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Status unknownNCT04607720Updated Oct 29, 2020

Clinical Research on a Novel Deep-learning Based System in Pancreatic Mass Diagnosis

An interventional study of artificial-EUS-FNA and AI-EUS-FNA in Solid Pancreatic Masses, sponsored by The Third Xiangya Hospital of Central South University. Status unknown at 1 site in China. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-10-29.

Sponsored by The Third Xiangya Hospital of Central South University · Not applicable, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Oct 2020), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jan 2020, registered Oct 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

In this study, a single-center, prospective, self-control, and blind design was adopted.

Read the detailed description

It is planned to enroll 100 patients with solid pancreatic masses who are to be diagnosed with contrast-enhanced harmonic endoscopy ultrasonography (CH-EUS) follow by EUS-guided fine-needle aspiration (EUS-FNA). First, all patients will be diagnosed both by the AI-assisted diagnosis system and the endoscopists under CH-EUS; Second, to compare the EUS-FNA under the guidance of the AI-assisted ultrasound diagnosis system and the EUS-FNA under manual identification, patients were randomly assigned to undergo EUS-FNA with or without the guidance of AI-assisted diagnosis system for the first two passes.

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Conditions studied

  • Solid Pancreatic Masses
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In context

Lead sponsor

The Third Xiangya Hospital of Central South University is the lead sponsor of 95 studies on the registry; 49 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 to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    1. Age ≥18 years old, \<90 years old 2.The patient is confirmed to be a solid pancreatic mass in imaging examinations (MRI, CT or ultrasound), and CH-EUS is required for auxiliary diagnosis 3. Agree to participate in this study and sign the CH-EUS informed consent form

Exclusion criteria

Exclusion Criteria:

  • Subjects who meet any of the following criteria cannot be selected for this trial:

First. The patient's physical condition does not meet the requirements of conventional ultrasound endoscopic puncture:

  1. Poor physical condition, including hemoglobin ≤8.0g/dl, severe cardiopulmonary insufficiency, etc.
  2. Blood coagulation dysfunction (platelet count \<50×1012, international standardized ratio> 1.5) or taking oral anticoagulants such as aspirin or warfarin within a week
  3. Anesthesia assessment failed
  4. Had acute pancreatitis within 2 weeks
  5. Pregnancy or breastfeeding
  6. Known history of allergy to sulfur hexafluoride or other components
  7. Recent acute coronary syndrome or clinically unstable ischemic heart attack
  8. Heart disease patients with right-to-left shunt, patients with severe pulmonary hypertension (pulmonary artery pressure> 90mmHg), patients with uncontrolled systemic hypertension and patients with adult respiratory distress syndrome.

Second. Disagree to participate in this study

Third. There are other problems that do not meet the requirements of this research or that affect the results of the research:

  1. Pancreatic disease has undergone surgery or chemotherapy beforehand
  2. The patient was diagnosed with pancreatic cystic disease or duodenal stenosis
  3. Mental illness, drug addiction, inability to express themselves or other diseases that may affect follow-up
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    the artificial-EUS-FNA group

    the first two passes were made without the AI-assisted diagnosis system guidance during EUS-FNA, and then two passes were made under guidance from the AI-assisted diagnosis system

    Procedure: artificial-EUS-FNA · Procedure: AI-EUS-FNA

  • Experimental
    the AI-EUS-FNA group

    the first two passes were made with the AI-assisted diagnosis system guidance and then another two manual passes without the AI-assisted diagnosis system guidance.

    Procedure: artificial-EUS-FNA · Procedure: AI-EUS-FNA

Interventions

  • Procedureartificial-EUS-FNA

    The ultrasound endoscopists manually determined the region of interest (ROI) according to CH-EUS, and punctured 2 needles in the tumor area with a 22G needle, and each needle moved 15-20 times back and forth in the lesion. After puncture, insert the needle core, rinse the needle with 0.1ml sterile saline, and further apply air flushing to ensure that each tissue is sent to the slide.

  • ProcedureAI-EUS-FNA

    In the AI-assisted diagnosis system, the assisted targeting EUS-FNA unit is applied, and the ultrasound endoscopist selects the region of interest (ROI) according to the thermogram to perform targeted EUS-FNA puncture(2 needles in the same way).

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What researchers measure

Primary outcomes

  1. accuracy

    compare the diagnostic rates of AI-CH-EUS and artificial-CH-EUS for benign and malignant pancreatic masses

    Time frame: 1 year

  2. sensitivity

    compare the diagnostic rates of AI-CH-EUS and artificial-CH-EUS for benign and malignant pancreatic masses

    Time frame: 1 year

  3. specificity

    compare the diagnostic rates of AI-CH-EUS and artificial-CH-EUS for benign and malignant pancreatic masses

    Time frame: 1 year

  4. positive predictive value

    compare the diagnostic rates of AI-CH-EUS and artificial-CH-EUS for benign and malignant pancreatic masses

    Time frame: 1 year

  5. negative predictive value

    compare the diagnostic rates of AI-CH-EUS and artificial-CH-EUS for benign and malignant pancreatic masses

    Time frame: 1 year

  6. the diagnosis rate of first needle aspiration

    compared the diagnosis rate of AI-EUS-FNA and artificial-EUS-FNA first needle aspiration for benign and malignant pancreatic masses

    Time frame: 1 year

Secondary outcomes

  1. core tissue length

    To evaluate the specimen quality through core tissue length of AI-EUS-FNA and artificial-EUS-FNA

    Time frame: 1 year

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Study locations

1 of 1 sites recruiting
  • The Third Xiangya Hospital of Central South University
    Changsha, Hunan 410013, China
    Recruiting
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References and documents

Individual participant data

Plan to share: No

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 Oct 29, 2020, 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
NCT04607720
Lead sponsor
The Third Xiangya Hospital of Central South University
Responsible party
Sponsor
First posted
Oct 29, 2020
Start date
Jan 1, 2020
Primary completion
Dec 31, 2021 (estimated)
Completion
Jun 30, 2022 (estimated)
Last update
Oct 29, 2020

Study contacts

Wang Xiao, MD
Contact
wxy20011@163.com
+8613974889301
Li Tian, MD
principal investigator · The Third Xiangya Hospital of Central South University
Anliu Tang, MD
principal investigator · The Third Xiangya Hospital of Central South University

Oversight

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

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This study is status unknown, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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