NCT06917430

Brief Summary

Background and aim: Neuromuscular diseases encompass a range of conditions affecting muscle cells, nerves, or the interaction between the two. A common pathological feature of these conditions is the pro-gressive replacement of muscle tissue with fat, which can be visualised using magnetic reso-nance imaging (MRI). MRI-based fat quantification serves as a key biomarker for disease characterisation, progression tracking, and treatment assessment. Currently, manual segmenta-tion of MRI scans for fat quantification is very time-consuming, requiring individual muscle delineation. Therefore, an artificial intelligence (AI) model is being developed to automate the segmentation. The aim of this study is to validate this AI model and assess its possibilities and limitations. Method: The study is ongoing. Retrospective MRI scans of patients with four different muscle diseases (anoctaminopathy, Becker muscular dystrophy, facioscapulohumeral muscular dystrophy, and hypokalemic periodic paralysis) are collected and manual delineation used for training the AI-model is being performed. The intramuscular fat fraction of individual muscles of the pelvis, thigh, and calf will be analysed using the AI model. The performance of the AI model will be compared to manual segmentation. The AI will be evaluated on metrics such as segmentation accuracy and time efficiency.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for all trials

Timeline
106mo left

Started May 2025

Longer than P75 for all trials

Status
not yet recruiting

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 Progress11%
May 2025Jan 2035

First Submitted

Initial submission to the registry

April 1, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 8, 2025

Completed
23 days until next milestone

Study Start

First participant enrolled

May 1, 2025

Completed
9.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2035

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2035

Last Updated

April 8, 2025

Status Verified

April 1, 2025

Enrollment Period

9.7 years

First QC Date

April 1, 2025

Last Update Submit

April 1, 2025

Conditions

Keywords

AImuscle delineationautomated segmentationBecker muscular dystrophyFSHDHypoPP

Outcome Measures

Primary Outcomes (1)

  • Difference in fat fraction between manual and AI outlining.

    The mean difference in MRI assessed intramuscular fat fraction in the lower back, thigh, and calf muscles between manual outlining and the outlining by the AI model.

    Analysis of the muscle fat fraction takes 1 hour per patient.

Secondary Outcomes (1)

  • Correlation between Manual/AI outlining discrepancies and disease severity

    The analysis of the MRI takes around an hour

Study Arms (3)

Becker muscular dystrophy

MRI scans

Other: No intervention

HypoPP

MRI scans

Other: No intervention

FSHD

MRI scans

Other: No intervention

Interventions

No intervention.

Becker muscular dystrophyFSHDHypoPP

Eligibility Criteria

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

Patients will be recruited from Copenhagen Neuromuscular Centre.

You may qualify if:

  • Genetically verified diagnosis of neuromuscular diseases.
  • Age above 18 years

You may not qualify if:

  • Contraindications to perform an MRI
  • Competing disorders and other muscle disorders, which may alter measurements. The investigator will decide whether the competing disorder can significantly influence the results

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Muscular Dystrophy, DuchenneMuscular Dystrophy, FacioscapulohumeralHypokalemic Periodic Paralysis

Condition Hierarchy (Ancestors)

Muscular DystrophiesMuscular Disorders, AtrophicMuscular DiseasesMusculoskeletal DiseasesNeuromuscular DiseasesNervous System DiseasesGenetic Diseases, X-LinkedGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesParalyses, Familial PeriodicMetal Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsMetabolic DiseasesNutritional and Metabolic Diseases

Central Study Contacts

Bjørk Teitsdóttir, Medical student

CONTACT

John Vissing, Professor

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Stud.med

Study Record Dates

First Submitted

April 1, 2025

First Posted

April 8, 2025

Study Start

May 1, 2025

Primary Completion (Estimated)

January 1, 2035

Study Completion (Estimated)

January 1, 2035

Last Updated

April 8, 2025

Record last verified: 2025-04