Augmented Endobronchial Ultrasound (EBUS-TBNA) With Artificial Intelligence

Sponsor
Norwegian University of Science and Technology (Other)
Overall Status
Recruiting
CT.gov ID
NCT05739331
Collaborator
Helse Nord-Trøndelag HF (Other), SINTEF Health Research (Other)
50
2
31
25
0.8

Study Details

Study Description

Brief Summary

To evaluate the usefulness of Deep neural network (DNN) in the evaluation of mediastinal and hilar lymph nodes with Endobronchial ultrasound (EBUS). The study will explore the feasibility of DNN to identify lymph nodes and blood vessel examined with EBUS.

Condition or Disease Intervention/Treatment Phase
  • Device: machine learning algorithm

Detailed Description

Multi-center prospective feasibility study. The DNN model will be trained on ultrasound images with annotation to identifies lymph nodes and blood vessels examined with EBUS. The ability of the DNN to segment lymph nodes and vessels based on postoperative processing and static EBUS images will be evaluated in the first part of the study. In the second part of the study Real-time use of DNN in EBUS procedure will be evaluated.

Study Design

Study Type:
Observational
Anticipated Enrollment :
50 participants
Observational Model:
Case-Only
Time Perspective:
Prospective
Official Title:
Automatic Segmentation of Mediastinal Lymph Nodes and Blood Vessels in Endobronchial Ultrasound (EBUS) Images Using a Deep Neural Network
Anticipated Study Start Date :
May 1, 2023
Anticipated Primary Completion Date :
May 1, 2025
Anticipated Study Completion Date :
Dec 1, 2025

Outcome Measures

Primary Outcome Measures

  1. Capability [8 months]

    To explore if Deep neural network (DNN) has capability to segment lymph nodes and blood vessels from EBUS images

Secondary Outcome Measures

  1. Precision [2 months]

    The precision the DNN has for detecting lymph nodes and blood vessels. Measured both per voxel in the EBUS images and per annotated structure (a structure is counted as detected if at least 50% of its annotated pixels are identified by the DNN).

  2. Sensitivity [2 months]

    True positive rate. Correctly detected lymph nodes/blood vessel over total lymph nodes/blood vessel. Measured per pixel in the EBUS images

  3. Specificity [2 months]

    Specificity = (True Negative)/(True Negative + False Positive). Measured per pixel in the EBUS images.

  4. Dice similarity coefficient [2 months]

    Measures the similarity between two sets of data: Annotated by pulmonologist vs DNN.

  5. Run-time [2 months]

    Is the run-time sufficiently low for real-time analysis during EBUS?

  6. Adverse events [48 hours]

    Procedure related adverse events or unexpected incidents registered

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Subjects referred to thoracic department in any of the participating hospitals with undiagnosed enlarged mediastinal and hilar lymph nodes.

  • Subjects have to be ≥ 18 years of age

Exclusion Criteria:
  • Pregnancy

  • Any patient that the Investigator feels is not appropriate for this study for any reason.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Department of Pulmonology, Levanger Hospital, North Trøndelag Hospital Trust Levanger Norway 7600
2 Department of Thoracic Medicine, St Olavs Hospital Trondheim Norway 7030

Sponsors and Collaborators

  • Norwegian University of Science and Technology
  • Helse Nord-Trøndelag HF
  • SINTEF Health Research

Investigators

  • Study Director: Øivind Rognmo, Dr.philos, Norwegian University of Science and Technology

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Norwegian University of Science and Technology
ClinicalTrials.gov Identifier:
NCT05739331
Other Study ID Numbers:
  • 240245
First Posted:
Feb 22, 2023
Last Update Posted:
Feb 22, 2023
Last Verified:
Feb 1, 2023
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Feb 22, 2023