Effectiveness of Ultra-low-dose Chest CT With AI Based Denoising Solution

NCT ID: NCT05398887

Last Updated: 2022-06-01

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

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2022-10-01

Brief Summary

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The main objective of the study is to evaluate the detection rate of pulmonary conditions, percentage of ionizing radiation dose reduction, and state of image quality of ULDCT coupling with innovative vendor-neutral CT denoising solution based on deep learning technology.

Detailed Description

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Considering lung cancer-related public health challenges, a reliable lung cancer screening method for high-risk cohorts in Mongolia is needed. Thus, our study aims to assess the detection rate of pulmonary conditions, percentage of ionizing radiation dose reduction, and state of image quality of ULDCT coupling with artificial intelligence based CT denoising technique among various patient groups.

Conditions

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Lung Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Low dose Chest CT scan

Underwent low dose chest CT with 30% lower radiation dose

Interventions:

Radiation: Low radiation dose CT Other: Image quality analysis

Group Type ACTIVE_COMPARATOR

Low radiation dose CT

Intervention Type RADIATION

Underwent low dose chest CT with 30% lower radiation dose

Ultra low dose CT scan with Artificial Intelligence

Interventions:

Radiation: Low radiation dose CT Image quality Other: Deep-learning based contrast boosting algorithms

Group Type EXPERIMENTAL

Underwent ultra dose chest CT

Intervention Type RADIATION

Underwent ultra dose chest CT with 90% lower radiation dose

Artificial Intelligence based model

Intervention Type OTHER

Deep-learning based contrast boosting algorithms

Interventions

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Low radiation dose CT

Underwent low dose chest CT with 30% lower radiation dose

Intervention Type RADIATION

Underwent ultra dose chest CT

Underwent ultra dose chest CT with 90% lower radiation dose

Intervention Type RADIATION

Artificial Intelligence based model

Deep-learning based contrast boosting algorithms

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients aged over 18-year-old
* Patients undergoing CT Chest for all purpose

Exclusion Criteria

* Age less than 18 years
* Any suspicion of pregnancy
* History of thoracic surgery or placement of the metallic device in the thorax
* An inability to hold respiration during CT
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Intermed Hospital

OTHER

Sponsor Role lead

Responsible Party

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Bayarbaatar Bold

Principal Investigator, Bayarbaatar Bold, Diagnostic Radiologist, M.D, Intermed Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Khulan Khurelsukh, M.D, MSc

Role: STUDY_CHAIR

Intermed Hospital

Delgerekh Sainjargal, M.D, MSc

Role: PRINCIPAL_INVESTIGATOR

Intermed Hospital

Bayarbaatar Bold, M.D

Role: PRINCIPAL_INVESTIGATOR

Intermed Hospital

Central Contacts

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Bayarbaatar Bold, M.D

Role: CONTACT

976-99063486

Khulan Khurelsukh, M.D, MSc

Role: CONTACT

976-88010440

References

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International Agency for Research on Cancer. Global Cancer Observatory: cancer today. World Health Organization. https://gco.iarc.fr/today (accessed Feb 14, 2022).

Reference Type BACKGROUND

Health Development Center, WHO. Health Indicators 2019. Mongolian Health Development Center. http://hdc.gov.mn/media/uploads/202108/Eruul_mendiin_uzuulelt_2020.pdf (accessed Feb 14, 2022).

Reference Type BACKGROUND

WHO global report. WHO global report on mortality attributable to tobacco. 2012

Reference Type BACKGROUND

Zheng W, McLerran DF, Rolland BA, Fu Z, Boffetta P, He J, Gupta PC, Ramadas K, Tsugane S, Irie F, Tamakoshi A, Gao YT, Koh WP, Shu XO, Ozasa K, Nishino Y, Tsuji I, Tanaka H, Chen CJ, Yuan JM, Ahn YO, Yoo KY, Ahsan H, Pan WH, Qiao YL, Gu D, Pednekar MS, Sauvaget C, Sawada N, Sairenchi T, Yang G, Wang R, Xiang YB, Ohishi W, Kakizaki M, Watanabe T, Oze I, You SL, Sugawara Y, Butler LM, Kim DH, Park SK, Parvez F, Chuang SY, Fan JH, Shen CY, Chen Y, Grant EJ, Lee JE, Sinha R, Matsuo K, Thornquist M, Inoue M, Feng Z, Kang D, Potter JD. Burden of total and cause-specific mortality related to tobacco smoking among adults aged >/= 45 years in Asia: a pooled analysis of 21 cohorts. PLoS Med. 2014 Apr 22;11(4):e1001631. doi: 10.1371/journal.pmed.1001631. eCollection 2014 Apr.

Reference Type BACKGROUND
PMID: 24756146 (View on PubMed)

Fourth national STEPS Survey on the Prevalence of Noncommunicable Disease and Injury Risk Factors-2019. World Health Organization.

Reference Type BACKGROUND

Smith-Bindman R, Lipson J, Marcus R, Kim KP, Mahesh M, Gould R, Berrington de Gonzalez A, Miglioretti DL. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med. 2009 Dec 14;169(22):2078-86. doi: 10.1001/archinternmed.2009.427.

Reference Type BACKGROUND
PMID: 20008690 (View on PubMed)

National Lung Screening Trial Research Team; Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, Fagerstrom RM, Gareen IF, Gatsonis C, Marcus PM, Sicks JD. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med. 2011 Aug 4;365(5):395-409. doi: 10.1056/NEJMoa1102873. Epub 2011 Jun 29.

Reference Type BACKGROUND
PMID: 21714641 (View on PubMed)

de Koning HJ, van der Aalst CM, de Jong PA, Scholten ET, Nackaerts K, Heuvelmans MA, Lammers JJ, Weenink C, Yousaf-Khan U, Horeweg N, van 't Westeinde S, Prokop M, Mali WP, Mohamed Hoesein FAA, van Ooijen PMA, Aerts JGJV, den Bakker MA, Thunnissen E, Verschakelen J, Vliegenthart R, Walter JE, Ten Haaf K, Groen HJM, Oudkerk M. Reduced Lung-Cancer Mortality with Volume CT Screening in a Randomized Trial. N Engl J Med. 2020 Feb 6;382(6):503-513. doi: 10.1056/NEJMoa1911793. Epub 2020 Jan 29.

Reference Type BACKGROUND
PMID: 31995683 (View on PubMed)

Boyd MA. U.S. radiation protection: role of national and international recommendations and opportunities for collaboration (harmony, not dissonance). Health Phys. 2015 Feb;108(2):278-82. doi: 10.1097/HP.0000000000000236.

Reference Type BACKGROUND
PMID: 25551510 (View on PubMed)

Katsura M, Matsuda I, Akahane M, Yasaka K, Hanaoka S, Akai H, Sato J, Kunimatsu A, Ohtomo K. Model-based iterative reconstruction technique for ultralow-dose chest CT: comparison of pulmonary nodule detectability with the adaptive statistical iterative reconstruction technique. Invest Radiol. 2013 Apr;48(4):206-12. doi: 10.1097/RLI.0b013e31827efc3a.

Reference Type BACKGROUND
PMID: 23344517 (View on PubMed)

Kim Y, Kim YK, Lee BE, Lee SJ, Ryu YJ, Lee JH, Chang JH. Ultra-Low-Dose CT of the Thorax Using Iterative Reconstruction: Evaluation of Image Quality and Radiation Dose Reduction. AJR Am J Roentgenol. 2015 Jun;204(6):1197-202. doi: 10.2214/AJR.14.13629.

Reference Type BACKGROUND
PMID: 26001228 (View on PubMed)

Lee SW, Kim Y, Shim SS, Lee JK, Lee SJ, Ryu YJ, Chang JH. Image quality assessment of ultra low-dose chest CT using sinogram-affirmed iterative reconstruction. Eur Radiol. 2014 Apr;24(4):817-26. doi: 10.1007/s00330-013-3090-9. Epub 2014 Jan 18.

Reference Type BACKGROUND
PMID: 24442444 (View on PubMed)

Nagatani Y, Takahashi M, Murata K, Ikeda M, Yamashiro T, Miyara T, Koyama H, Koyama M, Sato Y, Moriya H, Noma S, Tomiyama N, Ohno Y, Murayama S; investigators of ACTIve study group. Lung nodule detection performance in five observers on computed tomography (CT) with adaptive iterative dose reduction using three-dimensional processing (AIDR 3D) in a Japanese multicenter study: Comparison between ultra-low-dose CT and low-dose CT by receiver-operating characteristic analysis. Eur J Radiol. 2015 Jul;84(7):1401-12. doi: 10.1016/j.ejrad.2015.03.012. Epub 2015 Apr 2.

Reference Type BACKGROUND
PMID: 25892051 (View on PubMed)

Wang R, Sui X, Schoepf UJ, Song W, Xue H, Jin Z, Schmidt B, Flohr TG, Canstein C, Spearman JV, Chen J, Meinel FG. Ultralow-radiation-dose chest CT: accuracy for lung densitometry and emphysema detection. AJR Am J Roentgenol. 2015 Apr;204(4):743-9. doi: 10.2214/AJR.14.13101.

Reference Type BACKGROUND
PMID: 25794063 (View on PubMed)

Yanagawa M, Gyobu T, Leung AN, Kawai M, Kawata Y, Sumikawa H, Honda O, Tomiyama N. Ultra-low-dose CT of the lung: effect of iterative reconstruction techniques on image quality. Acad Radiol. 2014 Jun;21(6):695-703. doi: 10.1016/j.acra.2014.01.023. Epub 2014 Apr 6.

Reference Type BACKGROUND
PMID: 24713541 (View on PubMed)

Tsushima E. Intraclass correlation coefficient as a reliability index [Japanese]. http://www.hs.hirosaki-u.ac.jp/~pteiki/research/stat/icc.pdf. Accessed 9 Feb 2017.

Reference Type BACKGROUND

Svahn TM, Sjoberg T, Ast JC. Dose estimation of ultra-low-dose chest CT to different sized adult patients. Eur Radiol. 2019 Aug;29(8):4315-4323. doi: 10.1007/s00330-018-5849-5. Epub 2018 Dec 17.

Reference Type BACKGROUND
PMID: 30560356 (View on PubMed)

Afadzi M, Fossa K, Andersen HK, Aalokken TM, Martinsen ACT. Image Quality Measured From Ultra-Low Dose Chest Computed Tomography Examination Protocols Using 6 Different Iterative Reconstructions From 4 Vendors, a Phantom Study. J Comput Assist Tomogr. 2020 Jan/Feb;44(1):95-101. doi: 10.1097/RCT.0000000000000947.

Reference Type BACKGROUND
PMID: 31939889 (View on PubMed)

Zhang M, Qi W, Sun Y, Jiang Y, Liu X, Hong N. Screening for lung cancer using sub-millisievert chest CT with iterative reconstruction algorithm: image quality and nodule detectability. Br J Radiol. 2018 Oct;91(1090):20170658. doi: 10.1259/bjr.20170658. Epub 2017 Dec 5.

Reference Type BACKGROUND
PMID: 29120665 (View on PubMed)

Other Identifiers

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IMC20220515-01

Identifier Type: -

Identifier Source: org_study_id

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