UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054472
Receipt number R000062003
Scientific Title Research on analysis of pharynx images using machine learning for patients with fever and respiratory symptoms
Date of disclosure of the study information 2024/05/24
Last modified on 2024/05/24 07:21:15

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Basic information

Public title

Research on analysis of pharynx images using machine learning for patients with fever and respiratory symptoms

Acronym

Research on analysis of pharynx images using machine learning for patients with fever and respiratory symptoms

Scientific Title

Research on analysis of pharynx images using machine learning for patients with fever and respiratory symptoms

Scientific Title:Acronym

Research on analysis of pharynx images using machine learning for patients with fever and respiratory symptoms

Region

Japan


Condition

Condition

Pharyngitis, febrile diseases, Pharyngeal tumor

Classification by specialty

Medicine in general Clinical immunology Infectious disease
Pediatrics Oto-rhino-laryngology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In recent years, diagnostic technology using machine learning has been established in various fields. It has become clear that the characteristics of follicular changes in the posterior pharyngeal wall (influenza follicles) and redness of the tonsils are useful for diagnosing influenza. Currently, the characteristics of the pharynx are observed in detail using a special camera, and mechanical It has become possible to analyze and diagnose using learning. Similar to influenza, analysis of pharynx images may lead to diagnosis of other viral diseases, bacterial infections, and non-infectious inflammatory diseases, but there is no sufficient prior research. In this study, we will use a special camera to photograph the pharynx findings of patients who come to the hospital complaining of fever and respiratory tract symptoms during routine medical treatment. The characteristics of swelling, redness, and lymphoid follicles in the pharyngeal arches, tonsils, and posterior pharyngeal wall were observed in detail from the obtained image data, and the characteristics of the pharyngeal images for each disease were determined using machine learning, including scoring and grouping. The pharyngeal images and data on observation items and test items collected in this study will be made available to medical professionals as pharyngeal image collections and pharyngeal image registry data for each disease, and many medical professionals will be able to observe pharyngeal images in the future. We aim to create a platform that can perform diagnosis.

Basic objectives2

Others

Basic objectives -Others

In this study, we will use a special camera to photograph the pharynx findings of patients who come to the hospital complaining of fever and respiratory tract symptoms during routine medical treatment. The characteristics of swelling, redness, and lymphoid follicles in the pharyngeal arches, tonsils, and posterior pharyngeal wall were observed in detail from the obtained image data, and the characteristics of the pharyngeal images for each disease were determined using machine learning, including scoring and grouping. The pharyngeal images and data on observation items and test items collected in this study will be made available to medical professionals as pharyngeal image collections and pharyngeal image registry data for each disease, and many medical professionals will be able to observe pharyngeal images in the future. We aim to create a platform that can perform diagnosis.

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

From the image data obtained, we will make detailed observations of swelling, redness, and lymphoid follicles in the pharyngeal arches, tonsils, and posterior pharyngeal wall. In addition, machine learning will be used to perform exploratory analysis of the characteristics of pharynx images for each disease, including scoring and grouping based on information obtained from patients' usual medical treatment items.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who visit the outpatient department or are hospitalized at the principal investigator's institution or joint research institution (excluding Iris Co., Ltd.) complaining of fever and respiratory symptoms and meet all of 1,2 and 3.
1. Those who are judged by the research director or co-researcher to be able to use an endoscopic telescope.
2. Those who are 0 years of age or older at the time of obtaining consent
3. Those who have received a sufficient explanation to participate in this research, and have obtained written consent of their own free will from the research subject or his/her legal representative after fully understanding the subject.

Key exclusion criteria

Those who fall under any of the following criteria will be excluded from the program.
1.Those who requested exclusion from the analysis of this study
2.Others who are judged by the research director or co-researcher to be unsuitable as research subjects.

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Hirotake
Middle name
Last name Mori

Organization

Juntendo University

Division name

Department of General Medicine

Zip code

113-8421

Address

2-1-1 Hongo, Bunkyo, Tokyo, Japan

TEL

81-3-3813-3111

Email

h.mori.oa@juntendo.ac.jp


Public contact

Name of contact person

1st name Hirotake
Middle name
Last name Mori

Organization

Juntendo University

Division name

Department of General Medicine

Zip code

113-8421

Address

2-1-1 Hongo, Bunkyo, Tokyo, Japan

TEL

81-3-3813-3111

Homepage URL


Email

h.mori.oa@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Juntendo University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Juntendo University

Address

2-1-1, Hongo, Bunkyo, Tokyo, Japan

Tel

03-3813-3111

Email

gakujutu@juntendo.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



Other administrative information

Date of disclosure of the study information

2024 Year 05 Month 24 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

Preinitiation

Date of protocol fixation

2024 Year 05 Month 24 Day

Date of IRB


Anticipated trial start date

2024 Year 05 Month 24 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Observation items and test items performed in the course of normal medical treatment
1. Imaging findings: Imaging of the posterior wall of the pharynx using Nodoca, adverse events that occurred during pharynx imaging, and information on malfunctions of the pharynx imaging equipment
2. Patient background: gender, age at time of consent, medical history, complications, vital signs
3. Confirmation of subjective symptoms and objective findings: Refer to the questionnaire at the time of visit.
4. Blood tests: Hematological tests (hemoglobin, white blood cell count, white blood cell differential, platelet count, blood sedimentation), blood biochemical tests (albumin, AST, ALT, total protein, LDH, creatinine, BUN, Na, K, Cl) , CRP)
5. Autoimmune related tests such as anti-nuclear antibodies, throat culture test, Gram staining, sputum mycobacterial test, acid-fast bacterium culture, tuberculosis PCR, non-tuberculous mycobacterial disease PCR, streptococcal antigen test, influenza antigen test, new type Coronavirus antigen test, PCR, adenovirus antigen test, RSV antigen test, mycoplasma antigen test, PCR, Legionella urinary antigen test, pneumococcal urinary antigen test, HIV antigen and antibody test, STS, TPHA, chlamydia PCR, EB virus Antibody titer, cytomegalovirus antibody titer, herpesvirus (simple, herpes zoster)
6. Contents of treatment and progress of treatment
7. Other tests performed during normal medical treatment, including pathological tests
8. Diagnosis determined by the medical doctor


Management information

Registered date

2024 Year 05 Month 24 Day

Last modified on

2024 Year 05 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062003