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NCT Number: NCT06718725

An Artificial Intelligence System for ROSE of EUS-FNA Sample: a Prospective, Multicenter, Diagnostic Study.

This is an observational study with a prospective, multicenter, disgnostic design. An artificial intelligence system named ROSE-AI system was developed using cytopathological slide images taken by microscope camera or smartphone of pancreas, bile duct, liver and lymph node, collected retrospectively from patients who underwent EUS-FNA and ROSE, and the performance of ROSE-AI system was validated in the datasets collected prospectively.This study aims to assist endoscopists in conducting rapid on-site cytopathology evaluations during EUS-FNA without the presence of cytopathologists. In addition, the diagnostic field was compared between the cytopathologists and ROSE-AI system, endoscopists with or without ROSE-AI system.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Qilu Hospital of Shandong University

Jinan, Shandong, 250012, China

Location status: Recruiting

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • the patient age ≥18 years accepted EUS-FNA+ROSE.
  • agree to participate in the research and be able to sign written informed consent.

Exclusion criteria

  • uncorrectable coagulopathy (PTT >50 seconds or INR >1.5) and/or uncorrectable thrombocytopenia (platelet count <50 × 109 /L).
  • patients who were too clinically ill to undergo an EUS examination.
  • lesions that were deemed inaccessible for EUS-guided sampling.
  • unsuccessful EUS-FNA (e.g., failure to obtain an adequate specimen, patient intolerance, intraoperative accidents, etc.).
  • Patients with unqualified ROSE smear.
  • Patients who underwent biopsy during EUS-FNA but did not receive a definitive pathological diagnosis or pathological report.
  • pregnancy.

Treatment and study plan

ROSE-AI system

Diagnostic Test

The cytopathological slide images of the patients' ROSE samples will be identified by the ROSE-AI system.

Primary outcomes

  1. the accuracy, sensitivity and specificity of the ROSE-AI system in identifying malignant/non-malignant ROSE samples

    Time frame: During procedure

    The primary outcome of the study is to evaluate the performance of the ROSE-AI system in identifying the malignant/non-malignant ROSE samples of pancreatic, bile duct, hepatic and lymph node based on both images taken by microscope camera and smartphone, and comparing the performance between the ROSE-AI system and endoscopists, cytopathologists.

Secondary outcomes

  1. comparing the diagnostic performance between endoscopists with ROSE-AI system and without ROSE-AI system

    Time frame: During procedure

    A cross-over human-AI contest using images of the prospective testing dataset will be performed. The diagnostic performance of endoscopists with ROSE-AI system and without ROSE-AI system will be evaluated.

Study contacts

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

Sponsors and collaborators

Lead sponsor

Qilu Hospital of Shandong University

Other

Collaborators

  • 960th Hospital of PLA
  • Binzhou Medical University
  • Binzhou People's Hospital
  • Liaocheng People's Hospital
  • Qilu Hospital of Shandong University (Qingdao)
  • Shandong Provincial Hospital
  • Taian City Central Hospital
  • The Affiliated Hospital of Qingdao University
  • Yidu Central Hospital of Weifang

Registry information

Official study title

An Artificial Intelligence System for Rapid Onsite Cytologic Pathology Evaluation(ROSE) of Endoscopic Ultrasound-guided Fine-needle Aspiration (EUS-FNA) Sample: a Prospective, Multicenter, Diagnostic Study.

Acronym: ROSE,EUS-FNA

Important dates

Study start
2024
Primary completion
2026
Study completion
2026
First posted
Dec 5, 2024
Registry last updated
Dec 5, 2024

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.