu a ions. Finally, Sec ion 6 p esen s he conclusion. 2. RELATED WORKS A Ligh G adien Boos ing Classi ie model was de eloped in [16] o achie e high pe o mance in hy oid cance diagnosis. Howe e , he designed model ailed o be e ec i ely applied in clinical p ac ice o imp o e i s p edic i e accu acy. A new combina ion o K-Neighbo s (KN) and Random Fo es (RF) classi ie models was de eloped in [17] o he e ec i e iden i ica ion o hy oid synd ome. Howe e , i did no inco po a e mo e ad anced neu al ne wo k-based app oaches o u he enhance he pe o mance sco es o hy oid synd ome de ec ion. An ensemble machine lea ning classi ie model was in oduced in [18] o imp o e classi ica ion pe o mance wi h highe speci ici y. Bu , i ailed o ex end he classi ica ion o hy oid disease using an explainable machine lea ning app oach, which could enhance accu acy, anspa ency, and ou comes. A machine lea ning (ML) in eg a ion was de eloped in [19] by applying mul i-c i e ia decision-making o hy oid p edic ion. Howe e , he ime complexi y o he hy oid p edic ion was highe . A hyb id model combining ensemble s acking and an ad anced ea u e selec ion echnique was de eloped in [20] o enhance he accu acy o hy oid diso de de ec ion. Howe e , he pe o mance o sensi i i y analysis in hy oid diso de de ec ion was no add essed. An in e p e able hy oid ca ego iza ion app oach was in oduced in [21] using explainable AI, achie ing he highes accu acy pe o mance. Howe e , i did no apply a mul iclass classi ica ion app oach. A andom o es model was de eloped in [22] o achie e imp o ed p edic ion pe o mance o hy oid papilla y cance . Howe e , he issue o ime consump ion in p edic ing hy oid papilla y cance emained un esol ed. A machine lea ning app oach was de eloped in [23] o p edic di e en ia ed hy oid cance based on hype pa ame e uning. Howe e , i ailed o explo e hese models on la ge and mo e di e se da ase s o alida e he hy oid cance p edic ion. In [24], machine lea ning algo i hms we e designed o p edic medulla y hy oid ca cinoma. Howe e , op imiza ion and addi ional p edic i e ac o s we e no inco po a ed in o he ca cinoma p edic ion. A con olu ional neu al ne wo k (CNN) p edic ion model was de eloped in [25] wi h he aim o de ec ing papilla y hy oid cance , achie ing high sensi i i y and speci ici y. Bu , an e icien op imiza ion model was no applied o u he enhance he hy oid cance p edic ion. A machine lea ning model using eXplainable A i icial In elligence (XAI) was in oduced in [26] o imp o e hy oid disease p edic ion. Howe e , mul i-label hy oid disease p edic ion emained unadd essed. Risk p edic ion models we e de eloped in [27] wi h he aim o p edic ing he ce ical lymph node in ol emen in papilla y hy oid ca cinoma. Howe e , he models Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4271 ailed o alida e he e icacy o hese p edic ion models. An e icien nomog am model was de eloped in [28] by u ilizing isualized mul ipopula ion da a o accu a ely classi y hy oid ca cinoma. Bu , a deep lea ning classi ie model was no applied o enhance he accu acy o hy oid ca cinoma p edic ion. A bina y logis ic eg ession and Lasso eg ession model was de eloped in [29] o a iable selec ion and isk ac o analysis in hy oid disease p edic ion. Howe e , he e o a e in he isk ac o analysis was no e ec i ely add essed. A no el condi ional gene a i e ad e sa ial ne wo k model was de eloped in [30] wi h he aim o de ec ing hy oid disease by ex ac ing mul i-scale ea u es. Bu , i ailed o pe o m an in-dep h analysis o hy oid disease p edic ion. 3. PROPOSAL METHODOLOGY Thy oid disease is a signi ican cause o mo ali y, highligh ing he impo ance o ea ly diagnosis o mi iga e i s impac . Howe e , exis ing me hods in heal hca e diagnosis ace challenges ega ding pe o mance consis ency and accu a e disease p edic ion wi hin minimal ime. This sec ion in oduces a no el me hodology called SSGODBNC, de eloped o accu a e hy oid disease p edic ion. The wo king me hodology o he SSGODBNC model is di ided in o ou p ima y p ocesses namely da a acquisi ion, da a p ep ocessing, ea u e selec ion, and classi ica ion. Figu e 1 p o ides an o e iew o he en i e wo king p ocess o he SSGODBNC model. Figu e 1: A chi ec u e Diag am o SSGODBNC Model Figu e 1 abo e illus a es he a chi ec u e o he p oposed SSGODBNC model, which aims o achie e accu a e hy oid disease p edic ion in medical da a p ocessing. The SSGODBNC model in eg a es a ious undamen al p ocesses ha wo k collabo a i ely o enhance he p edic ion accu acy and e iciency. These p ocesses include da a p ep ocessing, ea u e selec ion, and e alua ion, each playing a c ucial ole in e ining he da ase and imp o ing he pe o mance o he disease p edic ion model. Th ough applying op imiza ion, he model p o ides he be e p edic ion esul s. In he ollowing subsec ions, each o hese p ocesses is explained in de ail, highligh ing hei signi icance in he o e all amewo k o he p oposed model. 3.1 Da a Acquisi ion Da a acquisi ion is he c ucial s ep in he SSGODBNC model ha in ol es ga he ing ele an and eliable da a om he heal hca e da abases namely Thy oid disease da ase ex ac ed om h ps://www.kaggle.com/da ase s/emmanuel we / hy oid-disease-da a. This s ep ensu es ha su icien in o ma ion is a ailable o ain and alida e he model e ec i ely. In he con ex o hy oid disease p edic ion, da a acquisi ion ocuses on collec ing pa ien - ela ed in o ma ion, including clinical ea u es, es esul s, and demog aphic de ails, o c ea e a comp ehensi e da ase o u he p ocessing. Accu a e and high-quali y da a acquisi ion plays a i al ole in enhancing he eliabili y and pe o mance o he p oposed SSGODBNC model. The da ase includes 9172 ins ances o eco ds o da a samples and 31 a ibu es o ea u es o accu a e hy oid disease p edic ion. The 31 a ibu es a e lis ed as ollows, age o he pa ien , sex o pa ien , on_ hy oxine, que y on hy oxine, on an i hy oid meds, sick, p egnan , hy oid_su ge y, I131_ ea men , que y_hypo hy oid, que y_hype hy oid, li hium, goi e , umo , hypopi ui a y, psych, TSH_measu ed, TSH, T3_measu ed, T3 le el in blood om lab wo k ( loa ), TT4_measu ed in he blood, TT4 le el in blood, T4U_measu ed in he blood, T4U le el in blood, FTI_measu ed , FTI le el in blood, TBG_measu ed , TBG, e e al_sou ce, a ge , pa ien _id Le us conside he da ase ‘𝐷𝑆’ and samples as well as ea u es a e a anged in he o m o ma ix. The e o e, he inpu ma ix is o mula ed as gi en below, Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4272 𝐼𝑀 = ⎣ ⎢ ⎢ ⎢ ⎡ 𝐹𝐹… 𝐹 𝑆 𝑆 … 𝑆 𝑆 𝑆 … 𝑆 ⋮ ⋮ … ⋮ 𝑆 𝑆 … 𝑆 ⎦ ⎥ ⎥ ⎥ ⎤ (1) Whe e, 𝐼𝑀 indica es an inpu ma ix, each column indica es a numbe o ea u es𝐹 = {𝐹,𝐹,…,𝐹}, each ow indica es a numbe o samples o ins ances o eco ds ‘𝑆 = {𝑆,𝑆,…,𝑆}’ espec i ely. 3.2 P oposed Deep Belie Neu al Ne wo k The SSGODBNC model employs a Deep Belie Ne wo k (DBN), a specialized deep lea ning model designed o enhance he accu acy o hy oid diseases de ec ion while educing p ocessing ime. This app oach imp o es he ea u e selec ion and classi ica ion, especially o handling he la ge olume o sequen ial da a. A DBN a chi ec u e consis s o mul iple laye s o Res ic ed Bol zmann Machines (RBMs) a anged hie a chically, unc ioning as a gene a i e model. This laye ed a chi ec u e minimized he compu a ional complexi y while handling he la ge olume o da a samples. Addi ionally, he p oposed deep lea ning a chi ec u e e ec i ely minimizes e o s du ing aining, leading o imp o ed o e all pe o mance in he hy oid diseases p edic ion. Figu e 2 depic s he a chi ec u e o a Deep Belie Ne wo k o accu a e hy oid disease p edic ion. The lea ning p ocess is di ided in o wo p ima y p ocesses namely laye -by-laye aining and ine- uning. Du ing he laye -by-laye aining phase, each laye o he Deep Belie Ne wo k p ocesses weigh ed inpu da a samples and ans e ed in o he nex laye . In he ine- uning phase, e o back p opaga ion is Figu e 2 : Cons uc ion o Deep Belie Ne wo k employed o adjus he ne wo k’s hype pa ame e s, by applying a Squi el Sea ch G adien Op imiza ion me hod o enhanced pe o mance. In he laye -by-laye app oach, Deep Belie Ne wo ks u ilizes he Res ic ed Bol zmann Machines (RBMs), which a e s ochas ic neu al ne wo ks. Res ic ed Bol zmann Machines (RBMs) a e a ype o s ochas ic neu al ne wo k used o unsupe ised lea ning, pa icula ly in ea u e ex ac ion and dimensionali y educ ion asks. An RBM consis s o wo laye s such as a isible laye and a hidden laye . The isible laye ep esen s he inpu da a samples, while he hidden laye p ocesses he da a samples. The ou pu gene a ed by one RBM se es as he inpu o he isible laye o he nex RBM, as illus a ed in Figu e 2. As exposed in he igu e 2, he DBNs consis o aining se {𝑆,𝑌} whe e 𝑆 deno es a inpu da a samples 𝑆={𝑆,𝑆,𝑆,…𝑆}’ collec ed om he da ase and a label o ou pu ‘𝑌’ ep esen ing i s ca ego y which belongs o he di e en classes(𝑌∈ 1,2,3…𝑘). The inpu da a samples is associa ed o a weigh ‘ 𝜗,𝜗,…,𝜗’ and added wi h bias ‘𝐵’. The p obabili y o he neu on ac i a ion in he isible laye is gi en below, 𝑃 = 𝐹∑𝑆   ⬚∗𝜗+𝐵 (2) Whe e, 𝑃 deno es a neu on ac i a ion p obabili y in isible laye , 𝐹 symbolizes a sigmoid ac i a ion unc ion, ‘𝑆’ indica es an inpu pa ien da a samples, 𝜗 ep esen s a weigh s in isible laye 𝐵 indica es a bias o isible laye . I he neu on ac i a ion p obabili y 𝑃 = 1 , hen he inpu da a Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4273 samples a e sen in o he hidden laye . In ha laye , da a p ep ocessing is ca ied ou by signi ican ly imp o e he pe o mance o p edic i e models by add essing issues o missing alues in he gi en da ase . 3.2.1 Da a P ep ocessing Da a p ep ocessing is essen ial o ensu ing ha he machine lea ning model lea ns om high-quali y, s uc u ed, and ele an da ase , leading o mo e eliable and accu a e disease p edic ions. In he p ep ocessing s ep, he p oposed SSGODBNC model add esses he missing da a in he gi en da ase h ough he nea es neighbo impu a ion me hod. The i s s ep in ol es analyzing he da ase o ecognize he dis ibu ion o missing alues. A e ha , he nea es neighbo impu a ion me hod is hen applied o inding he missing alues. The alues o he nea es neighbo s a e a e aged o ill in he missing en ies. The missing da a impu a ion p ocess is exp essed as ollows, 𝑆 =∑   ∑   (3) Whe e, 𝑆 indica es a missing da a alues, 𝑆 deno es an obse ed neighbo ing known da a sample alues a ailable in da ase , 𝛿 designa es a weigh s assigned o he neighbo ing known da a sample alues. A e inding he missing da a, he de e mined alues a e e ined by applying a no maliza ion p ocess. I is used o educe he dimensionali y o he da ase and cap u e he mos signi ican alues ha explain he a iance in he da a. This e inemen p ocess s abilizes he e ec o bo h con inuous and ca ego ical a iables which cap u e he unde lying s uc u e and ela ionships wi hin he da a. In his s ep, he mean o each known alue is compu ed as ollows, 𝜇 =  ∑𝑆   (4) Whe e, 𝜇 deno es a mean o each alue, 𝐾 deno es a numbe o neighbo ing da a samples. A e ha , he no maliza ion me hod is applied o escales da a in o s anda d no mal dis ibu ion. 𝑆 = ()  (5) Whe e,𝑆 deno es a no maliza ion o he espec i e missing alues ‘𝑆’ and 𝜇 deno es a mean, 𝜎 deno es a s anda d de ia ion. The missing alues, impu ed wi h he mean alue o minimize de ia ion, ensu e ha he unde lying s uc u e o he da a is accu a ely e lec ed. Finally, hese impu ed alues e ine he da ase , enhancing he accu acy o disease p edic ion while minimizing ime consump ion. 3.2.2 Fea u e Selec ion A e he p ep ocessing, he ea u e selec ion p ocess is pe o med o educe i s dimensionali y. This s ep in ol es iden i ying and e aining he mos impo an ea u es while disca ding less ele an o edundan ones. By ocusing on he mos in o ma i e a ibu es, ea u e selec ion no only simpli ies he da ase bu also enhances he e iciency and accu acy o subsequen modeling asks. This p ocess ensu es ha he model ope a es on a e ined se o ea u es, educing compu a ional complexi y and imp o ing p edic i e pe o mance. The p oposed SSGODBNC model u ilizes he Con e gen P opaga ed Spa se Au o encode model o selec ing he signi ican ea u es by emo ing he o he ea u es. The Spa se Au o encode is a a ia ion o an au o encode neu al ne wo k ha helps o enhance he lea ning o inpu samples and p o ides he ou pu in e ms o compac and meaning ul ep esen a ion. A Spa se Au o encode pe o ms wo majo p ocesses namely o wa d p opaga ion and backwa d p opaga ion o minimize he dimensionali y o he inpu da ase . The p oposed au o encode model conside he p ep ocessing ou pu ‘𝑃𝑂’ as inpu o ea u e selec ion. Fo wa d p opaga ion is used o ind he mos signi ican ea u e ha maximizes he objec i e unc ion’ 𝐽’ as exp essed as ollows, 𝐹= 𝑎𝑟𝑔𝑚𝑎𝑥 𝐽𝑂𝑢𝑡+ 𝑃𝑂,𝑤ℎ𝑒𝑟𝑒 𝑃𝑂 ∈ 𝑂𝑢𝑡, 𝑃𝑂 ∉ 𝑂𝑢𝑡 (6) Whe e, 𝐹 ea u es selec ion a he o wa d p opaga ion, 𝑎𝑟𝑔𝑚𝑎𝑥 deno es a gumen o maximum unc ion, 𝑂𝑢𝑡 deno es a o wa d p opaga ion o he ea u es combined wi h he p ep ocessing ou pu ‘𝑃𝑂’ du ing he ea u e selec ion p ocess. A e he o wa d p opaga ion iden i ies signi ican ea u es, backwa d p opaga ion is employed o elimina e insigni ican ea u es om he selec ed se . This ensu es ha he ea u e se is e ined o e ain only he mos ele an and impac ul ea u es. Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4274 𝐹= 𝑎𝑟𝑔𝑚𝑎𝑥 𝐽𝑂𝑢𝑡− 𝑃𝑂,𝑤ℎ𝑒𝑟𝑒 𝑃𝑂 ∈ 𝑂𝑢𝑡,𝑃𝑂 ∉ 𝑂𝑢𝑡 (7) 𝐹𝑆 = (𝐹 ,𝐹) (8) Whe e, 𝐹 ea u es elimina ion a he backwa d p opaga ion, 𝑎𝑟𝑔𝑚𝑎𝑥 deno es a gumen o maximum unc ion, 𝑂𝑢𝑡 deno es a backwa d p opaga ion ou pu combined wi h he p ep ocessing ou pu ‘𝑃𝑂’ du ing he ea u e selec ion p ocess, 𝐽 deno es a objec i e unc ion, 𝐹𝑆 indica es a inal dimensionali y ea u e se ou pu which includes he signi ican ea u e selec ion and elimina ion. The p ocess con e ges when he o al numbe o ea u es in he hy oid disease da ase is ully e alua ed (bo h selec ed and elimina ed), ensu ing ha he inal ea u e se ‘𝐹𝑆’ con ains only he mos ele an ea u es. This app oach enhances he model's pe o mance by op imizing he ea u e se h ough i e a i e e inemen . The selec ed signi ican ea u es a e ans e ed in o he hi d hidden laye . 3.2.3 Classi ica ion A e he ea u e ex ac ion phase, he classi ica ion p ocess is pe o med o analyze he ex ac ed ea u es om he aining and es ing da ase s. This phase is c ucial o building and alida ing he p edic i e model. The Sokal– Michene ’s simple ma ching me hod is a s a is ical me hod which applied o analyze he aining and es ing da a samples based on he co ela ion measu e. I is ma hema ically compu ed as ollows, 𝑐𝑜𝑟𝑟 (𝑆,𝑆)= 1−| ∆ |  (9) 𝑌 = 𝑐𝑜𝑟𝑟 (𝑆,𝑆) (10) Whe e, 𝑌 deno es an analysis ou comes, 𝑐𝑜𝑟𝑟 (𝑆,𝑆)indica es a co ela ion be ween he es ing da a samples ‘𝑆’ and aining samples ‘𝑆’,’ 𝑛’ deno es a numbe o samples,𝑆 ∆ 𝑆 deno es a de ia ion be ween he samples. Based on he Sokal–Michene ’s simple ma ching me hod, he co ela ion p o ides he simila i y ou comes om ‘0’ o ‘1. The maximum co ela ion esul s p o ide he inal classi ica ion ou comes. 3.2.4 Fine Tuning Fine-Tuning is a i al p ocess in deep lea ning whe e a classi ie model is u he op imized o pe o m a speci ic ask. I is used o e ine he weigh s o he ne wo k o imp o ed classi ica ion pe o mance. In ine uning p ocess, he e o a e is measu ed based on squa ed di e ence be ween he ac ual and p edic ed classi ica ion ou pu as ollows, 𝐸𝑅 = 𝑌 −𝑌 (11) Whe e, ‘𝐸𝑅’ symbolizes he e o a e, 𝑌signi ies he ac ual classi ica ion ou pu , 𝑌 symbolizes he p edic ed classi ica ion ou pu . In o de o minimize he e o , he adap i e G adien me hod is employed o upda e he weigh . 𝜗 = 𝜗 − 𝜂 󰇣  󰇤 (12) Whe e, 𝜗 indica es a new weigh , 𝜗speci ies a cu en weigh , 𝜂 indica es a lea ning a e,  signi ies he i s -o de de i a i e o ind ou a local minimum o a unc ion (i.e. e o a e) by upda ing he cu en weigh ‘𝜗’ In o de o ind op imal weigh alue, Squi el Sea ch Op imiza ion algo i hm is employed o educe he e o and enhance he accu acy o hy oid disease p edic ion. Squi el Sea ch Op imiza ion (SSO) is a me a-heu is ic algo i hm inspi ed by he adap i e o aging beha io o squi els. Du ing wa m wea he , squi els ac i ely glide be ween ees in sea ch o ood esou ces, showcasing dynamic explo a ion pa e ns. In his op imiza ion algo i hm, squi els symbolizes weigh s, while ood esou ces ep esen ed by a i ness unc ion. In colde pe iods, hei ac i i y dec eases as hey conse e ene gy o mee hei basic needs. When he wea he becomes cons uc i e again, he squi els esume hei ac i e o aging and explo a ion beha io s. This cyclic pa e n con inues h oughou he li espan o he squi els, o ming he basis o he op imiza ion p ocess. Fi s , popula ions o squi els (i.e. weigh s) a e ini ialized in sea ch space, 𝜗= 𝜗,𝜗,𝜗,….𝜗 (13) Whe e, 𝜗 deno es a ‘𝑏’ numbe o upda ed weighs. Fo each squi el (i.e. weigh ), he i ness is measu ed based on he e o a e. 𝑓(𝜗) = 𝑎𝑟𝑔𝑚𝑖𝑛𝐸𝑅(14) Whe e,𝑓(𝜗) ep esen s a i ness o weigh , 𝑎𝑟𝑔𝑚𝑖𝑛 indica es an a gumen o minimum unc ion, Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4275 𝐸𝑅 indica es an e o a e o he classi ie model. Based on he i ness es ima ion, he cu en bes weigh is selec ed among he popula ion. Then execu es a di e en beha io s o he squi els as ollows,  New Loca ions Gene a ion Th ough Gliding In his beha io , new loca ions a e gene a ed by mimicking he gliding beha io o squi els, which e lec s hei na u al o aging habi s. This gliding mechanism enables he algo i hm o e icien ly explo e he solu ion space in de ec ion o op imal esul s. 𝑋 = 𝑋+𝐷𝐺∗ |𝑋−𝑋| (15) Whe e, 𝑋 indica es a new loca ion o he squi els, 𝑋 indica es old loca ion o he squi el, 𝐷 deno es a andom gliding dis ance, 𝐺 indica es a gliding cons an , |𝑋−𝑋| indica es a de ia ion be ween he cu en posi ion o squi el ‘𝑋’ and 𝑋’ indica es a bes posi ion o he squi el.  Ve i y Seasonal Moni o ing Condi ion The o aging pa e ns o lying squi els a e signi ican ly in luenced by seasonal a ia ions. To add ess his, a seasonal moni o ing mechanism is implemen ed, ensu ing he algo i hm a oids becoming s uck in local op ima. 𝑍𝑆 = (𝑋− 𝑋) (16) Whe e, 𝑍𝑆 deno es a seasonal cons an , 𝑋 indica es a cu en solu ion, 𝑋 designa es an bes posi ion o squi el. 𝑍𝑆 = [] 󰇡  󰇢∗. (17) Whe e𝑍𝑆indica es a minimum seasonal cons an , 𝐼𝑡𝑒𝑟indica es an i e a ion, 𝐼𝑡𝑒𝑟designa es a maximum i e a ion. When 𝑍𝑆 < 𝑍𝑆 indica ing he end o win e , lying squi els lose hei abili y o na iga e he o es e icien ly and ins ead begin andomly explo ing new loca ions in sea ch o ood. This cycle con inues un il he maximum numbe o i e a ions is achie ed. I no , he p ocess o gene a ing new posi ions and e alua ing seasonal moni o ing condi ions is epea ed. Figu e 3 : Flow Cha o Squi el Sea ch Op imiza ion Figu e 3 demons a es he low diag am o he squi el sea ch op imiza ion o selec ing he op imal weigh wi h minimum e o . As a esul , hen he op imally selec ed weigh s a e used o enhance he disease p edic ion. Finally, he disease p edic ion esul s a e ob ained a he ou pu laye as ollows, 𝑌 = 𝐹 ( 𝛿ℎ∗ ℎ) (18) Whe e 𝑌 indica es a mul iclass classi ica ion ou pu , 𝐹 indica es a so max ac i a ion unc ion, ℎ indica es an ou pu o he p e ious hidden laye , 𝛿 deno es a weigh be ween he hidden and ou pu laye . A so max ac i a ion unc ion ‘𝐹’ in he ou pu laye o mul i class classi ica ion ou pu is o mula ed as ollows. 𝐹 =() ∑()   (19) F om he abo e (19), he so max ac i a ion unc ion is used o make a mul iple classi ica ion esul s, 𝑌 deno es a aw ou pu o he 𝐾 class, 𝐶 deno es a o al numbe o classes. The algo i hmic p ocess o Squi el Sea ch G adien Op imized Deep Belie Neu al Classi ie model is gi en below. // Algo i hm 1: Squi el Sea ch G adien Op imized Deep Belie Neu al Classi ie model Inpu : da ase ‘ 𝐷𝑆 ’ , numbe o ea u es 𝐹 = { 𝐹  , 𝐹  , … , 𝐹  } , samples ‘ 𝑆 = { 𝑆  , 𝑆  , … , 𝑆  } ’ Ou pu : Inc ease he disease p edic ion accu acy Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4276 Begin 1. Collec numbe o ea u es 𝐹 = {𝐹,𝐹,…,𝐹} and samples ‘𝑆 = {𝑆,𝑆,…,𝑆}--- inpu laye 2. Fo each sample 𝑆 3. Fo mula e he neu on ac i a ion p obabili y using (1) 4. End Fo 5. P ep ocessing he da a samples using (3) (4) (5)–[hidden laye 1] 6. Fo each p ep ocessing samples ‘𝑷𝑶’ 7. Pe o m o wa d p opaga ion o ex ac signi ican ea u es as gi en in (6) 8. Pe o m backwa d p opaga ion p ocess o elimina e insigni ican ea u es (7) 9. Ob ain he ea u e se ‘FS’ using (8) 10. End o 11. End o 12. Fo each aining and es ing da a samples 13. Apply Sokal–Michene ’s simple ma ching me hod using (9) 14. Ob ain he classi ica ion esul s (10) 15. End o 16. Fo each classi ica ion ou comes-- 17. Compu e he e o a e ‘𝐸𝑅’ using (11) 18. Apply adap i e G adien me hod o upda e weigh using (12) 19. End o 20. Ini ialize he popula ion o he weigh s 𝜗= 𝜗,𝜗,𝜗,….𝜗 21. Fo each weigh in popula ions 22. Compu e he i ness ‘𝐹’ using (14) 23. While (𝐼𝑡𝑒𝑟<𝐼𝑡𝑒𝑟) 24. Selec he cu en bes using 25. Gene a e new loca ion using (15) 26. Ve i y Seasonal Moni o ing Condi ion using (16) (17) 27. 𝒊𝒇(𝑍𝑆 < 𝑍𝑆) hen 28. Reloca e he sea ch space 29. 𝐼𝑡𝑒𝑟 = 𝐼𝑡𝑒𝑟 +1 30. go o s ep 23 31. Else 32. Find he op imal weigh 33. End i 34. End while 35. Ob ain he inal classi ica ion esul s using (18) (19) wi h so max ac i a ion unc ion a ou pu laye End Algo i hm 1 ou lines he p ocess o p edic ing di e en ypes o hy oid diseases wi h minimal ime consump ion. Fo each inpu da a sample, weigh s and biases a e assigned o he isible laye o he deep belie ne wo k (DBN) a chi ec u e. The inpu is hen ans e ed o he neu ons in he hidden laye , whe e da a p ep ocessing is pe o med o handle missing alues wi hin he da ase . Nex , signi ican ea u es a e selec ed in he subsequen hidden laye . Classi ica ion is ca ied ou in hi d hidden laye using he Sokal–Michene 's simple ma ching me hod o compa e aining and es ing da a samples. Based on his simila i y, di e en ypes o hy oid diseases a e classi ied. A e classi ica ion, a ine- uning p ocess is pe o med using he Squi el Sea ch op imiza ion algo i hm. Ini ially, he numbe o weigh s is de e mined, and a popula ion o squi els ( ep esen ing he weigh s) is ini ialized wi hin he sea ch space. The i ness o each squi el is compu ed based on he classi ica ion e o . The posi ion o each squi el is hen upda ed i e a i ely. This p ocess con inues un il he maximum numbe o i e a ions is eached. Th ough his i e a i e app oach, he Squi el Sea ch algo i hm iden i ies he op imal weigh alues ha minimize he classi ica ion e o . Finally, he p edic ion ou comes a e de e mined by minimizing he classi ica ion e o a he ou pu laye . 4. Expe imen al Se ings In his sec ion, expe imen al e alua ion o he p oposed, SSGODBNC and wo exis ing me hods DSHM [1] and S acked Ensemble wi h IG ea u e selec ion [2] a e implemen ed in Py hon high-le el gene al-pu pose p og amming language. In o de o conduc he expe imen , Thy oid disease da ase is applied and i aken om he h ps://www.kaggle.com/da ase s/emmanuel we / hy oid-disease-da a. This s ep ensu es ha su icien in o ma ion is a ailable o ain and alida e he model Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4283 2840 – 2855. DOI: 10.1109/TAI.2023.3327981 [14] Mona Alnagga , Mohamed Handosa, Tame Medha , M. Z. Rashad, “Thy oid Disease Mul i-class Classi ica ion based on Op imized G adien Boos ing Model”, Egyp ian Jou nal o A i icial In elligence, Volume 2, Issue 1, 2023, Pages 1- 13. DOI:10.21608/ejai.2023.205554.100 8 [15] Munisamy Shyamala De i, Venka esan Dhilip Kuma , Ad ian B ezulianu, Oana Geman and Muhammad A i , “A No el Blunge Calib a ion In elligen Fea u e Classi ica ion Model o he P edic ion o Hypo hy oid Disease”, Senso s, Volume 23, Issue 3, 2023, Pages 1- 30.h ps://doi.o g/10.3390/s23031128 [16] Wojciech Ksiazek, “Explainable Thy oid Cance Diagnosis Th ough Two-Le el Machine Lea ning Op imiza ion wi h an Imp o ed Naked Mole-Ra Algo i hm”, Cance s, Volume 16, Issue 24, 2024, Pages 1-25. h ps://doi.o g/10.3390/cance s16244128 [17] Muhammad Asad Abbas,Kashi Muni ,Ali Raza,Madiha Amjad,Nagwan Abdel Samee ,Mona M. Jamjoom,Zahid Ullah, “A no el me a lea ning based s acked app oach o diagnosis o hy oid synd ome”, PLoS ONE, Volume 19, Issue 11, 2024, Pages 1- 20.h ps://doi.o g/10.1371/jou nal.pone.0 312313 [18] Khandake Mohammad Mohi Uddina, Abdullah Al Mamun, Anamika Chak aba i, Ra id Mos a iz, “An ensemble machine lea ning-based app oach o p edic hy oid disease using hyb id ea u e selec ion”, Biomedical Analysis, Else ie , Volume 1, Issue 3, Sep embe 2024, Pages 229-239. h ps://doi.o g/10.1016/j.bioana.2024.08. 001 [19] Ahmed M. Ali, and Said B oumi, “Machine Lea ning wi h Mul i-C i e ia Decision Making Model o Thy oid Disease P edic ion and Analysis”, Mul ic i e ia Algo i hms wi h Applica ions, Volume 2, 2024, Pages 80–88. h ps://doi.o g/10.61356/j.mawa.2024.26 961 [20] Muhammad A mghan La i , Zohaib Mush aq, Saad A i , Sa a Rehman, Muhammad Fa ukh Qu eshi, Nagwan Abdel Samee, Maali Alabdulha i h, Yeong Hyeon Gu and Mohammed A. Al-masni, “Imp o ing Thy oid Diso de Diagnosis ia Ensemble S acking and Bidi ec ional Fea u e Selec ion”, Compu e s, Ma e ials, & con inua, Volume 78, Issue 3, 2024, Pages 4225-4241.DOI: 10.32604/cmc.2024.047621 [21] Ananda Su adha , Sha min Ak e , F M Ja ed Mehedi Sham a , P onab Ghosh, Xujuan Zhou, Mohd Yamani Idna Bin Id is, Kawsa Ahmed, Mohammad Ali Moni, “Ad ancing hy oid ca e: An accu a e us wo hy diagnos ics sys em wi h in e p e able AI and hyb id machine lea ning echniques”, Heliyon, Else ie , Volume 10, Issue 17, 2024, Pages 1- 17.h ps://doi.o g/10.1016/j.heliyon.2024.e3 6556 [22] Hongxi Wang, Chao Zhang, Qian ui Li, Tian Tian, Rui Huang, Jiajun Qiu & Rong Tian, “De elopmen and alida ion o p edic ion models o papilla y hy oid cance s uc u al ecu ence using machine lea ning app oaches”, BMC Cance , Sp inge , Volume 24, 2024, Pages 1- 12.h ps://doi.o g/10.1186/s12885-024- 12146-4 [23] Elizabe h Cla k, Saman ha P ice, The esa Lucena, Bailey Habe lein , Abdullah Wahbeh and Raed See an, “P edic i e Analy ics o Thy oid Cance Recu ence: A Machine Lea ning App oach”, Knowledge, Volume 4, Issue 4, 2024, Pages 1- 14.h ps://doi.o g/10.3390/knowledge40400 29 [24] Zhen-Tian Guo, Kun Tian, Xi-Yuan Xie, Yu- Hang Zhang, and De-Bao Fang, “Machine Lea ning o P edic ing Dis an Me as asis o Medulla y Thy oid Ca cinoma Using he SEER Da abase”, In e na ional Jou nal o Endoc inology, Hindawi, Volume 2023, Decembe 2023, Pages 1-10. h ps://doi.o g/10.1155/2023/9965578 [25] Zhongzhi Wang, Limeng Qu, Qi ong Chen, Yong Zhou, Hong ao Duan, Bai eng Li, Yao Weng, Juan Su and Wenjun Yi, “Deep lea ning-based mul i ea u e in eg a ion obus ly p edic s cen al lymph node me as asis in papilla y hy oid cance ”, BMC Cance , Sp inge , Volume 23, 2023, Pages Jou nal o Theo e ical and Applied In o ma ion Technology 31s May 2025. Vol.103. No.10 © Li le Lion Scien i ic ISSN: 1992-8645 www.ja i .o g E-ISSN: 1817-3195 4284 1-17.h ps://doi.o g/10.1186/s12885- 023-10598-8 [26] Sumya Ak e , Hossen A. Mus a a, “Analysis and in e p e abili y o machine lea ning models o classi y hy oid disease”, PLoS ONE, Volume 19, Issue 5, 2024, Pages 1- 30.h ps://doi.o g/10.1371/jou nal.pone.0 300670 [27] Qiong Chen, Xiao en Ye, Kangjian Wang and Haolin Shen, “P edic ion o papilla y hy oid me as ases o he cen al compa men : p oposal o a model aking in o conside a ion o he hy oid condi ions”, F on ie s in Endoc inology, Volume 14, 2023, Pages 1-8. h ps://doi.o g/10.3389/ endo.2023.1299 290 [28] Jiaqiang Dan, Jingya Tan, Yao Guo, Yang Xu, Lin Zhou, Junhua Huang, Zhiying Yuan, Xiang Ai, Junyan Li, “Cons uc ion and alida ion o a nomog am o p edic ing la e al lymph node me as asis in pedia ic and adolescen wi h di e en ia ed hy oid ca cinoma”, Endoc ine, Sp inge , Volume 84, 2024, Pages 1088–1096. h ps://doi.o g/10.1007/s12020-024- 03730-6 [29] Jianning Liu, Zhuoying Feng, Ru Gao, Peng Liu, Fangang Meng, Lijun Fan, Lixiang Liu and Yang Du, “Analysis o isk ac o s o papilla y hy oid ca cinoma and he associa ion wi h hy oid unc ion indica o s”, F on ie s in Endoc inology, Volume 15, 2024, Pages 1- 12. h ps://doi.o g/10.3389/ endo.2024.1 429932 [30] Anping Song, Tianyi Li, Xuehai Ding, Mingye Wu and Ren Wang, “TSE-GAN: s ain elas og aphy using gene a i e ad e sa ial ne wo k o hy oid disease diagnosis”, F on ie s in Bioenginee ing and Bio echnology, Volume 12, 2024, h ps://doi.o g/10.3389/ bioe.2024.13307 13