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CompletedNCT05872516Updated May 24, 2023

Atrial Fibrillation Detecting Software Gung Atrial Fibrillation Detecting Software

An interventional study of Chang Gung Atrial Fibrillation Detecting Software in Atrial Fibrillation, sponsored by Chang Gung Memorial Hospital. Completed at 1 site in Taiwan. Open to participants aged 20 Years to 100 Years. Per ClinicalTrials.gov, last updated 2023-05-24.

Sponsored by Chang Gung Memorial Hospital · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jul 2022, registered May 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
788
Allocation
Not applicable
Ages
20 Years to 100 Years
Sex
All
01

Study summary

Chang Gung Atrial Fibrillation Detection Software is an artificial intelligence electrocardiogram signal analysis software that detects whether a patient has atrial fibrillation by static 12-lead ECG signals. This study is a non-inferiority test based on the control group. The main purpose is to verify whether Chang Gung atrial fibrillation detection software can correctly identify atrial fibrillation in patients with atrial fibrillation, and can be used to provide a reference for doctors to detect atrial fibrillation.

Read the detailed description

This study is a retrospective study, and the data is from the six hospitals of Chang Gung Medical Research Database (CGRD). We collected de-identified static 12-lead electrocardiogram (ECG) data from the database during the period of January 1, 2006, to December 31, 2019.

We created a training set and a testing set of ECG data from the CGRD. Then, we stratified and sampled ECG signals from the testing set according to the actual proportion to obtain the experimental sample.

The computer first preliminarily screened and selected ECG data that met the inclusion and exclusion criteria, and then numbered them sequentially. A cardiologist confirmed that the sampled ECG data did not include exclusion criteria.

The ECG data were converted into images and interpreted for the presence or absence of atrial fibrillation by three cardiologists. Their results were used as the gold standard (reference) for this study.

After determining the experimental standards, the ECG signals were inputted into the Chang Gung Atrial Fibrillation Detection software for analysis and interpretation of each ECG data.

After the software interpretation was completed, the results were compared with the interpretations of the physicians, and the primary and secondary evaluation indicators were analyzed accordingly.

02

Conditions studied

  • Atrial Fibrillation

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Keywords

  • artificial intelligence
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 788 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Chang Gung Memorial Hospital is the lead sponsor of 1,064 studies on the registry; 235 are open to participants now.

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

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Who can participate

Ages eligible
20 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Equal or greater than twenty years old
  • Static 12-lead electrocardiogram of General Electric MUSE XML format file.
  • The data comes from the static 12-lead electrocardiogram device of General Electric (model MAC5500).
  • The electrocardiogram signal is 500 Hz.
  • The Alternating current (AC) filter of the electrocardiogram signal is 60 Hz.

Exclusion criteria

Exclusion Criteria:

  • Cases used in the model development process.
  • Lacks any electrode.
  • Contain any electrode lacks a segment.
  • Misplaced leads
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
788 participants (actual)

Study arms

  • Experimental
    Software diagnosis

    Software diagnosis with gold standard of 3 doctors' consensus.

    Device: Chang Gung Atrial Fibrillation Detecting Software

Interventions

  • DeviceChang Gung Atrial Fibrillation Detecting Software

    This software is expected to be used in clinical testing to interpret the static 12-lead ECG of adults who are over 20 years old and suspected of having atrial fibrillation, detect whether there is a signal of atrial fibrillation, and output the results for clinicians Near-instant auxiliary diagnostic use.

06

What researchers measure

Primary outcomes

  1. Sensitivity

    The rate of test results that correctly indicate the presence.

    Time frame: baseline

Secondary outcomes

  1. Specificity

    The rate of test results that correctly indicate the absence.

    Time frame: baseline

  2. Accuracy

    The rate of all test results that correctly indicate.

    Time frame: baseline

  3. Area Under the receiver operating characteristic Curve

    A graphical plot that illustrates the diagnostic ability of a binary classifier system as its discrimination threshold is varied.

    Time frame: baseline

  4. Positive predictive value

    The proportions of positive results in statistics and diagnostic tests that are true positive results

    Time frame: baseline

  5. Negative predictive value

    The proportions of negative results in statistics and diagnostic tests that are true negative results

    Time frame: baseline

  6. False positive rate

    The rate of test result which wrongly indicates that a particular condition or attribute is present

    Time frame: baseline

  7. False negative rate

    The rate of test result which wrongly indicates that a particular condition or attribute is absent

    Time frame: baseline

07

Study locations

1 site
  • Chang Gung memorial hospital
    Taoyuan City, 333, Taiwan
08

References and documents

Publications

  • Mant J, Fitzmaurice DA, Hobbs FD, Jowett S, Murray ET, Holder R, Davies M, Lip GY. Accuracy of diagnosing atrial fibrillation on electrocardiogram by primary care practitioners and interpretative diagnostic software: analysis of data from screening for atrial fibrillation in the elderly (SAFE) trial. BMJ. 2007 Aug 25;335(7616):380. doi: 10.1136/bmj.39227.551713.AE. Epub 2007 Jun 29. PubMed 17604299 ↗
  • US Preventive Services Task Force; Curry SJ, Krist AH, Owens DK, Barry MJ, Caughey AB, Davidson KW, Doubeni CA, Epling JW Jr, Kemper AR, Kubik M, Landefeld CS, Mangione CM, Silverstein M, Simon MA, Tseng CW, Wong JB. Screening for Atrial Fibrillation With Electrocardiography: US Preventive Services Task Force Recommendation Statement. JAMA. 2018 Aug 7;320(5):478-484. doi: 10.1001/jama.2018.10321. PubMed 30088016 ↗
  • Wong KC, Klimis H, Lowres N, von Huben A, Marschner S, Chow CK. Diagnostic accuracy of handheld electrocardiogram devices in detecting atrial fibrillation in adults in community versus hospital settings: a systematic review and meta-analysis. Heart. 2020 Aug;106(16):1211-1217. doi: 10.1136/heartjnl-2020-316611. Epub 2020 May 11. PubMed 32393588 ↗
  • Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomstrom-Lundqvist C, Boriani G, Castella M, Dan GA, Dilaveris PE, Fauchier L, Filippatos G, Kalman JM, La Meir M, Lane DA, Lebeau JP, Lettino M, Lip GYH, Pinto FJ, Thomas GN, Valgimigli M, Van Gelder IC, Van Putte BP, Watkins CL; ESC Scientific Document Group. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J. 2021 Feb 1;42(5):373-498. doi: 10.1093/eurheartj/ehaa612. No abstract available. Erratum In: Eur Heart J. 2021 Feb 1;42(5):507. doi: 10.1093/eurheartj/ehaa798. Eur Heart J. 2021 Feb 1;42(5):546-547. doi: 10.1093/eurheartj/ehaa945. Eur Heart J. 2021 Oct 21;42(40):4194. doi: 10.1093/eurheartj/ehab648. PubMed 32860505 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05872516
Lead sponsor
Chang Gung Memorial Hospital
Responsible party
Sponsor
First posted
May 24, 2023
Start date
Jul 11, 2022
Primary completion
Feb 8, 2023
Completion
Apr 10, 2023
Last update
May 24, 2023

Study contacts

Chang-Fu Kuo, MD/Ph.D
study chair · Associate Professor and Director Division of Rheumatology

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 completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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