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Status unknownNCT03887598Updated Mar 26, 2019

Application of Ultrasound Artificial Intelligence and Elastography in Differential Diagnosis of Breast Nodules

An observational study in Breast Cancer, sponsored by Xin-Wu Cui. Status unknown at 1 site in China. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-26.

Sponsored by Xin-Wu Cui · Observational

The sponsor has not verified this record recently (last verified Mar 2019), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
2,000
Ages
18 Years and older
Sex
Female
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Study summary

The application of computer-aided diagnosis (CAD) technology "S-Detect" enables qualitative and quantitative automated analysis of ultrasound images to obtain objective, repeatable and more accurate diagnostic results. The Elastic Contrast Index (ECI) technique, unlike conventional strain-elastic imaging techniques, can evaluate the elastic distribution in the region of interest. The purpose of the study was to evaluate the differential diagnosis value of ultrasound S-Detect technology for benign and malignant breast nodules and evaluate the differential diagnosis consistency of the ultrasound S-Detect technique and the examiner for benign and malignant breast nodules and explore the differential diagnosis value of Samsung ultrasound elastic contrast Index (ECI) technique for benign and malignant breast nodules.

Read the detailed description

Breast cancer is the most common malignancy in women and the second leading cause of cancer deaths worldwide. Therefore, early detection of breast cancer and timely treatment are of great significance for controlling and reducing breast cancer mortality. Breast ultrasound is an adjunct to extensive use in the detection of breast cancer, but ultrasound is highly technically dependent on the examiner, and the results are greatly influenced by the subjective nature of the examiner, adding unnecessary surgery and puncture, which causes great problems for clinicians and patients.Moreover, the value of conventional ultrasound in the differential diagnosis of breast mass is still limited, and the emergence of new technologies such as artificial intelligence and elastography has improved the accuracy of ultrasound diagnosis to varying degrees.

S-Detect technology is a computer-aided (CAD) system recently developed by Samsung Medical Center for breast ultrasound to assist in morphological analysis based on the Breast Imaging Reporting and Data System (BI-RADS) description and final assessment.This provides a new way to identify the benign and malignant breast nodules.

The E-Breast technique, unlike conventional strain-elastic imaging technology, performs an elastic analysis of the entire two-dimensional image.Moreover, when measuring the elastic ratio, it is only necessary to place a region of interest (ROI) at the nodule.Compared with the average elasticity of the surrounding area, it is more reflective of the elastic ratio of the mass to the surrounding tissue.

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Conditions studied

  • Breast Cancer

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Keywords

  • Artificial Intelligence; Ultrasound; Breast nodule; ECI
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In context

Breast Neoplasms

12,820 studies on the registry are indexed under Breast Neoplasms; 2,923 are open to participants now.

This study's planned enrollment of 2,000 is above the median of 185 across 2,712 observational studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Xin-Wu Cui is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with breast nodules in large tertiary hospitals

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Had breast lesions detected by ultrasound
  2. Age 18 or older
  3. Upcoming FNAB or surgery
  4. Signing informed consent

Exclusion criteria

Exclusion Criteria:

  1. Patients who had received a biopsy of breast lesion before the ultrasound examination
  2. Can not cooperate with the test operation
  3. Patients who were pregnant or lactating
  4. Patients who were undergoing neoadjuvant treatment.
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Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
2,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • breast nodule

    Those with one or more breast nodules, age 18 or older, upcoming FNAB or surgery and signed informed consent.Those without adverse effects on the test or threatening other candidates, such as mental illness, pregnancy, poor ultrasound image quality, history of breast surgery or breast biopsy, simple cystic nodules, calcification, excessive mass or too small, the S-DetectTM system can not identify the boundary of the tumor, the basic information is incomplete.

    Device: Ultrasound diagnosis

Interventions

  • DeviceUltrasound diagnosis

    Ultrasound diagnosis of lesions with Samsung S-Detect and ECI technology

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What researchers measure

Primary outcomes

  1. Benign or malignant lesions as determined by pathology

    The pathological diagnosis of benign or malignant lesions from surgery samples

    Time frame: Before surgery or biopsy

  2. Elastic ratio

    Clear ECI value

    Time frame: Before surgery or biopsy

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Choi JH, Kang BJ, Baek JE, Lee HS, Kim SH. Application of computer-aided diagnosis in breast ultrasound interpretation: improvements in diagnostic performance according to reader experience. Ultrasonography. 2018 Jul;37(3):217-225. doi: 10.14366/usg.17046. Epub 2017 Aug 14. PubMed 28992680 ↗
  • Kowal M, Filipczuk P, Obuchowicz A, Korbicz J, Monczak R. Computer-aided diagnosis of breast cancer based on fine needle biopsy microscopic images. Comput Biol Med. 2013 Oct;43(10):1563-72. doi: 10.1016/j.compbiomed.2013.08.003. Epub 2013 Aug 19. PubMed 24034748 ↗
  • Di Segni M, de Soccio V, Cantisani V, Bonito G, Rubini A, Di Segni G, Lamorte S, Magri V, De Vito C, Migliara G, Bartolotta TV, Metere A, Giacomelli L, de Felice C, D'Ambrosio F. Automated classification of focal breast lesions according to S-detect: validation and role as a clinical and teaching tool. J Ultrasound. 2018 Jun;21(2):105-118. doi: 10.1007/s40477-018-0297-2. Epub 2018 Apr 21. PubMed 29681007 ↗
  • Kim K, Song MK, Kim EK, Yoon JH. Clinical application of S-Detect to breast masses on ultrasonography: a study evaluating the diagnostic performance and agreement with a dedicated breast radiologist. Ultrasonography. 2017 Jan;36(1):3-9. doi: 10.14366/usg.16012. Epub 2016 Apr 14. PubMed 27184656 ↗
  • Wei Q, Yan YJ, Wu GG, Ye XR, Jiang F, Liu J, Wang G, Wang Y, Song J, Pan ZP, Hu JH, Jin CY, Wang X, Dietrich CF, Cui XW. The diagnostic performance of ultrasound computer-aided diagnosis system for distinguishing breast masses: a prospective multicenter study. Eur Radiol. 2022 Jun;32(6):4046-4055. doi: 10.1007/s00330-021-08452-1. Epub 2022 Jan 23. PubMed 35066633 ↗

Individual participant data

Plan to share: No — Not public because of the personal information of the participants

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2019 (actual). Primary completion is estimated for Jan 2020, 12 months after the start.

Of 1,013 non-industry observational studies under Breast Neoplasms, half reached primary completion within 60 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 141. This study's planned 12 months is below that.

Counting every sponsor, half of 1,166 studies reached it within 58 months; a quarter within 26 and three quarters within 125.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 21, 2019
First posted
Mar 25, 2019
StartActual
Jan 18, 2019
Primary completionEst.
Jan 18, 2020
CompletionEst.
Feb 18, 2020
Last update
Mar 26, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 26, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03887598
Lead sponsor
Xin-Wu Cui
Collaborators
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Taizhou Hospital, Wuhan Hospital of Traditional Chinese Medicine, Macheng People's Hospital, Huangshi Central Hospital, Affiliated Hospital of Jiangsu University, The First People's Hospital of Yichang, Yichang Second People's Hospital, Xiangyang Central Hospital, The Second Hospital of Anhui Medical University, Anqing Municipal Hospital, Huainan People's Hospital, Wenzhou Central Hospital, Xuzhou First People's Hospital, The Central Hospital of Lishui City, Huai'an First People's Hospital, WISCO General Hospital, First People's Hospital of Jiangxia District, Wuhan City, Enshi State Central Hospital, Lianyungang Third People's Hospital, First People's Hospital of Xianyang
Responsible party
Xin-Wu Cui (Professor, Tongji Hospital) — Sponsor-investigator
First posted
Mar 25, 2019
Start date
Jan 18, 2019
Primary completion
Jan 18, 2020 (estimated)
Completion
Feb 18, 2020 (estimated)
Last update
Mar 26, 2019

Study contacts

Li-Qiang Zhou, MD
Contact
zlq_1118@hust.edu.cn
15387076275
Xin-Wu Cui, PhD,MD
study chair · Tongji Hospital
You-Bin Deng, PhD,MD
study chair · Tongji Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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