ClinicalTrials.gg
Status unknownNCT04242108Updated Apr 8, 2021

Diagnostic Performance of Deep Learning for Angle Closure

An observational study in Angle Closure Glaucoma, sponsored by Sun Yat-sen University. Status unknown at 1 site in China. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-08.

Sponsored by Sun Yat-sen University · Observational

The sponsor has not verified this record recently (last verified Apr 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
3,000
Ages
18 Years and older
Sex
All
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Study summary

Primary angle closure diseases (PACD) are commonly seen in Asia. In clinical practice, gonioscopy is the gold standard for angle width classification in PACD patietns. However, gonioscopy is a contact examination and needs a long learning curve. Anterior segment optical coherence tomography (AS-OCT) is a non-contact test which can obtain three dimensional images of the anterior segment within seconds. Therefore, the investigators designed the study to verify if AS-OCT based deep learning algorithm is able to detect the PACD subjects diagnosed by gonioscopy.

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Conditions studied

  • Angle Closure Glaucoma
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In context

Glaucoma, Angle-Closure

91 studies on the registry are indexed under Glaucoma, Angle-Closure; 17 are open to participants now.

This study's planned enrollment of 3,000 is above the median of 225 across 32 observational studies indexed under Glaucoma, Angle-Closure.

Browse Glaucoma, Angle-Closure studies →

Lead sponsor

Sun Yat-sen University is the lead sponsor of 1,690 studies on the registry; 619 are 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
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The training and primary validation datasets were collected from the databases of electronic medical and research records at Zhongshan Ophthalmic Center from September 1, 2016, to September 1, 2019. The external test dataset was obtained from the Singapore Eye Research Institute (SERI), Singapore during June 2008 to November 2019, and the Chulalongkorn University and King Chulalongkorn Memorial Hospital (KCMH, Bangkok, Thailand) from October, 2019 to April, 2020.

Eligibility criteria

The inclusion criteria in the study were as follows: (1) All participants must be ≥ 18 years old; (2) Study subjects had a previous diagnosis of the ACA status (narrow or open, PAS or non-PAS) based on gonioscopy, SS-OCT scans and medical history records. Exclusion criteria of the data include: (1) poor compliance in receiving gonioscopy examination; (2) unclear AS-OCT scans due to blinking or out of focus; (3) recent use of miotics within a month; 4) secondary angle closure sue to subluxation or dislocation, uveitis, neovascular glaucoma, et al.; 5) history of ocular surgery or laser iridotomy; 6) patients who previously had an episode of primary angle closure (which was obtained on history by asking the patients).

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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
3,000 participants (estimated)
Patient registry
No

Groups and cohorts

  • Angle closure group

    Diagnostic Test: Deep learning algorithm based on AS-OCT scans

  • Open angle group

    Diagnostic Test: Deep learning algorithm based on AS-OCT scans

  • Peripheral synechia (PAS) group

    Diagnostic Test: Deep learning algorithm based on AS-OCT scans

  • Non-peripheral synechia (PAS) group

    Diagnostic Test: Deep learning algorithm based on AS-OCT scans

Interventions

  • Diagnostic testDeep learning algorithm based on AS-OCT scans

    The OCT scans of study subjects would be imported into the algorithm. Automated classfication of angle width and detection of synechia would be performed by the algorithm. The diagnostic performance of the algorithm would be compared with gonioscopy records.

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What researchers measure

Primary outcomes

  1. Area under receiver operating curve (AUC)

    AUC value of the deep learning algorithm in angle width classfication and synechia detection

    Time frame: Immediately after obtaining the AS-OCT images

Secondary outcomes

  1. Sensitivity and specificity

    Sensitivity and specificity of the automated algorithm in angle width classfication and synechia detection

    Time frame: Immediately after obtaining the AS-OCT images

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Study locations

1 site
  • Zhongshan Ophthalmic Center
    Guangzhou, Guangdong 51000, China
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References and documents

Individual participant data

Plan to share: Yes — The imaging data of study subjects would be available to other researchers upon reasonable request. Part of the data would be open as public datasets after the related article is published.

Supporting information: Study protocol, Analytic code

Time frame: Part of the data would be open as public datasets after the related article is published.

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2021, 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
NCT04242108
Responsible party
Xiulan Zhang (Director of Clinical Research Center, Zhongshan Ophthalmic Center, Sun Yat-sen University) — Principal investigator
First posted
Jan 27, 2020
Start date
Jan 15, 2019
Primary completion
Dec 2021 (estimated)
Completion
Mar 2022 (estimated)
Last update
Apr 8, 2021

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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