ClinicalTrials.gg
Enrolling by invitationNCT06232187scan-AIdUpdated May 10, 2024

AI Support in Novice's Decision-making for Ultrasound Fetal Weight Estimation

An interventional study of Artificial Intelligence feedback for ultrasound EFW standard plane images in Fetal Weight and Ultrasound, sponsored by Copenhagen Academy for Medical Education and Simulation. Enrolling by invitation at 1 site in Denmark. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-10.

Sponsored by Copenhagen Academy for Medical Education and Simulation · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Jun 2024, 2 years 4 months ago, but the record still lists the study as enrolling by invitation.
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The SCAN-AID study is a prospective, randomized, controlled, and unblinded study that compares the performance of novices in ultrasound fetal weight estimation. The study evaluates the impact of two levels of AI support: a straightforward black box AI and a more detailed explainable AI.

Read the detailed description

The goal of this randomized controlled clinical trial is to learn which type of artificial intelligence (AI) effects the diagnostic accuracy of ultrasound estimation of fetal weight (EFW), when performed by novices, in this study represented by medical students.

The study's objectives are:

  • Which type of artificial intelligence support system works for novices in improving the ultrasound fetal weight diagnostic accuracy?
  • Does the artificial intelligence improve image quality, evaluate the cognitive load placed on participants when utilizing AI support, and is the AI system usable for novices?

Participants will be tasked with conducting an ultrasound Estimated Fetal Weight (EFW) using either a simple black box AI or a detailed explainable AI feedback system. The AI systems will assist participants in determining if they have captured the appropriate image for EFW. The outcomes will then be compared to those of a control group.

Ultrasound procedures will be performed on pregnant women with fetuses at a gestational age of 28-42 weeks, who have previously undergone an EFW by an expert sonographer or doctor at the clinic within 5 days days leading up to the examinationday. One participant of each randomization arm, will perfrom an EFW on the same pregnant woman.

02

Conditions studied

  • Fetal Weight
  • Ultrasound

Browse trials for

Keywords

  • Artificial Intelligence
  • Fetal weight estimation
  • novices
03

In context

Fetal Weight

17 studies on the registry are indexed under Fetal Weight; 7 are open to participants now.

Browse Fetal Weight studies →

Lead sponsor

Copenhagen Academy for Medical Education and Simulation is the lead sponsor of 27 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Ultrasound novice participants:

Inclusion Criteria:

  • Medical students with no former fetal or abdominal ultrasound training.
  • The participants will have to understand spoken and written Danish or English.

Exclusion Criteria:

  • Medical students who received formal fetal or abdominal training prior to the inclusion in this study.

Pregnant women;

Inclusion Criteria:

  • The participants will have to understand spoken and written Danish or English.
  • \< 30
  • Gestational age: 28-42

Exclusion Criteria:

  • Age > 40 years
  • Fefal anomaly
  • Oligohydramnion
  • Gestational Diabetes, Diabetes type 1 or 2.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    Feedback Group 1 (FG1)

    Participatns in FG1 will receive basic black box AI support, with simple explanation like "standard plane", "non standard plane" or "off plane".

    Behavioral: Artificial Intelligence feedback for ultrasound EFW standard plane images

  • Experimental
    Feedback Group 2 (FG2)

    Participants in FG2 will receive explainable AI support, with more elaborate description of the anatomical structures and segmentation of the anatomy.

    Behavioral: Artificial Intelligence feedback for ultrasound EFW standard plane images

  • No intervention
    Control group (CG)

    Participants in the CG will have a standard plane poster to help guide them to the EFW ultrasound standard plane images.

Interventions

  • BehavioralArtificial Intelligence feedback for ultrasound EFW standard plane images

    AI feedback in two levels, in aid of the participants, to obtain the right standardplane images used in fetal ultrasound EFW calculation.

06

What researchers measure

Primary outcomes

  1. Diagnostic accuracy

    The accuracy in each group was defined as the percentage difference between estimated fetal weight and the sonographer expert EFW

    Time frame: 15 minutes

Secondary outcomes

  1. Image Quality

    Salomon criteria score is used to rate the image quality. Points are given depending on the number of landmarks present, quality of the image optimization and caliper.placements. Minimum: 1 Maximum: 18. A higher score indicates a better image quality.

    Time frame: 5 minutes pr. participant

Other outcomes

  1. The AI system usability

    The participants will be asked to answer a questionnaire: System Usability Scale (SUS), which is used to evaluate the AI feedback system. Min 1 Maximum 100. A higher score indicating better system usability.

    Time frame: 5 minutes

  2. Measurement of the reaction time

    Measurements of the participants reaction time will a measurement for the cognitive load. The reaction time will be measured as a secondary task while the participants are performing the ultrasound scan.

    Time frame: 5 minutes

07

Study locations

1 site
08

References and documents

Publications

  • Andreasen LA, Tabor A, Norgaard LN, Rode L, Gerds TA, Tolsgaard MG. Detection of growth-restricted fetuses during pregnancy is associated with fewer intrauterine deaths but increased adverse childhood outcomes: an observational study. BJOG. 2021 Jan;128(1):77-85. doi: 10.1111/1471-0528.16380. Epub 2020 Jul 27. PubMed 32588532 ↗
  • Andreasen LA, Tabor A, Norgaard LN, Taksoe-Vester CA, Krebs L, Jorgensen FS, Jepsen IE, Sharif H, Zingenberg H, Rosthoj S, Sorensen AL, Tolsgaard MG. Why we succeed and fail in detecting fetal growth restriction: A population-based study. Acta Obstet Gynecol Scand. 2021 May;100(5):893-899. doi: 10.1111/aogs.14048. Epub 2021 Jan 12. PubMed 33220065 ↗
  • Andreasen LA, Feragen A, Christensen AN, Thybo JK, Svendsen MBS, Zepf K, Lekadir K, Tolsgaard MG. Multi-centre deep learning for placenta segmentation in obstetric ultrasound with multi-observer and cross-country generalization. Sci Rep. 2023 Feb 8;13(1):2221. doi: 10.1038/s41598-023-29105-x. PubMed 36755050 ↗
  • Nicholls D, Sweet L, Hyett J. Psychomotor skills in medical ultrasound imaging: an analysis of the core skill set. J Ultrasound Med. 2014 Aug;33(8):1349-52. doi: 10.7863/ultra.33.8.1349. PubMed 25063399 ↗
  • Govaerts MJ, Schuwirth LW, Van der Vleuten CP, Muijtjens AM. Workplace-based assessment: effects of rater expertise. Adv Health Sci Educ Theory Pract. 2011 May;16(2):151-65. doi: 10.1007/s10459-010-9250-7. Epub 2010 Sep 30. PubMed 20882335 ↗
  • Tolsgaard MG, Pusic MV, Sebok-Syer SS, Gin B, Svendsen MB, Syer MD, Brydges R, Cuddy MM, Boscardin CK. The fundamentals of Artificial Intelligence in medical education research: AMEE Guide No. 156. Med Teach. 2023 Jun;45(6):565-573. doi: 10.1080/0142159X.2023.2180340. Epub 2023 Mar 2. PubMed 36862064 ↗
  • Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nat Med. 2019 Jan;25(1):44-56. doi: 10.1038/s41591-018-0300-7. Epub 2019 Jan 7. PubMed 30617339 ↗
  • Tolsgaard MG, Boscardin CK, Park YS, Cuddy MM, Sebok-Syer SS. The role of data science and machine learning in Health Professions Education: practical applications, theoretical contributions, and epistemic beliefs. Adv Health Sci Educ Theory Pract. 2020 Dec;25(5):1057-1086. doi: 10.1007/s10459-020-10009-8. Epub 2020 Nov 3. PubMed 33141345 ↗
  • Degallier-Rochat S, Kurpicz-Briki M, Endrissat N, Yatsenko O. Human augmentation, not replacement: A research agenda for AI and robotics in the industry. Front Robot AI. 2022 Oct 4;9:997386. doi: 10.3389/frobt.2022.997386. eCollection 2022. No abstract available. PubMed 36267424 ↗
  • Vasey B, Novak A, Ather S, Ibrahim M, McCulloch P. DECIDE-AI: a new reporting guideline and its relevance to artificial intelligence studies in radiology. Clin Radiol. 2023 Feb;78(2):130-136. doi: 10.1016/j.crad.2022.09.131. PubMed 36639172 ↗
  • Cruz Rivera S, Liu X, Chan AW, Denniston AK, Calvert MJ; SPIRIT-AI and CONSORT-AI Working Group. Guidelines for clinical trial protocols for interventions involving artificial intelligence: the SPIRIT-AI extension. Lancet Digit Health. 2020 Oct;2(10):e549-e560. doi: 10.1016/S2589-7500(20)30219-3. Epub 2020 Sep 9. PubMed 33328049 ↗
  • Liu X, Cruz Rivera S, Moher D, Calvert MJ, Denniston AK; SPIRIT-AI and CONSORT-AI Working Group. Reporting guidelines for clinical trial reports for interventions involving artificial intelligence: the CONSORT-AI extension. Lancet Digit Health. 2020 Oct;2(10):e537-e548. doi: 10.1016/S2589-7500(20)30218-1. Epub 2020 Sep 9. PubMed 33328048 ↗
  • Salomon LJ, Alfirevic Z, Da Silva Costa F, Deter RL, Figueras F, Ghi T, Glanc P, Khalil A, Lee W, Napolitano R, Papageorghiou A, Sotiriadis A, Stirnemann J, Toi A, Yeo G. ISUOG Practice Guidelines: ultrasound assessment of fetal biometry and growth. Ultrasound Obstet Gynecol. 2019 Jun;53(6):715-723. doi: 10.1002/uog.20272. PubMed 31169958 ↗
  • Hadlock FP. Sonographic estimation of fetal age and weight. Radiol Clin North Am. 1990 Jan;28(1):39-50. PubMed 2404304 ↗
  • Borsci S, Federici S, Lauriola M. On the dimensionality of the System Usability Scale: a test of alternative measurement models. Cogn Process. 2009 Aug;10(3):193-7. doi: 10.1007/s10339-009-0268-9. Epub 2009 Jun 30. PubMed 19565283 ↗
  • Bloch R, Norman G. Generalizability theory for the perplexed: a practical introduction and guide: AMEE Guide No. 68. Med Teach. 2012;34(11):960-92. doi: 10.3109/0142159X.2012.703791. PubMed 23140303 ↗

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 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06232187
Lead sponsor
Copenhagen Academy for Medical Education and Simulation
Collaborators
Slagelse Hospital, Technical University of Denmark
Responsible party
Mary Le Ngo (Doctor of medicine, PhD student, Copenhagen Academy for Medical Education and Simulation) — Principal investigator
First posted
Jan 30, 2024
Start date
Feb 14, 2024
Primary completion
Jun 30, 2024 (estimated)
Completion
Sep 1, 2024 (estimated)
Last update
May 10, 2024

Oversight

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

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