Automatic Segmentation of Polycystic Liver

NCT ID: NCT03960710

Last Updated: 2019-05-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-04-01

Study Completion Date

2019-09-30

Brief Summary

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Assessing the volume of the liver before surgery, predicting the volume of liver remaining after surgery, detecting primary or secondary lesions in the liver parenchyma are common applications that require optimal detection of liver contours, and therefore liver segmentation.

Several manual and laborious, semi-automatic and even automatic techniques exist.

However, severe pathology deforming the contours of the liver (multi-metastatic livers...), the hepatic environment of similar density to the liver or lesions, the CT examination technique are all variables that make it difficult to detect the contours. Current techniques, even automatic ones, are limited in this type of case (not rare) and most often require readjustments that make automatisation lose its value.

All these criteria of segmentation difficulties are gathered in the livers of hepatorenal polycystosis, which therefore constitute an adapted study model for the development of an automatic segmentation tool.

To obtain an automatic segmentation of any lesional liver, by exceeding the criteria of difficulty considered, investigators have developed a convolutional neural network (artificial intelligence - deep learning) useful for clinical practice.

Detailed Description

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Conditions

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Polycystic Liver Disease Polycystic Hepatorenal Disease Liver Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Neuronal network Training group

The following radiological variables, related to each CT examinations, will be collected for each patient:

* Injection modalities (without injection, injected)
* Major hepatectomy surgery
* Importance of hepatic dysmorphia
* Presence of intraperitoneal fluid effusion
* Presence of renal polycystosis (especially on the right side).

Anonymized CT examinations

Intervention Type OTHER

The anonymized CT examinations will be reviewed in Lyon, in the imaging department of Edouard Herriot Hospital, by an expert radiologist and an intern from the Lyon hospitals.

Training (1)

Intervention Type OTHER

An initial training phase of the artificial intelligence network will be carried out :

\- Segmentation of the livers of a first part of the CT examination, by an intern of the Lyon hospitals

Training (2)

Intervention Type OTHER

An initial training phase of the artificial intelligence network will be carried out :

\- Use of computer data to drive the artificial intelligence network.

Neuronal network Validation group

The following radiological variables, related to each CT examinations, will be collected for each patient:

* Injection modalities (without injection, injected)
* Major hepatectomy surgery
* Importance of hepatic dysmorphia
* Presence of intraperitoneal fluid effusion
* Presence of renal polycystosis (especially on the right side).

Anonymized CT examinations

Intervention Type OTHER

The anonymized CT examinations will be reviewed in Lyon, in the imaging department of Edouard Herriot Hospital, by an expert radiologist and an intern from the Lyon hospitals.

Validation (1)

Intervention Type OTHER

A validation phase of the artificial intelligence tool will be carried out with segmentation of the livers of the second part of the CT examinations :

\- Carried out by an intern at the Lyon hospitals

Validation (2)

Intervention Type OTHER

A validation phase of the artificial intelligence tool will be carried out with segmentation of the livers of the second part of the CT examinations :

\- Carried out by the neural network

Interventions

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Anonymized CT examinations

The anonymized CT examinations will be reviewed in Lyon, in the imaging department of Edouard Herriot Hospital, by an expert radiologist and an intern from the Lyon hospitals.

Intervention Type OTHER

Training (1)

An initial training phase of the artificial intelligence network will be carried out :

\- Segmentation of the livers of a first part of the CT examination, by an intern of the Lyon hospitals

Intervention Type OTHER

Training (2)

An initial training phase of the artificial intelligence network will be carried out :

\- Use of computer data to drive the artificial intelligence network.

Intervention Type OTHER

Validation (1)

A validation phase of the artificial intelligence tool will be carried out with segmentation of the livers of the second part of the CT examinations :

\- Carried out by an intern at the Lyon hospitals

Intervention Type OTHER

Validation (2)

A validation phase of the artificial intelligence tool will be carried out with segmentation of the livers of the second part of the CT examinations :

\- Carried out by the neural network

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients ≥ 18 years old
* Patients with hepato-renal polycystosis, with or without surgery
* Patients with at least one abdominal-pelvic CT scan without injection or with injection between January 1, 2016 and August 2018
* Patients with good quality and available images

Exclusion Criteria

* Patients with no CT scan images available
* Patients with bad quality of CT scan images
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Service de radiologie - Pavillon B - Cellule Recherche imagerie, Hôpital Edouard Herriot (HCL)

Lyon, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Bénédicte CAYOT

Role: CONTACT

472110400 ext. +33

Pierre-Jean VALETTE, MD, Prof.

Role: CONTACT

472117544 ext. +33

Facility Contacts

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Bénédicte CAYOT

Role: primary

472110400 ext. +33

Pierre-Jean VALETTE, MD, Prof.

Role: backup

472117544 ext. +33

Other Identifiers

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ASEPOL

Identifier Type: -

Identifier Source: org_study_id

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