Deep Learning for Preoperative Pulmonary Assessment in Thoracic CT

NCT ID: NCT06477458

Last Updated: 2024-06-27

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

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-10-01

Study Completion Date

2024-12-30

Brief Summary

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The trial was designed as a single-centre, non-interventional prospective observational study to utilize deep learning technology combined with computed tomography (CT) images to precisely predict the pulmonary function indicators of thoracic surgery preoperative patients.

Detailed Description

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Preoperative pulmonary function tests are crucial in assessing perioperative complications or mortality risks and providing decision support for thoracic surgery. However, traditional pulmonary function assessment methods have significant limitations, including long testing durations, difficulties in patient cooperation, high false-negative rates, and numerous contraindications. Thus, our study optimized the final model based on 1500 single inspiratory phase CTs by transferring model parameters trained on 500 dual-phase respiratory CTs, enhancing its predictive capabilities for pulmonary function. This adjustment suits real-world application demands, offering more convenient, comprehensive, and personalized preoperative pulmonary function assessment support. Our study optimized the final model based on 1500 single inspiratory phase CTs by transferring model parameters trained on 500 dual-phase respiratory CTs, enhancing its predictive capabilities for pulmonary function. This adjustment suits real-world application demands, offering more convenient, comprehensive, and personalized preoperative pulmonary function assessment support.

Conditions

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Elective Thoracic Surgery Pulmonary Function Deep Learning

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Single inspiratory phase cohort

Patients in this cohort undergo single inspiratory phase CT and pulmonary function tests preoperatively.

Single inspiratory phase computed tomography.

Intervention Type OTHER

Utilizing deep learning technology in conjunction with single inspiratory phase computed tomography images to accurately predict the pulmonary function indicators of preoperative thoracic surgery patients.

Respiratory dual-phase cohort

Patients in this cohort undergo respiratory dual-phase CT and pulmonary function tests preoperatively.

Respiratory dual-phase computed tomography.

Intervention Type OTHER

Utilizing deep learning technology in conjunction with respiratory dual-phase computed tomography images to accurately predict the pulmonary function indicators of preoperative thoracic surgery patients.

Interventions

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Single inspiratory phase computed tomography.

Utilizing deep learning technology in conjunction with single inspiratory phase computed tomography images to accurately predict the pulmonary function indicators of preoperative thoracic surgery patients.

Intervention Type OTHER

Respiratory dual-phase computed tomography.

Utilizing deep learning technology in conjunction with respiratory dual-phase computed tomography images to accurately predict the pulmonary function indicators of preoperative thoracic surgery patients.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* (1) Signing of the informed consent form;
* (2) Male or female, aged 18-75 years;
* (3) Undergoing elective thoracic surgery;
* (4) Good preoperative pulmonary function cooperation and complete reporting;
* (5) Preoperative chest single/dual phase CT scans without significant artefacts and with complete imaging;
* (6) The interval between preoperative pulmonary function and single/dual phase CT scans does not exceed one month.

Exclusion Criteria

* (1) Poor preoperative pulmonary function cooperation or missing reports;
* (2) Preoperative chest single/dual phase CT scans exhibit significant artefacts or image omission;
* (3) The interval between preoperative pulmonary function and single/dual phase CT scans exceeds one month;
* (4) Complication with severe respiratory disorders (such as lung transplantation, pneumothorax, giant bullae, etc.);
* (5) Coexisting with other severe functional impairments;
* (6) Patients with obstructive lesions such as airway or esophageal stenosis;
* (7) Height beyond the predicted equation range (Female \< 1.45m; Male \< 1.55m);
* (8) Medication use before pulmonary function testing that does not meet the cessation guidelines;
* (9) Pulmonary function report quality graded D-F.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GE Healthcare

INDUSTRY

Sponsor Role collaborator

The First Affiliated Hospital of Guangzhou Medical University

OTHER

Sponsor Role lead

Responsible Party

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Jianxing He

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jianxing He, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangzhou Medical College

Locations

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Department of Cardiothoracic Surgery, the First Affiliated Hospital of Guangzhou Medical College

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianxing He, MD

Role: CONTACT

86-20-83337792

Facility Contacts

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Jianxing He, MD

Role: primary

86-20-83337792

Other Identifiers

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ES-2024-091-02

Identifier Type: -

Identifier Source: org_study_id

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