NCT04892329

Brief Summary

Pancreatic cancer is one of the most lethal cancers. Survival rates vary largely depending on the stage at which it is diagnosed. EUS is considered one of the most sensitive modalities for pancreatic cancer detection. To avoid a missed diagnosis of the pancreatic cancer, the continuity and integrity of EUS needs to be ensured as much as possible. The station approach in pancreatic EUS has been established as the standard scanning procedure. Complete anatomical scanning is helpful for the identification of standard stations, and its imaging findings can assist in the diagnosis of pancreatic lesions and guide patient treatment and prognosis. But EUS is highly operator-dependent and the learning curve is steep. In this study, we constructed a deep learning-based pancreatic scanning navigation system in EUS, which can assist in identifying important anatomical structures adjacent to the pancreas in real time. In order to improve the quality of EUS and reduce the missed diagnosis of pancreatic lesions.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
285

participants targeted

Target at P75+ for not_applicable pancreatic-cancer

Timeline
Completed

Started May 2021

Shorter than P25 for not_applicable pancreatic-cancer

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 10, 2021

Completed
2 days until next milestone

Study Start

First participant enrolled

May 12, 2021

Completed
7 days until next milestone

First Posted

Study publicly available on registry

May 19, 2021

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 29, 2022

Completed
1 day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2022

Completed
Last Updated

July 5, 2022

Status Verified

June 1, 2022

Enrollment Period

1.6 years

First QC Date

May 10, 2021

Last Update Submit

June 29, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Missed scanning rate of adjacent important anatomical structures in pancreatic endoscopic ultrasonography

    It was calculated by dividing the number of important anatomy that is not scanned in the actual EUS pancreas by the number of EUS.

    Six month

Secondary Outcomes (6)

  • Pancreatic lesions detection rate

    Six month

  • Cholangiopancreatic duct lesions detection rate

    Six month

  • The average number of scanning in the pancreatic standard station of endoscopic ultrasonography

    Six month

  • Detection rate of lesions in different pancreatic standard stations of endoscopic ultrasonography

    Six month

  • Missed scanning rate of adjacent vital anatomical structures in different pancreatic standard stations of endoscopic ultrasonography

    Six month

  • +1 more secondary outcomes

Study Arms (2)

EUS AI navigation system augmentation

EXPERIMENTAL

The endoscopists in the experimental group will be assisted by EndoAngel, which can assist in identifying important anatomical structures adjacent to the pancreas in real time. The system is an non-invasive AI system .

Other: Artificial intelligence assistant system

without EUS AI navigation system augmentation

NO INTERVENTION

The endoscopists in the contrpl group performs the examination routinely without special prompts.

Interventions

The endoscopists in the experimental group will be assisted by EndoAngel, which can assist in identifying important anatomical structures adjacent to the pancreas in real time. The system is an non-invasive AI system .

EUS AI navigation system augmentation

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All patients meeting the following criteria will be considered for participation in the study:
  • Male or female aged 18 or above;
  • EUS is needed to further clarify the characteristics of biliopancreatic diseases;
  • Patients able to give informed consent were eligible to participate.
  • Able and willing to comply with all study process.

You may not qualify if:

  • All patients meeting the following criteria will not be considered for participation in the study:
  • Has participated in other clinical trials, signed informed consent and was in the follow-up period of other clinical trials.
  • Has participated in clinical trials of the drug and is in the elution period of the experimental drug or control drug.
  • Drug or alcohol abuse or psychological disorder in the last 5 years.
  • Patients in pregnancy or lactation.
  • A history of Upper Gastrointestinal surgery.
  • Patients with anatomical abnormalities of the upper gastrointestinal tract due to advanced neoplasia
  • Patients in whom the presence of clearly defined vital anatomical structures cannot be observed
  • Researchers believe that the patient is not suitable to participate in the trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430000, China

NOT YET RECRUITING

Renmin Hospital of Wuhan University

Wuhan, 430060, China

RECRUITING

MeSH Terms

Conditions

Pancreatic Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Study Officials

  • Honggang Yu, Doctor

    Renmin Hospital of Wuhan University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Honggang Yu, Doctor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 10, 2021

First Posted

May 19, 2021

Study Start

May 12, 2021

Primary Completion

November 29, 2022

Study Completion

November 30, 2022

Last Updated

July 5, 2022

Record last verified: 2022-06

Locations