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NCT Number: NCT07408167

AI Models in Clinical Pathology Diagnosis: A Multicenter RCT

The investigators plan to conduct a multicenter, prospective, randomized controlled trial to systematically evaluate the incremental value of pathology-based artificial intelligence (AI) models in a pan-disease diagnostic workflow. The study will primarily compare interpretation using an AI-assisted platform with conventional independent slide reading in terms of diagnostic accuracy (e.g., AUC), reading efficiency (e.g., diagnostic time), diagnostic report quality, diagnostic confidence (Likert scale), and pathologists' satisfaction with the AI model. Investigators will also assess superiority among less experienced (junior) pathologists and non-inferiority among more experienced (senior) pathologists. Successful completion of this project will provide high-level prospective evidence to support standardized deployment, quality control, and broader implementation of pathology AI in clinical practice. This trial may also evaluate the potential benefits and risks of using AI tools in medical research.

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Key information

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The First Hospital Affiliated to AMU SOUTHWEST HOSPITAL, Chongqing, Chongqing Municipality, China

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About this study

In this study, investigators plan to enroll 60 pathologists with varying levels of experience and 2,000 patients requiring pathological diagnosis, with whole-slide images (WSIs) collected.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Pathologists:

Inclusion criteria

  • Voluntarily provide written informed consent.
  • Age ≥ 20 years.
  • Have completed at least 1 year of training in pathological diagnosis.

Exclusion criteria

  • Individuals with reading difficulties or a reading disorder.
  • Unwilling to participate in this study.

Patients:

Inclusion criteria

  • Voluntarily provide written informed consent.
  • Age ≥ 18 years.
  • Have available digital pathology images and relevant clinical information.

Exclusion criteria

  • Missing data or data quality not meeting the requirements for analysis.
  • Deemed unsuitable for participation by the investigator.
  • Unwilling to participate in this study.

Treatment and study plan

AI model

Other

Doctors in this group are required to use the AI model to assist their diagnoses. The AI pathology model will provide a predicted result for each case.

Control

Other

Pathologists will independently diagnose each case based on their own clinical experience, and will record both their time to diagnosis and their diagnostic confidence.

Primary outcomes

  1. Area under ROC curve (AUC)

    Time frame: Assessments will be conducted within one week after the pathologists' diagnoses

    Area under the curve

Secondary outcomes

  1. Diagnostic time per case

    Time frame: Measured immediately after the pathologists' diagnosis

    Time required for the pathologist to complete the diagnosis of each case in the AI-assisted diagnosis group compared with the independent diagnosis group. Diagnostic time is defined as the duration (in minutes/seconds) from initiating case review to finalizing and submitting the diagnostic report in the study system.

  2. Pathologists' diagnostic confidence

    Time frame: At the time of diagnosis for each case.

    Self-reported diagnostic confidence of pathologists for each case in the AI-assisted diagnosis group compared with the independent diagnosis group. Diagnostic confidence will be rated by the reporting pathologist on a [10]-point Likert scale (e.g., 1 = very uncertain to 10 = very confident) immediately after completing the diagnosis. Higher scores indicate greater diagnostic confidence.

Study contacts

Contact information is provided by the study sponsor or research team.

Zhengyu Zhang

CONTACT

[email protected]

13837365993

Sponsors and collaborators

Lead sponsor

Nanfang Hospital, Southern Medical University

Other

Registry information

Official study title

Performance of AI Models in the Clinical Pathology Diagnostic Workflow: A Multicenter, Prospective, Randomized Controlled Trial

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Feb 13, 2026
Registry last updated
Feb 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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