Impact of AI Feedback on Ultrasound Biometry Accuracy Across the Expertise Levels
Evaluating the Sensitivity to Change of AI-Feedback in Ultrasound Biometry: A Stratified Randomized Controlled Trial Across the Expertise Gradient
1 other identifier
interventional
75
1 country
1
Brief Summary
Objective: To evaluate the impact of real-time AI feedback on fetal biometry accuracy and investigate the Expertise Reversal Effect-whether AI benefits diminish as user experience increases. Design: A stratified randomized trial of 75 participants (25 Novices, 25 Intermediates, 25 Experts). Users are randomized 1:1 to either AI-assisted or manual measurement groups. Outcomes:
- Primary: EFW accuracy (MAPE) compared to actual birthweight.
- Secondary: Procedure time, image quality, error relative to baseline scans, and cognitive workload (NASA-TLX).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2026
1 active site
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
February 26, 2026
CompletedStudy Start
First participant enrolled
March 1, 2026
CompletedFirst Posted
Study publicly available on registry
March 17, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2027
March 31, 2026
March 1, 2026
1 year
February 26, 2026
March 26, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
To evaluate the sensitivity to change in ultrasound measurement accuracy when using AI-feedback compared to standard scanning
Mean absolute percentage error (MAPE), defined as the absolute difference between estimated fetal weight (EFW) and actual birth weight (ABW) divided by actual birth weight and expressed as a percentage, for AI-assisted and manual fetal biometry.
The two scans will be performed within a timeframe of 14 days.
Secondary Outcomes (5)
Procedural Efficacy
The duration of the scan, maximum of 30 minutes
Image Quality
Through study completion, an average of 1 year.
Cognitive and Physiological Load
During the ultrasound procedure (GSR) and immediately following the procedure (NASA-TLX), approximately 30 minutes in total.
Measurement Deviation:
The duration from pre study scan and study scan.
Experience Threshold for AI-Mediated Accuracy Gains
Through study completion, an average of 1 year.
Study Arms (2)
Control Group
NO INTERVENTIONParticipants in the control arm perform fetal biometry using standard manual techniques without any AI assistance.
AI intervention Group
EXPERIMENTALThe software provides real-time "traffic light" or score-based feedback to validate when the correct anatomical plane (BPD, HC, AC, or FL) has been reached.
Interventions
Participants in the intervention arm perform fetal biometry with the assistance of real-time Artificial Intelligence (AI) feedback software.
Eligibility Criteria
You may not qualify if:
- \- If the participants do not understand and speak either Danish or English
- Pregnant women:
- Pre pregnancy BMI \< 40
- Singelton pregnancy
- GA ≥ 37+0 at time of induction
- Intact membranes (to ensure consistent amniotic fluid index)
- Major fetal anatomical anomaly
- Anhydramnios (DVP \< 2 cm)
- CPR ratio \< 2.5th percentile
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Copenhagen Academy for Medical Education and Simulationlead
- Rigshospitalet, Denmarkcollaborator
- Slagelse Hospitalcollaborator
Study Sites (1)
Rigshospitalet
Copenhagen, København Ø, 2100, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Image quality assessors
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, PhD student
Study Record Dates
First Submitted
February 26, 2026
First Posted
March 17, 2026
Study Start
March 1, 2026
Primary Completion (Estimated)
March 1, 2027
Study Completion (Estimated)
March 1, 2027
Last Updated
March 31, 2026
Record last verified: 2026-03