AI Support in Novice's Decision-making for Ultrasound Fetal Weight Estimation

NCT ID: NCT06232187

Last Updated: 2024-05-10

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-14

Study Completion Date

2024-09-01

Brief Summary

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The SCAN-AID study is a prospective, randomized, controlled, and unblinded study that compares the performance of novices in ultrasound fetal weight estimation. The study evaluates the impact of two levels of AI support: a straightforward black box AI and a more detailed explainable AI.

Detailed Description

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The goal of this randomized controlled clinical trial is to learn which type of artificial intelligence (AI) effects the diagnostic accuracy of ultrasound estimation of fetal weight (EFW), when performed by novices, in this study represented by medical students.

The study's objectives are:

* Which type of artificial intelligence support system works for novices in improving the ultrasound fetal weight diagnostic accuracy?
* Does the artificial intelligence improve image quality, evaluate the cognitive load placed on participants when utilizing AI support, and is the AI system usable for novices?

Participants will be tasked with conducting an ultrasound Estimated Fetal Weight (EFW) using either a simple black box AI or a detailed explainable AI feedback system. The AI systems will assist participants in determining if they have captured the appropriate image for EFW. The outcomes will then be compared to those of a control group.

Ultrasound procedures will be performed on pregnant women with fetuses at a gestational age of 28-42 weeks, who have previously undergone an EFW by an expert sonographer or doctor at the clinic within 5 days days leading up to the examinationday. One participant of each randomization arm, will perfrom an EFW on the same pregnant woman.

Conditions

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Fetal Weight Ultrasound

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The participants are allocated to one of three groups:

control group, feedback group 1 with black box AI or feedback group 2 with explainable AI feedback.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors
The ultrasound images will receive quality scoring from an experienced fetal medicin consultant. Theese are blinded for which intervention the participant received.

Study Groups

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Feedback Group 1 (FG1)

Participatns in FG1 will receive basic black box AI support, with simple explanation like "standard plane", "non standard plane" or "off plane".

Group Type EXPERIMENTAL

Artificial Intelligence feedback for ultrasound EFW standard plane images

Intervention Type BEHAVIORAL

AI feedback in two levels, in aid of the participants, to obtain the right standardplane images used in fetal ultrasound EFW calculation.

Feedback Group 2 (FG2)

Participants in FG2 will receive explainable AI support, with more elaborate description of the anatomical structures and segmentation of the anatomy.

Group Type EXPERIMENTAL

Artificial Intelligence feedback for ultrasound EFW standard plane images

Intervention Type BEHAVIORAL

AI feedback in two levels, in aid of the participants, to obtain the right standardplane images used in fetal ultrasound EFW calculation.

Control group (CG)

Participants in the CG will have a standard plane poster to help guide them to the EFW ultrasound standard plane images.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Artificial Intelligence feedback for ultrasound EFW standard plane images

AI feedback in two levels, in aid of the participants, to obtain the right standardplane images used in fetal ultrasound EFW calculation.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Medical students with no former fetal or abdominal ultrasound training.
* The participants will have to understand spoken and written Danish or English.


* The participants will have to understand spoken and written Danish or English.
* BMI \< 30
* Gestational age: 28-42

Exclusion Criteria

• Medical students who received formal fetal or abdominal training prior to the inclusion in this study.

Pregnant women;


* Age \> 40 years
* Fefal anomaly
* Oligohydramnion
* Gestational Diabetes, Diabetes type 1 or 2.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Slagelse Hospital

OTHER

Sponsor Role collaborator

Technical University of Denmark

OTHER

Sponsor Role collaborator

Copenhagen Academy for Medical Education and Simulation

OTHER

Sponsor Role lead

Responsible Party

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Mary Le Ngo

Doctor of medicine, PhD student

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rigshospitalet

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Andreasen LA, Tabor A, Norgaard LN, Rode L, Gerds TA, Tolsgaard MG. Detection of growth-restricted fetuses during pregnancy is associated with fewer intrauterine deaths but increased adverse childhood outcomes: an observational study. BJOG. 2021 Jan;128(1):77-85. doi: 10.1111/1471-0528.16380. Epub 2020 Jul 27.

Reference Type BACKGROUND
PMID: 32588532 (View on PubMed)

Andreasen LA, Tabor A, Norgaard LN, Taksoe-Vester CA, Krebs L, Jorgensen FS, Jepsen IE, Sharif H, Zingenberg H, Rosthoj S, Sorensen AL, Tolsgaard MG. Why we succeed and fail in detecting fetal growth restriction: A population-based study. Acta Obstet Gynecol Scand. 2021 May;100(5):893-899. doi: 10.1111/aogs.14048. Epub 2021 Jan 12.

Reference Type BACKGROUND
PMID: 33220065 (View on PubMed)

Andreasen LA, Feragen A, Christensen AN, Thybo JK, Svendsen MBS, Zepf K, Lekadir K, Tolsgaard MG. Multi-centre deep learning for placenta segmentation in obstetric ultrasound with multi-observer and cross-country generalization. Sci Rep. 2023 Feb 8;13(1):2221. doi: 10.1038/s41598-023-29105-x.

Reference Type BACKGROUND
PMID: 36755050 (View on PubMed)

Nicholls D, Sweet L, Hyett J. Psychomotor skills in medical ultrasound imaging: an analysis of the core skill set. J Ultrasound Med. 2014 Aug;33(8):1349-52. doi: 10.7863/ultra.33.8.1349.

Reference Type BACKGROUND
PMID: 25063399 (View on PubMed)

Govaerts MJ, Schuwirth LW, Van der Vleuten CP, Muijtjens AM. Workplace-based assessment: effects of rater expertise. Adv Health Sci Educ Theory Pract. 2011 May;16(2):151-65. doi: 10.1007/s10459-010-9250-7. Epub 2010 Sep 30.

Reference Type BACKGROUND
PMID: 20882335 (View on PubMed)

Tolsgaard MG, Pusic MV, Sebok-Syer SS, Gin B, Svendsen MB, Syer MD, Brydges R, Cuddy MM, Boscardin CK. The fundamentals of Artificial Intelligence in medical education research: AMEE Guide No. 156. Med Teach. 2023 Jun;45(6):565-573. doi: 10.1080/0142159X.2023.2180340. Epub 2023 Mar 2.

Reference Type BACKGROUND
PMID: 36862064 (View on PubMed)

Topol EJ. High-performance medicine: the convergence of human and artificial intelligence. Nat Med. 2019 Jan;25(1):44-56. doi: 10.1038/s41591-018-0300-7. Epub 2019 Jan 7.

Reference Type BACKGROUND
PMID: 30617339 (View on PubMed)

Tolsgaard MG, Boscardin CK, Park YS, Cuddy MM, Sebok-Syer SS. The role of data science and machine learning in Health Professions Education: practical applications, theoretical contributions, and epistemic beliefs. Adv Health Sci Educ Theory Pract. 2020 Dec;25(5):1057-1086. doi: 10.1007/s10459-020-10009-8. Epub 2020 Nov 3.

Reference Type BACKGROUND
PMID: 33141345 (View on PubMed)

Degallier-Rochat S, Kurpicz-Briki M, Endrissat N, Yatsenko O. Human augmentation, not replacement: A research agenda for AI and robotics in the industry. Front Robot AI. 2022 Oct 4;9:997386. doi: 10.3389/frobt.2022.997386. eCollection 2022. No abstract available.

Reference Type BACKGROUND
PMID: 36267424 (View on PubMed)

Vasey B, Novak A, Ather S, Ibrahim M, McCulloch P. DECIDE-AI: a new reporting guideline and its relevance to artificial intelligence studies in radiology. Clin Radiol. 2023 Feb;78(2):130-136. doi: 10.1016/j.crad.2022.09.131.

Reference Type BACKGROUND
PMID: 36639172 (View on PubMed)

Cruz Rivera S, Liu X, Chan AW, Denniston AK, Calvert MJ; SPIRIT-AI and CONSORT-AI Working Group. Guidelines for clinical trial protocols for interventions involving artificial intelligence: the SPIRIT-AI extension. Lancet Digit Health. 2020 Oct;2(10):e549-e560. doi: 10.1016/S2589-7500(20)30219-3. Epub 2020 Sep 9.

Reference Type BACKGROUND
PMID: 33328049 (View on PubMed)

Liu X, Cruz Rivera S, Moher D, Calvert MJ, Denniston AK; SPIRIT-AI and CONSORT-AI Working Group. Reporting guidelines for clinical trial reports for interventions involving artificial intelligence: the CONSORT-AI extension. Lancet Digit Health. 2020 Oct;2(10):e537-e548. doi: 10.1016/S2589-7500(20)30218-1. Epub 2020 Sep 9.

Reference Type BACKGROUND
PMID: 33328048 (View on PubMed)

Salomon LJ, Alfirevic Z, Da Silva Costa F, Deter RL, Figueras F, Ghi T, Glanc P, Khalil A, Lee W, Napolitano R, Papageorghiou A, Sotiriadis A, Stirnemann J, Toi A, Yeo G. ISUOG Practice Guidelines: ultrasound assessment of fetal biometry and growth. Ultrasound Obstet Gynecol. 2019 Jun;53(6):715-723. doi: 10.1002/uog.20272.

Reference Type BACKGROUND
PMID: 31169958 (View on PubMed)

Hadlock FP. Sonographic estimation of fetal age and weight. Radiol Clin North Am. 1990 Jan;28(1):39-50.

Reference Type BACKGROUND
PMID: 2404304 (View on PubMed)

Borsci S, Federici S, Lauriola M. On the dimensionality of the System Usability Scale: a test of alternative measurement models. Cogn Process. 2009 Aug;10(3):193-7. doi: 10.1007/s10339-009-0268-9. Epub 2009 Jun 30.

Reference Type BACKGROUND
PMID: 19565283 (View on PubMed)

Bloch R, Norman G. Generalizability theory for the perplexed: a practical introduction and guide: AMEE Guide No. 68. Med Teach. 2012;34(11):960-92. doi: 10.3109/0142159X.2012.703791.

Reference Type BACKGROUND
PMID: 23140303 (View on PubMed)

Other Identifiers

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F-24001576

Identifier Type: -

Identifier Source: org_study_id

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