UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052695
Receipt number R000060087
Scientific Title Development of AI-aided ultrasonic diagnosis system for liver tumor
Date of disclosure of the study information 2023/11/04
Last modified on 2023/11/04 13:12:26

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Basic information

Public title

Construction of database and exploratory trial for performance evaluation of artificial intelligence model to support ultrasonic diagnosis of liver mass

Acronym

Construction of database and exploratory trial of AI to support US diagnosis of liver mass

Scientific Title

Development of AI-aided ultrasonic diagnosis system for liver tumor

Scientific Title:Acronym

Development of AI-aided ultrasonic diagnosis system for liver tumor

Region

Japan


Condition

Condition

Liver Mass

Classification by specialty

Hepato-biliary-pancreatic medicine Laboratory medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Construction of a database of ultrasound (US) B-mode video images for the diagnostic testing of liver mass using AI-aided US, and conducting the exploratory trial for the evaluation of the performance of the artificial intelligence (AI) model that supports human examiners for the detection and diagnosis of liver mass in B-mode US.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Evaluation of improvement for accuracy, sensitivity, specificity, and Matthews correlation coefficient in the discrimination of malignant tumors in B-mode US examination under the support of AI

Key secondary outcomes

1) Evaluation of improvement for the accuracy of liver tumor differentiation among four types of liver lesions (hepatocellular carcinoma, metastatic liver cancer, hepatic hemangioma, and hepatic cyst) under the support of AI.
2) Evaluation of improvement for disease-specific sensitivity and specificity in the differentiation of liver mass among four types of liver lesions under the support of AI.
3) Evaluation for precision, recall, and F-value in the detection of liver mass under the support of AI.
4) Stratified analysis of skilled (Board certified fellows and registered medical sonographers of the Japan Society of Ultrasonics in Medicines) vs. non-Skilled (non-certified fellows and non-registered medical sonographer) in primary and secondary outcomes
5) Construction of database of US video images for the clinical trial of AI-aided US diagnosis of liver tumor


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

The examiners first review the pre-recorded B-mode US videos and answer the location and diagnosis of liver mass without AI. Subsequently, they refer to the information presented by AI within the same US video (AI intervention) and provide their answers once more under the support of AI. The study aims to observe changes in the detection and differentiation parameters of the diagnosis of liver mass by the examiner's before and under the AI support.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

For the construction of a database of B-mode US video images (1080 video images in total) for the exploratory test:
Patients undergoing thorough examination and follow-up for hepatic lesions (liver mass) include the following:
1) Patients who are scheduled for abdominal ultrasound examination with the purpose of investigating newly detected liver mass.
2) Patients who have already been diagnosed with liver cysts, hepatic hemangiomas, hepatocellular carcinoma, or metastatic liver cancer based on imaging findings such as CT or MRI, or pathological evidence from procedures like biopsies, and are scheduled for regular follow-up using abdominal ultrasound."

For the exploratory test of the AI for supporting US diagnosis of liver mass (20 examinors):
Board-certified fellows (5 persons) and registered medical sonographers (5 persons) qualified by the Japan Society of Ultrasonics in Medicine (JSUM).
Non-board certified fellow (5 persons) and Non-registered medical sonographer (5 persons) by JSUM.

Key exclusion criteria

Participants in the construction of database for B-mode US video images of liver mass include:
1) Cases where a definitive diagnosis of liver mass could not be established.
2) Cases where modification of imaging findings is anticipated due to treatment of liver tumors.
3) Cases where consent from the patient has been withdrawn.
4) Cases where obtaining consent from the individual is difficult.
5) Other cases deemed inappropriate by the attending physician.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Masatoshi
Middle name
Last name Kudo

Organization

Kindai University

Division name

Faculty of Medicine, Department of Gastroenterology and Hepatology

Zip code

589-8511

Address

377-2, Ohno-higashi, Osaka-sayama, Osaka, Japan

TEL

072-366-0221

Email

m-kudo@med.kindai.ac.jp


Public contact

Name of contact person

1st name Naoshi
Middle name
Last name Nishida

Organization

Kindai University

Division name

Faculty of Medicine, Department of Gastroenterology and Hepatology

Zip code

589-8511

Address

377-2, Ohno-higashi, Osaka-sayama, Osaka, Japan

TEL

072-366-0221

Homepage URL


Email

naoshi@med.kindai.ac.jp


Sponsor or person

Institute

The Japan Society of Ultrasonics in Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Ethics Committee of Kindai University Hospital

Address

377-2, Ohno-higashi, Osaka-sayama, Osaka, Japan

Tel

072-366-0221

Email

zizen@med.kindai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

近畿大学医学部(大阪府)、東京大学医学部(東京都)、北海道大学医学部(北海道)、日本大学医学部(東京都)、京都大学医学部(京都府)、兵庫医科大学(兵庫県)、芝浦工業大学SIT総合研究所(東京都)、中京大学工学部(愛知県)、愛媛大学医学部(愛媛県)、愛媛県立中央病院(愛媛県)、姫路赤十字病院(兵庫県)


Other administrative information

Date of disclosure of the study information

2023 Year 11 Month 04 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2021 Year 09 Month 06 Day

Date of IRB

2021 Year 09 Month 06 Day

Anticipated trial start date

2021 Year 09 Month 06 Day

Last follow-up date

2024 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 11 Month 04 Day

Last modified on

2023 Year 11 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060087