UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061814
Receipt number R000070735
Scientific Title Development and Validation of a Machine Learning-Based Skeletal Muscle Mass Estimation Model Using Smartphone-Captured Lower-Leg Images: Comparison with Calf Circumference
Date of disclosure of the study information 2026/06/05
Last modified on 2026/06/05 23:51:19

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Basic information

Public title

Development and Validation of a Skeletal Muscle Mass Estimation Model Using Smartphone-Captured Lower-Leg Images

Acronym

Smartphone-based Muscle Index from Lower-leg Study

Scientific Title

Development and Validation of a Machine Learning-Based Skeletal Muscle Mass Estimation Model Using Smartphone-Captured Lower-Leg Images: Comparison with Calf Circumference

Scientific Title:Acronym

Lower-Leg Image SMI Study

Region

Japan


Condition

Condition

Healthy adults

Classification by specialty

Rehabilitation medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to validate a deep learning-based method for estimating skeletal muscle index (SMI) using lateral and posterior lower-leg images captured with smartphones and digital cameras. In addition, differences in predictive performance according to imaging device and imaging direction will be investigated, and comparison with calf circumference, a conventional surrogate measure of skeletal muscle mass, will be performed to evaluate the usefulness of image-based assessment.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Concordance between skeletal muscle mass estimated from lower-leg images and skeletal muscle mass measured by bioelectrical impedance analysis (InBody 470), assessed using Lin's concordance correlation coefficient (CCC)

Key secondary outcomes

1. Prediction error of the skeletal muscle mass estimation model using smartphone-captured lower-leg images, assessed by mean absolute percentage error (MAPE) and root mean squared error (RMSE)
2. Agreement between skeletal muscle mass estimated from smartphone-captured lower-leg images and skeletal muscle mass measured by bioelectrical impedance analysis, assessed using Bland-Altman analysis (mean difference and 95% limits of agreement)
3. Comparison of predictive performance (CCC, MAPE, and RMSE) between the smartphone image-based skeletal muscle mass estimation model and the calf circumference-based estimation model
4. Comparison of skeletal muscle mass estimation performance according to imaging device (smartphone or digital camera) and imaging direction (lateral or posterior lower-leg view), assessed using CCC, MAPE, and RMSE


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

Lateral and posterior lower-leg images will be captured once using a smartphone and a digital camera. On the same day, skeletal muscle mass will be measured once using bioelectrical impedance analysis (InBody 470), and calf circumference will be measured once.

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Individuals who provide written informed consent to participate in the study
2. Healthy adults aged 18 years or older
3. Individuals capable of maintaining standing and sitting positions during assessment
4. Individuals able to undergo lower-leg image acquisition and bioelectrical impedance analysis

Key exclusion criteria

1. Individuals who have difficulty maintaining a standing position
2. Individuals with edema or other conditions affecting the lower leg
3. Individuals with implanted medical devices such as cardiac pacemakers
4. Individuals with any limb amputation
5. Individuals with metallic implants or fixation devices in the body
6. Individuals who are pregnant or may be pregnant
7. Individuals with a history of fractures or ligament injuries of the lower limbs
8. Individuals with a history of central or peripheral nervous system disorders
9. Individuals deemed unsuitable for participation in the study by the principal investigator or co-investigators

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Hiroo
Middle name
Last name Matsuse

Organization

Kurume University Hospital

Division name

Department of Rehabilitation

Zip code

830-0011

Address

67 Asahi-machi, Kurume-shi, Fukuoka 830-0011, Japan

TEL

0942-35-3311

Email

matsuse_hiroh@kurume-u.ac.jp


Public contact

Name of contact person

1st name Hiroo
Middle name
Last name Matsuse

Organization

Kurume University Hospital

Division name

Department of Rehabilitation

Zip code

830-0011

Address

67 Asahi-machi, Kurume-shi, Fukuoka 830-0011, Japan

TEL

0942-35-3311

Homepage URL


Email

matsuse_hiroh@kurume-u.ac.jp


Sponsor or person

Institute

Kurume University

Institute

Department

Personal name



Funding Source

Organization

None

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

Clinical Research Center, Kurume University Hospital

Address

67 Asahi-machi, Kurume-shi, Fukuoka 830-0011, Japan

Tel

0942-65-3749

Email

i_rinri@kurume-u.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

2026 Year 06 Month 05 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

100

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

No longer recruiting

Date of protocol fixation

2025 Year 01 Month 30 Day

Date of IRB

2025 Year 01 Month 30 Day

Anticipated trial start date

2025 Year 02 Month 14 Day

Last follow-up date

2025 Year 08 Month 31 Day

Date of closure to data entry

2025 Year 08 Month 31 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 06 Month 05 Day

Last modified on

2026 Year 06 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070735