Deep-learning For Ultrasound Classification of Anterior Talofibular Ligament Injury

NCT ID: NCT06372873

Last Updated: 2024-04-23

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

ACTIVE_NOT_RECRUITING

Total Enrollment

3000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-04-01

Study Completion Date

2025-05-30

Brief Summary

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Ultrasound (US) is a more cost-effective, accessible, and available imaging technique to assess anterior talofibular ligament (ATFL) injuries compared with magnetic resonance imaging (MRI). However, challenges in using this technique and increasing demand on qualified musculoskeletal (MSK) radiologists delay the diagnosis. Using datasets from multiple clinical centers, the investigators aimed to develop and validate a deep convolutional network (DCNN) model that automates classification of ATFL injuries using US images with the goal of providing interpretable assistance to radiologists and facilitating a more accurate diagnosis of ATFL injuries.

The investigators collected US images of ATFL injuries which had arthroscopic surgery results as reference standard form 13 hospitals across China;Then the investigators divided the images into training dataset, internal validation dataset, and external validation dataset in a ratio of 8:1:1; the investigators chose an optimal DCNN model to test its diagnostic performance of the model, including the diagnostic accuracy, sensitivity, specificity, F1 score. At last, the investigators compared the diagnostic performance of the model with 12 radiologists at different levels of expertise.

Detailed Description

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Conditions

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Deep Learning Ultrasound Anterior Talofibular Ligament

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Group I

mild-strain injury of ATFL

re-evaluate by two senior radiologists in our medical center

Intervention Type OTHER

The allocated images obtained from the contributing hospitals will be re-evaluated by two senior radiologists in our clinical center

Group II

partial ligament tears of ATFL

re-evaluate by two senior radiologists in our medical center

Intervention Type OTHER

The allocated images obtained from the contributing hospitals will be re-evaluated by two senior radiologists in our clinical center

Group III

complete rupture of ATFL

re-evaluate by two senior radiologists in our medical center

Intervention Type OTHER

The allocated images obtained from the contributing hospitals will be re-evaluated by two senior radiologists in our clinical center

Group IV

avulsed fractures

re-evaluate by two senior radiologists in our medical center

Intervention Type OTHER

The allocated images obtained from the contributing hospitals will be re-evaluated by two senior radiologists in our clinical center

Interventions

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re-evaluate by two senior radiologists in our medical center

The allocated images obtained from the contributing hospitals will be re-evaluated by two senior radiologists in our clinical center

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age \> 18 years old
* patients who had experienced an first-episode, acute ankle sprain and received US examination within 14 days post injury
* patients who had a corresponding arthroscopic surgery result for classification of the ATFL injury.

Exclusion Criteria

* patients who had a previous history of ankle open trauma or ankle joint surgery
* there were any soft-tissue or bone tumors in the ankle
* there was concurrent with any other rheumatoid arthritis
* the image quality was low or there were severe artifacts (eg, anisotropic artifacts)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhu Jiaan

Chairman

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiaan Zhu, Dr

Role: PRINCIPAL_INVESTIGATOR

Peking University People's Hospital

Locations

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Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

References

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Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, Verhagen EA, Vicenzino BT, Wikstrom EA, Delahunt E. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016 Dec;50(24):1496-1505. doi: 10.1136/bjsports-2016-096189. Epub 2016 Jun 3.

Reference Type BACKGROUND
PMID: 27259753 (View on PubMed)

Colo G, Bignotti B, Costa G, Signori A, Tagliafico AS. Ultrasound or MRI in the Evaluation of Anterior Talofibular Ligament (ATFL) Injuries: Systematic Review and Meta-Analysis. Diagnostics (Basel). 2023 Jul 10;13(14):2324. doi: 10.3390/diagnostics13142324.

Reference Type BACKGROUND
PMID: 37510068 (View on PubMed)

Cao M, Liu S, Zhang X, Ren M, Xiao Z, Chen J, Chen X. Imaging diagnosis for anterior talofibular ligament injury: a systemic review with meta-analysis. Acta Radiol. 2023 Feb;64(2):612-624. doi: 10.1177/02841851221080556. Epub 2022 Mar 27.

Reference Type BACKGROUND
PMID: 35343253 (View on PubMed)

Gao Y, Zeng S, Xu X, Li H, Yao S, Song K, Li X, Chen L, Tang J, Xing H, Yu Z, Zhang Q, Zeng S, Yi C, Xie H, Xiong X, Cai G, Wang Z, Wu Y, Chi J, Jiao X, Qin Y, Mao X, Chen Y, Jin X, Mo Q, Chen P, Huang Y, Shi Y, Wang J, Zhou Y, Ding S, Zhu S, Liu X, Dong X, Cheng L, Zhu L, Cheng H, Cha L, Hao Y, Jin C, Zhang L, Zhou P, Sun M, Xu Q, Chen K, Gao Z, Zhang X, Ma Y, Liu Y, Xiao L, Xu L, Peng L, Hao Z, Yang M, Wang Y, Ou H, Jia Y, Tian L, Zhang W, Jin P, Tian X, Huang L, Wang Z, Liu J, Fang T, Yan D, Cao H, Ma J, Li X, Zheng X, Lou H, Song C, Li R, Wang S, Li W, Zheng X, Chen J, Li G, Chen R, Xu C, Yu R, Wang J, Xu S, Kong B, Xie X, Ma D, Gao Q. Deep learning-enabled pelvic ultrasound images for accurate diagnosis of ovarian cancer in China: a retrospective, multicentre, diagnostic study. Lancet Digit Health. 2022 Mar;4(3):e179-e187. doi: 10.1016/S2589-7500(21)00278-8.

Reference Type BACKGROUND
PMID: 35216752 (View on PubMed)

Other Identifiers

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2023PHB211-001

Identifier Type: -

Identifier Source: org_study_id

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