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RecruitingNCT07643090Updated Jun 11, 2026

Diagnostic Trial of a Vision Transformer-Based Ultrasound AI Model for Placenta Accreta Spectrum

An observational study in Placenta Accreta Spectrum, sponsored by FANG HE. Recruiting at 1 site in China. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-06-11.

Sponsored by FANG HE · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
561
Ages
18 Years to 45 Years
Sex
Female
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Study summary

This study develops an end-to-end Vision Transformer (ViT)-based artificial intelligence system for ultrasound-based diagnosis of placenta accreta spectrum (PAS), aiming to improve the accuracy and efficiency of prenatal screening using standardized ultrasound video inputs.

Read the detailed description

Placenta accreta spectrum (PAS) is a life-threatening obstetric disorder involving abnormal placental invasion into the uterine wall, which is associated with severe maternal and neonatal complications. Despite advances in imaging, prenatal diagnosis remains challenging due to variability in ultrasound interpretation and reliance on operator expertise.

This study will establish a standardized ultrasound video acquisition protocol and develop a deep learning-based model using Vision Transformer (ViT) architecture to process dynamic ultrasound sequences. The model will be trained using clinically confirmed postpartum outcomes as reference labels.

The diagnostic performance of the system will be systematically evaluated, with the goal of improving consistency in interpretation and supporting more efficient clinical decision-making in prenatal PAS screening.

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Conditions studied

  • Placenta Accreta Spectrum

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Keywords

  • Placenta Accreta Spectrum
  • Ultrasonography
  • Artificial Intelligence
  • Prenatal Diagnosis
  • Vision Transformer
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In context

Placenta Accreta

150 studies on the registry are indexed under Placenta Accreta; 40 are open to participants now.

This study's planned enrollment of 561 is above the median of 87 across 78 observational studies indexed under Placenta Accreta.

Browse Placenta Accreta studies →

Lead sponsor

FANG HE is the lead sponsor of 4 studies on the registry; 4 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 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pregnant women aged 18-45 years; Gestational age between 24 and 34 weeks; Pregnant women with a history of placenta previa or with an anterior placenta.

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

  1. Pregnant women aged between 18 and 45 years;
  2. Gestational age between 24 and 34 weeks;
  3. Pregnant women with a history of placenta previa;
  4. Pregnant women with an anterior placenta;
  5. Willingness to participate in the study and provision of written .

Exclusion criteria

Exclusion criteria:

  1. Failure to provide written ;
  2. Presence of severe complications that precluded continuation of pregnancy;
  3. Inability to comply with study procedures for other reasons.
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.

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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
561 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Interventions

  • Diagnostic testVision Transformer-Based End-to-End Ultrasound Artificial Intelligence Model

    An end-to-end ultrasound AI model based on the Vision Transformer (ViT) architecture was developed for the diagnosis of placenta accreta spectrum (PAS) using standardized ultrasound video inputs. Ultrasound Video Acquisition Protocol: With the patient in the supine position, the operator scanned the lower abdomen using a conventional grayscale probe. Video recording was performed in gray-scale mode for approximately 20-30 seconds, ensuring that the entire scanning region from the lower uterine segment to the uterine fundus was comprehensively captured.

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What researchers measure

Primary outcomes

  1. Diagnostic performance of the end-to-end Vision Transformer (ViT)-based ultrasound AI model for placenta accreta spectrum (PAS)

    Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the receiver operating characteristic curve (AUC) of the model.

    Time frame: At delivery (following confirmation of PAS status by surgical and/or pathological findings)

Secondary outcomes

  1. Clinical Feasibility of the Standardized Ultrasound Video Recording Method

    Completion Rate (Proportion of patients who successfully complete the standardized recording) and time consumption (Mean recording time)

    Time frame: At enrollment during the ultrasound examination

  2. Consistency and Efficiency Between the AI Model and Physician Diagnosis

    Diagnostic Consistency: Kappa coefficient used to evaluate the consistency between the AI model's diagnoses and those of experienced ultrasound physicians (Kappa \> 0.75 indicates good agreement).

    Time frame: At enrollment during the ultrasound examination

  3. Safety of the AI Model

    False Negative Rate: Proportion of missed PAS-positive patients and the impact on patient outcomes .

    Time frame: At delivery, when PAS status and maternal outcomes are assessed

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Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 11, 2026, 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
NCT07643090
Lead sponsor
FANG HE
Responsible party
FANG HE (Chief Physician/Professor of the Obstetrics Department, The Third Affiliated Hospital of Guangzhou Medical University) — Sponsor-investigator
First posted
Jun 11, 2026
Start date
Sep 1, 2025
Primary completion
Sep 1, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jun 11, 2026

Study contacts

Fang He, M.D, PhD
Contact
Gzhefang@gzhmu.edu.cn
+86 13724831279

Oversight

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

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