ClinicalTrials.gg
RecruitingNCT07010380PTFinderUpdated Jun 18, 2025

Dual-Channel Near-Infrared Autofluorescence Imaging and AI Analysis to Locate Parathyroid Glands (PTFinder)

An observational study in Thyroid Neoplasms, Hyperparathyroidism and Parathyroid Gland, sponsored by Bo Wang,MD. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-18.

Sponsored by Bo Wang,MD · Observational

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
180
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 160 studies in Thyroid Neoplasms with a site in China — 65 open to participants now, 72 under way, 6 of them phase 3. Thyroid Neoplasms · China.

Planned enrollment
35th of 52
180 · median 300
Started
2025
with 19 others
Observational
52 of 160
25 open now
Primary completion
2027-12
later than 45 of 71 live
Registered
135th of 160
by date
Lead sponsor
4 of 160
Bo Wang,MD

Among the 160 studies in Thyroid Neoplasms with a site in China, this one is the 35th largest by planned enrollment of the 52 observational ones, is one of 20 that started in 2025, is one of 52 observational ones, reaches primary completion later than 45 of the 71 other live ones, and was the 135th registered.

By phase

160 studies; the count open now beside each. This study's row is marked.

Observationalthis study52 · 25 open
No phase41 · 13 open
Phase 231 · 11 open
Phase 312 · 4 open
Phase 19 · 4 open
Phase 1/28 · 3 open
Phase 45 · 4 open
Phase 2/32 · 1 open

By the year they started

First in 2006; this study’s year is marked. 20 started in 2025.

Size and results

Median enrollment 106 across the 108 interventional studies, 300 across the 52 observational. Of the 47 that completed or were terminated, 6 (13%) have results posted.

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02

Study summary

This study tests PTFinder, a dual-camera system that makes parathyroid glands glow on screen by capturing their natural near-infrared autofluorescence. After a thyroid or parathyroid operation, the removed tissue is scanned with PTFinder and then checked again under normal white light. We will measure how fast (seconds) and how accurately the device finds real glands, confirmed by frozen pathology or a rapid PTH strip. About 180 adult patients at three Chinese hospitals will join. The imaging adds only a few minutes and does not change any part of the surgery. We will also record blood calcium and PTH at 1 h, 24 h, and 7 d after surgery to see whether better gland recovery lowers low-calcium risk.Collected images will also be used to train and test a deep-learning model for fully automated parathyroid recognition; model performance metrics constitute secondary outcomes.

Read the detailed description

Prospective, paired, observational study at three endocrine-surgery centers. For each specimen:

PTFinder scan - stopwatch runs until the first gland is seen; all suspected glands are marked.

White-light exam - second investigator, blinded to device results, inspects the same specimen.

All marked tissue plus a random "negative" sample go to frozen section or rapid PTH strip; discrepancies are settled by permanent histology.

Outcomes

Primary - time to first gland; detection rate per specimen.

Secondary - sensitivity, specificity, PPV, NPV; post-operative PTH and calcium at 1 h, 24 h, 7 d; incidence of hypocalcaemia.

Sample size: 60 specimens per site (total = 180) gives 80 % power to detect a rise in detection rate from 70 % to 90 % (α = 0.05, McNemar).

Analysis: Paired tests for efficiency, mixed-effects models for accuracy and lab values; multiple imputation for missing data.

Safety \& Oversight: PTFinder emits low-intensity NIR light only on ex-vivo tissue; no patient exposure. Device is investigational, not under an FDA IDE. Ethics approval obtained from Fujian Medical University Union Hospital IRB (FJMU-IRB-2025-PTF); other sites use the same central IRB agreement. Data are stored in a secure eCRF.

Collected images will also be used to train and test a deep-learning model for fully automated parathyroid recognition; model performance metrics constitute secondary outcomes.

03

Conditions studied

  • Thyroid Neoplasms
  • Hyperparathyroidism
  • Parathyroid Gland

Keywords

  • Near-Infrared Autofluorescence (NIRAF)
  • Parathyroid Identification
  • PTFinder Device
  • Dual-Channel Imaging
  • Rapid PTH Test Strip
  • Thyroidectomy Specimen
  • Ex-Vivo Fluorescence Camera
  • Sensitivity and Specificity
  • Artificial Intelligence
  • Deep Learning
  • Computer Vision
  • NIRAF 3 Dual
  • PTFinder 3 Dual
  • PTFinder 3.0 Dual
  • NIRAF 3.0 Dual
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Consecutive adult patients undergoing thyroid or parathyroid surgery at three tertiary endocrine-surgery centers in China (Fuzhou, Xiamen, and Wenzhou). Approximately 60 participants will be enrolled per center, for a planned total of 180 surgical specimens. The cohort reflects routine clinical practice and is intended to evaluate the ex-vivo performance of the PTFinder near-infrared autofluorescence imaging device.

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

  • Age ≥18 years.
  • Scheduled for elective total thyroidectomy, hemithyroidectomy, or parathyroidectomy with removal of thyroid/parathyroid tissue.
  • Able and willing to provide written for participation and specimen imaging.

Exclusion criteria

Exclusion Criteria:

  • History of neck irradiation or prior neck surgery that may distort parathyroid anatomy.
  • Pregnancy or breastfeeding.
  • Confirmed or suspected parathyroid carcinoma, or thyroid carcinoma requiring en-bloc parathyroid resection.
  • Inability to understand the study procedures or to comply with follow-up.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
180 participants (estimated)
Target follow-up
7 Days
Patient registry
Yes

Groups and cohorts

  • Surgical Specimen Cohort

    Adults (≥18 y) undergoing thyroid or parathyroid surgery; their excised specimens will be imaged ex vivo with the PTFinder device for parathyroid-gland identification.

    Device: PTFinder Dual-Channel NIR Autofluorescence Imaging System · Other: Offline Machine-Learning Algorithm (PTFinder-AI Beta)

Interventions

  • DevicePTFinder Dual-Channel NIR Autofluorescence Imaging System

    Ex vivo, non-contact imaging of resected thyroid/parathyroid specimens; captures near-infrared autofluorescence and overlays it on white-light video to highlight parathyroid glands (2-5 min per specimen).

  • OtherOffline Machine-Learning Algorithm (PTFinder-AI Beta)

    training/validation on de-identified NIR/RGB frames.

06

What researchers measure

Primary outcomes

  1. Detection Rate of Pathology-Confirmed Parathyroid Glands per Specimen (PTFinder)

    Proportion of parathyroid glands correctly located by PTFinder divided by the total number of glands confirmed on frozen section or rapid PTH strip. Unit = % (higher = better).

    Time frame: Intra-operative imaging session (0-5 minutes)

Secondary outcomes

  1. Time to First Parathyroid Gland Identification (PTFinder)

    Seconds from start of device scanning to first verified gland highlight (stopwatch). Lower value indicates faster localisation.

    Time frame: 1 day (Same imaging session)

  2. Sensitivity of PTFinder

    True-positive glands / (true-positive + false-negative) versus frozen pathology/PTH strip. Unit = %.

    Time frame: 1 day (Same imaging session)

  3. Specificity of PTFinder

    True-negative sites / (true-negative + false-positive). Unit = %.

    Time frame: 1 day (Same imaging session)

  4. Serum PTH Level

    Mean parathyroid hormone concentration (pg/mL) at each time-point.

    Time frame: 1 hour , 24 hours, 7 days post-op

  5. Corrected Serum Calcium Level

    Mean calcium (mmol/L) adjusted for albumin.

    Time frame: 1 hour , 24 hours, 7 days post-op

  6. Incidence of Hypocalcaemia

    % of participants with corrected calcium \<2.0 mmol/L or symptoms requiring supplementation.

    Time frame: Up to 7 days post-op

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Wang B, Zhou CP, Ao W, Cai SJ, Ge ZW, Wang J, Huang WY, Yu JF, Wu SB, Yan SY, Zhang LY, Wang SS, Wang ZH, Hua S, Abdelhamid Ahmed AH, Randolph GW, Zhao WX. Exploring near-infrared autofluorescence properties in parathyroid tissue: an analysis of fresh and paraffin-embedded thyroidectomy specimens. J Biomed Opt. 2025 Jan;30(Suppl 1):S13702. doi: 10.1117/1.JBO.30.S1.S13702. Epub 2024 Jul 18. PubMed 39034960 ↗

Individual participant data

Plan to share: Yes — De-identified individual-level data-NIR/RGB image files, time-to-detection, pathology confirmation, and postoperative PTH \& calcium values-will be available 6 months after the primary manuscript is published, for 3 years, to qualified researchers who provide a methodologically sound proposal and sign a data-use agreement. Requests should be sent to the Principal Investigator (wangbo@fjmu.edu.cn).

Supporting information: Study protocol, Statistical analysis plan

Time frame: "De-identified image dataset and trained AI weights will be deposited in an open repository (e.g., Zenodo) 6 months after publication, pending IRB approval."

Access criteria: Researchers must obtain IRB approval or exemption and agree to use the data only for scientific purposes.

09

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 Jun 2025 (actual). Primary completion is estimated for Dec 2027, 30 months after the start.

Of 103 non-industry observational studies under Thyroid Neoplasms, half reached primary completion within 71 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 311. This study's planned 30 months is below that.

Counting every sponsor, half of 112 studies reached it within 63 months; a quarter within 26 and three quarters within 311.

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

Registered
Jun 1, 2025
First posted
Jun 8, 2025
StartActual
Jun 1, 2025
Primary completionEst.
Dec 31, 2027
CompletionEst.
Dec 31, 2029
Last update
Jun 18, 2025
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 Jun 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07010380
Lead sponsor
Bo Wang,MD
Responsible party
Bo Wang,MD (Director, Head of Thyroid Surgery, Principal Investigator, Clinical Professor, Fujian Medical University) — Sponsor-investigator
First posted
Jun 8, 2025
Start date
Jun 1, 2025
Primary completion
Dec 31, 2027 (estimated)
Completion
Dec 31, 2029 (estimated)
Last update
Jun 18, 2025

Study contacts

Bo Wang Professor, MD
Contact
wangbo@fjmu.edu.cn
+86 13959123550

Oversight

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

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