Effect of AI Monitoring Blind Spots of EGD on the Inspection Time and Lesion Dection Rate
Effect of Artificial Intelligence Monitoring Blind Spots of EGD on the Inspection Time and Dection Rate of Neoplastic Lesions
1 other identifier
interventional
1,672
0 countries
N/A
Brief Summary
The goal of this clinic trial is to learn about the effect of AI monitoring blind spots on the inspection time to EGD. Patients are randomly assigned to undergo an EGD with or without the assistance of AI. In the AI group, except for the original videos, there is additional information presented to endoscopists:(1)the virtual stomach model monitoring;(2)time;(3)scoring. Researchers will compare intervention group to see if it have a shorter inspection time compared with the control group.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2023
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 3, 2023
CompletedFirst Posted
Study publicly available on registry
April 27, 2023
CompletedStudy Start
First participant enrolled
July 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
August 31, 2024
CompletedJune 22, 2023
March 1, 2023
11 months
April 3, 2023
June 16, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Dection rate of neoplastic lesions
Proportion of patients with neoplastic lesions among all patients undergoing esophagogastroduodenoscopy.
Through study completion, an average of 1 year
Secondary Outcomes (1)
Inspection time
20min
Study Arms (2)
AI group
EXPERIMENTALIn the AI group, except for the original videos, there is additional information presented to endoscopists:(1)the virtual stomach model monitoring;(2)time;(3)scoring. Endoscopists will complete EGD examination without blind spots.
Routine group
NO INTERVENTIONIn the Routine group, only the original videos and there is no additional information, and inspection time will be no less than 7 minutes.
Interventions
there is additional information presented to endoscopists:(1)the virtual stomach model monitoring;(2)time;(3)scoring.
Eligibility Criteria
You may qualify if:
- patients aged 18 years or older
- patients able to give informed consent
- American Society of Anesthesiology risk class 1,2 or 3
You may not qualify if:
- patients with absolute contraindications to EGD examination
- patients with a history of previous gastrectomy
- patients with a serious underlying disease
- pregnant patients
- researchers believe that the patient is not suitable to participate in the trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (4)
Wu L, Zhang J, Zhou W, An P, Shen L, Liu J, Jiang X, Huang X, Mu G, Wan X, Lv X, Gao J, Cui N, Hu S, Chen Y, Hu X, Li J, Chen D, Gong D, He X, Ding Q, Zhu X, Li S, Wei X, Li X, Wang X, Zhou J, Zhang M, Yu HG. Randomised controlled trial of WISENSE, a real-time quality improving system for monitoring blind spots during esophagogastroduodenoscopy. Gut. 2019 Dec;68(12):2161-2169. doi: 10.1136/gutjnl-2018-317366. Epub 2019 Mar 11.
PMID: 30858305BACKGROUNDWu L, Xu M, Jiang X, He X, Zhang H, Ai Y, Tong Q, Lv P, Lu B, Guo M, Huang M, Ye L, Shen L, Yu H. Real-time artificial intelligence for detecting focal lesions and diagnosing neoplasms of the stomach by white-light endoscopy (with videos). Gastrointest Endosc. 2022 Feb;95(2):269-280.e6. doi: 10.1016/j.gie.2021.09.017. Epub 2021 Sep 20.
PMID: 34547254BACKGROUNDBisschops R, Areia M, Coron E, Dobru D, Kaskas B, Kuvaev R, Pech O, Ragunath K, Weusten B, Familiari P, Domagk D, Valori R, Kaminski MF, Spada C, Bretthauer M, Bennett C, Senore C, Dinis-Ribeiro M, Rutter MD. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy. 2016 Sep;48(9):843-64. doi: 10.1055/s-0042-113128. Epub 2016 Aug 22. No abstract available.
PMID: 27548885BACKGROUNDTan X, Yao L, Dong Z, Li Y, Yu Y, Gao X, Zhu K, Su W, Yin H, Wang W, Luo C, Li J, You H, Hu H, Zhou W, Yu H. Artificial Intelligence as a Surrogate for Inspection Time to Assess Completeness in Esophagogastroduodenoscopy: A Prospective, Randomized, Noninferiority Study. Clin Transl Gastroenterol. 2025 Mar 25;16(6):e00839. doi: 10.14309/ctg.0000000000000839. eCollection 2025 Jun 1.
PMID: 40125855DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 3, 2023
First Posted
April 27, 2023
Study Start
July 1, 2023
Primary Completion
May 31, 2024
Study Completion
August 31, 2024
Last Updated
June 22, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share
Sponsor approval for data sharing should be sought; Data access requests should be made via an application form detailing the specific requirements and the proposed research and publication plan