Artificial Intelligence Cerebral Gray-white Matter Ratio Module Usage in Hsinchu District Hsinchu District Using an Artificial Intelligence Cerebral Gray-white Matter Ratio Module

NCT ID: NCT06856018

Last Updated: 2025-11-18

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

350 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-12-01

Study Completion Date

2026-12-31

Brief Summary

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This study aims to establish an electronic medical record and imaging database for out-of-hospital cardiac arrest (OHCA) patients at NTUH Hsinchu Branch. Leveraging an AI deep learning model and an automated brain gray-white matter analysis system developed at NTUH, the research seeks to validate these tools externally. By integrating electronic medical records and brain imaging data, the project strives to enhance the accuracy of prognostic assessments, supporting physicians and families in decision-making for post-cardiac arrest care. Validation at Hsinchu Branch will assess the model's reliability across diverse medical settings and patient populations, optimizing its applicability and accuracy.

Detailed Description

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The purpose of this study is to establish an electronic medical record and imaging database for out-of-hospital cardiac arrest patients at National Taiwan University Hospital Hsinchu Branch. Our team have developed an AI deep learning model and an automated analysis system for brain gray-white matter based on data from National Taiwan University Hospital.

These developments will be externally validated using the database at Hsinchu Branch in this project. Accurate prognosis assessment is crucial for physicians and families in making decisions regarding post-cardiac arrest care period. However, the current available assessment tools have limited accuracy. This study aims to develop a multimodal prognostic evaluation model that combines electronic medical records and the automated analysis system for brain graywhite matter. This integration will enhance the accuracy and predictive capability of prognosis assessment. The research team has already developed an automated analysis system for calculating brain gray-white matter ratio from brain computed tomography images, providing important information about pathological changes in the brain.

Additionally, the team has also developed an AI-based predictive model for post-cardiac arrest prognosis, incorporating multiple indicators and variables. This system has been validated using data from National Taiwan University Hospital.

To further validate the accuracy and reliability of our models, the research team plans to collaborate with Hsinchu Branch in collecting and organizing relevant data of post-cardiac arrest patients, including electronic medical records and imaging files. The developed automated analysis system for brain gray-white matter and the AI-based predictive model will be applied for external validation. Through this research, the goal is to establish and optimize a more comprehensive and accurate prognosis assessment model, assisting physicians and families in making better decisions for post-cardiac arrest patients.

Furthermore, the collaboration with Hsinchu Branch will enable the validation of our models'applicability in different medical institutions and patient populations.

Conditions

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Out of Hospital Cardiac Arrest

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

\- Patients at National Taiwan University Hospital Hsinchu Branch who experienced non-traumatic cardiac arrest between January 1, 2014, and December 31, 2020, and successfully achieved return of spontaneous circulation (ROSC) following resuscitation.

Exclusion Criteria

1. Under 18 years of age;
2. Pregnant women;
3. Individuals who did not achieve successful resuscitation
4. Individuals without computed tomography (CT) imaging after resuscitation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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National Taiwan University Hospital Hsin-Chu Branch

Hsinchu, , Taiwan

Site Status

Countries

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Taiwan

References

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Mutasa S, Sun S, Ha R. Understanding artificial intelligence based radiology studies: What is overfitting? Clin Imaging. 2020 Sep;65:96-99. doi: 10.1016/j.clinimag.2020.04.025. Epub 2020 Apr 23.

Reference Type BACKGROUND
PMID: 32387803 (View on PubMed)

Wang CH, Huang CH, Chang WT, Tsai MS, Yu PH, Wu YW, Chen WJ. Prognostic performance of simplified out-of-hospital cardiac arrest (OHCA) and cardiac arrest hospital prognosis (CAHP) scores in an East Asian population: A prospective cohort study. Resuscitation. 2019 Apr;137:133-139. doi: 10.1016/j.resuscitation.2019.02.015. Epub 2019 Feb 20.

Reference Type BACKGROUND
PMID: 30797049 (View on PubMed)

Adrie C, Cariou A, Mourvillier B, Laurent I, Dabbane H, Hantala F, Rhaoui A, Thuong M, Monchi M. Predicting survival with good neurological recovery at hospital admission after successful resuscitation of out-of-hospital cardiac arrest: the OHCA score. Eur Heart J. 2006 Dec;27(23):2840-5. doi: 10.1093/eurheartj/ehl335. Epub 2006 Nov 2.

Reference Type BACKGROUND
PMID: 17082207 (View on PubMed)

Chang HC, Tsai MS, Kuo LK, Hsu HH, Huang WC, Lai CH, Shih MC, Huang CH. Factors affecting outcomes in patients with cardiac arrest who receive target temperature management: The multi-center TIMECARD registry. J Formos Med Assoc. 2022 Jan;121(1 Pt 2):294-303. doi: 10.1016/j.jfma.2021.04.006. Epub 2021 Apr 29.

Reference Type BACKGROUND
PMID: 33934947 (View on PubMed)

Rea TD, Eisenberg MS, Sinibaldi G, White RD. Incidence of EMS-treated out-of-hospital cardiac arrest in the United States. Resuscitation. 2004 Oct;63(1):17-24. doi: 10.1016/j.resuscitation.2004.03.025.

Reference Type BACKGROUND
PMID: 15451582 (View on PubMed)

Other Identifiers

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202404018RINA

Identifier Type: -

Identifier Source: org_study_id

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