MIDI (MR Imaging Abnormality Deep Learning Identification)

NCT ID: NCT04368481

Last Updated: 2024-04-10

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

RECRUITING

Total Enrollment

30000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-04-01

Study Completion Date

2025-03-31

Brief Summary

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The study involves the development and testing of an artificial intelligence (AI) tool that can identify abnormalities using patient head scans conducted for routine clinical care and research volunteer scans. A deep learning algorithm will be developed using a dataset of retrospective and prospective MRI head scans to train, validate, and test convolutional networks using software developed at the Department of Biomedical Engineering, King's College London. The reference standard will be consultant radiologist reports of the MRI head scans.

Detailed Description

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An automated strategy for identifying abnormalities in head scans could address the unmet clinical need for faster abnormality identification times, potentially allowing for early intervention to improve short- and long-term clinical outcomes. Radiologist shortages and increased demand for MRI scans lead to delays in reporting, particularly in the outpatient setting.

Furthermore, there is a wide variation in the management of incidental findings (IFs) discovered in 'healthy volunteers.' The routine reporting of 'healthy volunteer' scans by a radiologist poses logistical and financial challenges. It would be valuable to devise automated strategies to reliably and accurately identify IFs, potentially reducing the number of scans requiring routine radiological review by up to 90%, thus increasing the feasibility of implementing a routine reporting strategy.

Deep learning is a novel technique in computer science that automatically learns hierarchies of relevant features directly from the raw inputs (such as MRI or CT) using multi-layered neural networks. A deep learning algorithm will be trained on a large database of head MRI scans to recognize scans with abnormalities. This algorithm will be trained to classify a subset of these scans as normal or abnormal and then tested on an independent subset to determine its validity.

If the tested neural network demonstrates high diagnostic accuracy, future research participants and patients may benefit, as not all institutions currently review their research scans for incidental findings and clinical scans may not be reported for weeks in some cases. In both research and clinical scenarios, an algorithm could rapidly identify abnormal pathology and prioritize scans for reporting.

In summary, the aim is to develop a deep learning abnormality detection algorithm for use in both research and clinical settings.

Conditions

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Neurological Disorder

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Eligibility Criteria

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Inclusion Criteria

* All head MRI scans with compatible sequences
* \> 18 years old

Exclusion Criteria

* No corresponding radiologist report
* No consent for future use of the research images held within the historic database stored at The Centre for Neuroimaging Sciences (Kings College London).
* Poor image quality
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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King's College London

OTHER

Sponsor Role collaborator

King's College Hospital NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Thomas Booth

Role: PRINCIPAL_INVESTIGATOR

King's College Hospital NHS Trust

Locations

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Princess Royal University Hospital, King's College Hospital NHS Foundation Trust

Orpington, Kent, United Kingdom

Site Status RECRUITING

Buckinghamshire Healthcare Nhs Trust (Stoke Mandeville)

Aylesbury, , United Kingdom

Site Status RECRUITING

Mid and South Essex NHS Foundation Trust

Basildon, , United Kingdom

Site Status RECRUITING

Bedfordshire Hospitals Nhs Foundation Trust

Bedford, , United Kingdom

Site Status RECRUITING

Betsi Cadwaladr University Health Board

Bodelwyddan, , United Kingdom

Site Status RECRUITING

East Kent Hospitals University Nhs Foundation Trust

Canterbury, , United Kingdom

Site Status RECRUITING

South Eastern Health & Social Care Trust

Dundonald, , United Kingdom

Site Status RECRUITING

Queen Victoria Hospital Nhs Foundation Trust

East Grinstead, , United Kingdom

Site Status RECRUITING

Medway Nhs Foundation Trust

Gillingham, , United Kingdom

Site Status RECRUITING

Northern Lincolnshire and Goole Nhs Foundation Trust

Grimsby, , United Kingdom

Site Status RECRUITING

Calderdale and Huddersfield NHS Foundation Trust

Huddersfield, , United Kingdom

Site Status RECRUITING

The Queen Elizabeth Hospital King'S Lynn Nhs Trust

Kings Lynn, , United Kingdom

Site Status RECRUITING

Kingston Hospital Nhs Foundation Trust

Kingston, , United Kingdom

Site Status RECRUITING

NHS FIFE

Kirkcaldy, , United Kingdom

Site Status RECRUITING

Forth Valley Royal Hospital

Larbert, , United Kingdom

Site Status RECRUITING

Leeds Teaching Hospital NHS Trust

Leeds, , United Kingdom

Site Status RECRUITING

University Hospitals of Leicester Nhs Trust

Leicester, , United Kingdom

Site Status RECRUITING

Kings' College Hospital

London, , United Kingdom

Site Status COMPLETED

CNS, Maudsley Hospital, South London and Maudsley NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Croydon University Hospital, Croydon Health Services NHS Trust

London, , United Kingdom

Site Status RECRUITING

Guy's Hospital, Guy's and St Thomas's NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

St George's Hospital, St George's University Hospital NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

St Thomas' Hospital, Guy's and St Thomas's NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Norfolk and Norwich University Hospitals Nhs Foundation Trust

Norwich, , United Kingdom

Site Status RECRUITING

Queen's Medical Centre University Hospital, Nottingham University Hospitals NHS Foundation Trust

Nottingham, , United Kingdom

Site Status RECRUITING

Surrey and Sussex Healthcare Nhs Trust

Redhill, , United Kingdom

Site Status RECRUITING

East Sussex Healthcare Nhs Trust

Saint Leonards-on-Sea, , United Kingdom

Site Status RECRUITING

Northern Lincolnshire and Goole Nhs Foundation Trust

Scunthorpe, , United Kingdom

Site Status RECRUITING

Mid and South Essex Nhs Foundation Trust

Southend, , United Kingdom

Site Status RECRUITING

St George'S University Hospitals Nhs Foundation Trust

Tooting, , United Kingdom

Site Status RECRUITING

Torbay and South Devon Nhs Foundation Trust

Torquay, , United Kingdom

Site Status COMPLETED

Royal Cornwall Hospitals Nhs Trust

Truro, , United Kingdom

Site Status RECRUITING

West Hertfordshire Hospitals Nhs Trust

Watford, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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MIDI Central Team

Role: CONTACT

+44(0)20 7848 9670

Facility Contacts

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MIDI Research Team

Role: primary

020 3228 3035

Gemma Walsh

Role: primary

01494 426587'

Samuel Rowe

Role: primary

01268 524900

Melchizedek Penacerrada

Role: primary

01234 355 122

Role: primary

01248 384297

Gemma Hector

Role: primary

01227 868 764

Victoria Adell

Role: primary

Role: backup

Tracey Shewan

Role: primary

01342 414516

Martin Micthell

Role: primary

01634 976666

Rachael Stead

Role: primary

03033 303694

Hannah Riley

Role: primary

01484 347165

Sarah Fleming

Role: primary

01553 613532.

Tracey O'Brien

Role: primary

0208 934 2804

Vasilika Ntoko

Role: primary

Laura Mcgenil

Role: primary

Prisca Mpofu

Role: primary

Helen Estall

Role: primary

MIDI Research Team

Role: primary

020 3228 3035

Croydon Research Team

Role: primary

020 8401 3000 ext. 3829/5279

MIDI Research Team

Role: primary

020 3228 3035

Naomi Priestley

Role: primary

020 8725 3260

MIDI Research Team

Role: primary

020 3228 3035

Janak Saada

Role: primary

01603 288458

NUH MIDI Research Team

Role: primary

Louise Nimako

Role: primary

01737 768511

Penny Boxall

Role: primary

0300 13 14 500

Dorothy Hutchinson

Role: primary

03033 305552

Prisca Gondo

Role: primary

01702 385345

Kate Kennedy

Role: primary

0208 725 3260

Eve Richards

Role: primary

01872 252456

Saul Sundayi

Role: primary

01923 217854.

Other Identifiers

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KCH18-197

Identifier Type: -

Identifier Source: org_study_id

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