NCT05320185

Brief Summary

With the emergence of advanced technology to date in the artificial intelligence (AI), computer aided diagnosis has gradually gained its popularity in the field of healthcare. Particularly, in the clinical practice of coronary artery disease diagnosis, the application of AI could be of great implication in alleviating the shortage of medical sources. To evaluate the effectiveness and safety of the AI-based coronary CT angiographic analysis software (RuiXin-CoronaryAI) for diagnosis of coronary artery stenosis, a retrospective, multi-center, cross-over designed, blinded, sensitivity superiority and specificity non-inferiority clinical trial will be conducted.

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
615

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2021

Geographic Reach
1 country

3 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

Study Start

First participant enrolled

July 28, 2021

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

March 16, 2022

Completed
26 days until next milestone

First Posted

Study publicly available on registry

April 11, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 30, 2022

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2022

Completed
Last Updated

September 21, 2022

Status Verified

March 1, 2022

Enrollment Period

1 year

First QC Date

March 16, 2022

Last Update Submit

September 19, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • Per-vessel diagnostic sensitivity of RuiXin-CoronaryAI for diagnosis of coronary artery stenosis

    Outcome measures were comparing RuiXin-CoronaryAI to CTA on a per-vessel basis

    1 day; Incident time for CTA examination was dependent on the length of time on the CT scaner. RuiXin-CoronaryAI examination was done remotely at Raysight's processing center in Shenzhen with a turnaround time of 24 hours from CT scan.

  • Per-vessel diagnostic specificity of RuiXin-CoronaryAI for diagnosis of coronary artery stenosis

    Outcome measures were comparing RuiXin-CoronaryAI to CTA on a per-vessel basis

    1 day; Incident time for CTA examination was dependent on the length of time on the CT scaner. RuiXin-CoronaryAI examination was done remotely at Raysight's processing center in Shenzhen with a turnaround time of 24 hours from CT scan.

Secondary Outcomes (2)

  • Per-patient diagnostic sensitivity of RuiXin-CoronaryAI for diagnosis of coronary artery stenosis

    1 day; Incident time for CTA examination was dependent on the length of time on the CT scaner. RuiXin-CoronaryAI examination was done remotely at Raysight's processing center in Shenzhen with a turnaround time of 24 hours from CT scan.

  • Per-patient diagnostic specificity of RuiXin-CoronaryAI for diagnosis of coronary artery stenosis

    1 day; Incident time for CTA examination was dependent on the length of time on the CT scaner. RuiXin-CoronaryAI examination was done remotely at Raysight's processing center in Shenzhen with a turnaround time of 24 hours from CT scan.

Study Arms (3)

Control group

CCTA images will be visually evaluated by physicians.

Experiment group

CCTA images will be evaluated by physicians using RuiXin-CoronaryAI.

Device: RuiXin-CoronaryAI software

Reference group

CCTA images will be visually evaluated by cardiologists with at least 10 years experiences, and the conclusions they offer will be used as golden standard.

Interventions

RuiXin-CoronaryAI, based on Computed Tomography Angiography (CTA) and was independently designed by RaysightMed Inc., which has been already authorized by National Medical Products Administration (NMPA).

Experiment group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients ≥18 years old with suspected or known coronary artery disease who underwent CCTA examination.

You may qualify if:

  • layer thickness of CCTA images should be less than 1mm, image quality should be up to DICOM 3.0 standards;
  • vessels should be clearly developed, contrast medium ought to be well filled, the average of CT value of aortic root cavity should be between 325-600HU in CCTA image;
  • remodeling of vessels should be intact, including coronary artery and branches, without missed or inaccurate slices;
  • CCTA image should be obtained from single- or dual-source computed tomography (CT) scanners with a minimum of 64 detector rows.

You may not qualify if:

  • CCTA image is of poor quality due to motion artifact, severe calcification, metal coverage, noise, poor contrast medium injection and other variables influencing the diagnosis of stenosis;
  • previous percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG);
  • anomalous origin of coronary artery;
  • other non-atherosclerosis-related coronary diseases like coronary artery fistula, aneurysm, coronary artery ectasia, arteritis coronaria, etc.;
  • repeated enrollment;
  • other conditions not suitable for enrollment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Beijing Hospital

Beijing, Beijing Municipality, 100730, China

RECRUITING

Sun Yat-sen Memorial Hospital

Guangzhou, Guangdong, 510120, China

RECRUITING

Tongji Hospital

Wuhan, Hubei, 430030, China

RECRUITING

MeSH Terms

Conditions

Coronary Artery DiseaseCoronary Stenosis

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Study Officials

  • Liming Xia

    Tongji Hospital

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 16, 2022

First Posted

April 11, 2022

Study Start

July 28, 2021

Primary Completion

July 30, 2022

Study Completion

December 30, 2022

Last Updated

September 21, 2022

Record last verified: 2022-03

Locations