Microvascular Invasion Artificial Intelligence Prediction Via Contrast-enhanced Ultrasound With Explainability

NCT ID: NCT06760494

Last Updated: 2025-01-06

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

COMPLETED

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-01

Study Completion Date

2024-05-30

Brief Summary

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An artificial intelligence (AI) model to predict MVI of HCC using contrast-enhanced ultrasound was constructed. This model also has biological explainability. The investigators named it as MAPUSE (MVI AI prediction via contrast-enhanced ultrasound with explainability).

The goal of MAPUSE study is to prospectively test the performance of MAPUSE model on MVI prediction and its biological correlation in different geographical areas of China.

Detailed Description

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The presence of microvascular invasion (MVI) in hepatocellular carcinoma (HCC) is a critical prognostic indicator, but its preoperative diagnosis remains challenging. Contrast-enhanced ultrasound (CEUS), with its dynamic microvascular imaging capability, holds promise in prediction of MVI.

The investigators constructed an artificial intelligence (AI) model to predict MVI using contrast-enhanced ultrasound. This model also has biological explainability. We named it as MAPUSE (MVI AI prediction via contrast-enhanced ultrasound with explainability).

The goal of MAPUSE study is to prospectively test the performance of MAPUSE model on MVI prediction and its biological correlation in different geographical areas of China.

The performance of MAPUSE is to be tested in two prospective testing cohorts from two centers in southern and northern China. Before surgery, patient CEUS videos will be collected and analysed by MAPUSE model to generate an MVI risk score. According to the postoperative pathological diagnosis of MVI (golden criterion), the result of MAPUSE will be evaluated. Parameters include area under curve (AUC), accuracy (ACC), sensitivity, specificity and F1-score.

Conditions

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HCC - Hepatocellular Carcinoma Microvascular Invasion (MVI)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Chinese PLA General Hospital Cohort

Patients from Chinese PLA General Hospital (northern China) after surgical treatment

the MAPUSE model

Intervention Type DIAGNOSTIC_TEST

Using the MAPUSE model to predict MVI status before surgical resection for HCC patients

the First Affiliated Hospital of Sun Yat-sen University Cohort

Patients from the First Affiliated Hospital of Sun Yat-sen University (southern China) after surgical treatment

the MAPUSE model

Intervention Type DIAGNOSTIC_TEST

Using the MAPUSE model to predict MVI status before surgical resection for HCC patients

Interventions

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the MAPUSE model

Using the MAPUSE model to predict MVI status before surgical resection for HCC patients

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Age \>18 years old.
2. The HCC diagnosis and the presence of MVI were confirmed by surgical pathology.
3. Complete and clear CEUS videos obtained within two weeks preoperatively.

Exclusion Criteria

1. Unqualified CEUS images.
2. Missing surgical pathological diagnosis.
3. Lesions underwent local treatments.
4. Non-HCC diagnosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Academy of Sciences

OTHER_GOV

Sponsor Role collaborator

Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ping Liang

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chuan Pang

Role: PRINCIPAL_INVESTIGATOR

Chinese PLA General Hospital

Locations

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the First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

Chinese PLA General Hospital

Beijing, , China

Site Status

Countries

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China

Other Identifiers

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92159305

Identifier Type: OTHER

Identifier Source: secondary_id

82030047

Identifier Type: OTHER

Identifier Source: secondary_id

82325027

Identifier Type: OTHER

Identifier Source: secondary_id

MAPUSE

Identifier Type: -

Identifier Source: org_study_id

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