A Clinical Evaluation of AI Solutions Developed in the CHAIMELEON Project for Cancer: Prostate, Lung, Breast, Colon and Rectum

NCT ID: NCT06950996

Last Updated: 2025-04-30

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

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-01

Study Completion Date

2024-11-01

Brief Summary

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The goal of this observational study is to see how useful an experimental viewer and AI solutions are for clinicians in their daily work. The investigators want to find out if the AI helps clinicians interpret medical images for different types of cancer.

The AI solutions aim to:

* Classify whether prostate cancer is low or high risk
* Classify the histological subtype in breast cancer
* Estimate the life expectancy of patients with lung cancer
* Determine the size of colon cancer, lymph node involvement and the possibility of metastasis..
* Assess the invasion of sorrounding tissues in the case of rectum cancer. The study will involve clinicians from various centres who will review a set of cases not previously analysed by the AI. Clinicians will do this in two phases: first using only their own expertise and then with the help of the AI solutions.

The technical team want to see if the AI solutions assist clinicians and could become useful in the everyday clinical practice. Clinicians will complete a survey to share their feedback on the usability of the platform and how helpful the AI solutions are.

Detailed Description

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In order to conduct a robust clinical validation, the investigators have designed a study on the required sample size. The study is design to evaluate the role of an AI-assisted tool as a support for improving the daily clinical work. The investigators used an online website (https://statulator.com/SampleSize/ss2PP.html) for the calculation and use the "paired binary proportions" option. Using the case of prostate cancer, the investigators want to compare the probability of correct risk classification in prostate cancer by clinicians alone and/or guided by AI. The study will have a significance (α) = 0.05; power (β) = 80%; the analysis will be "two sided" and with equal group sizes.

An 10% improvement in cancer risk classification was observed when clinicians had access to an AI tool solution (Yilmaz et al.,). In addition, the authors reported that expert readers had an accuracy rate of 81% compared to 69% for novice readers when determining the Gleason score of lesions (a medical term used in pathology to classify the aggressiveness of cells in a tumour). The authors also assumed an 80% correlation between paired observations.

As a result, at least 60 new cases would be needed to evaluate the performance of the AI tool.

Conditions

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Breast Cancer Lung Cancer, Non-Small Cell Colon Cancer Rectum Cancer Prostate Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Group 1: Evaluation with Medical expertise only

Evaluation of different medical images of people with 5 types of cancer using their own expertise.

Risk in prostate cancer

Intervention Type OTHER

the prediction involves the classification of the prostate cancer according to the level of prostatic antigen (PSA), the biopsy classification of the aggressiveness of the tumour, and also the localisation of the tumour

Life expectancy in lung cancer

Intervention Type OTHER

Clinicians will evaluate life expectancy in lung cancer using CTs, together with some clinical information.

Histological subtype

Intervention Type OTHER

An assessment by pathology of the subtype of breast tumour

Staging of colon cancer

Intervention Type OTHER

classify size, lymph node involvement and possibility of metastasis in medical images (computerized tomosynthesis) of thorax and pelvis region

invasion in rectum cancer

Intervention Type OTHER

assess whether vascular extramural o mesorectal fascia has been invaded in the tumour using magnetic resonance medical images taken at diagnosis in the pelvic region

Group 2: Evaluation with the support of AI solutions

Evaluation of different medical images of people with 5 types of cancer guided by the AI solutions developed.

Risk in prostate cancer

Intervention Type OTHER

the prediction involves the classification of the prostate cancer according to the level of prostatic antigen (PSA), the biopsy classification of the aggressiveness of the tumour, and also the localisation of the tumour

Life expectancy in lung cancer

Intervention Type OTHER

Clinicians will evaluate life expectancy in lung cancer using CTs, together with some clinical information.

Histological subtype

Intervention Type OTHER

An assessment by pathology of the subtype of breast tumour

Staging of colon cancer

Intervention Type OTHER

classify size, lymph node involvement and possibility of metastasis in medical images (computerized tomosynthesis) of thorax and pelvis region

invasion in rectum cancer

Intervention Type OTHER

assess whether vascular extramural o mesorectal fascia has been invaded in the tumour using magnetic resonance medical images taken at diagnosis in the pelvic region

Interventions

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Risk in prostate cancer

the prediction involves the classification of the prostate cancer according to the level of prostatic antigen (PSA), the biopsy classification of the aggressiveness of the tumour, and also the localisation of the tumour

Intervention Type OTHER

Life expectancy in lung cancer

Clinicians will evaluate life expectancy in lung cancer using CTs, together with some clinical information.

Intervention Type OTHER

Histological subtype

An assessment by pathology of the subtype of breast tumour

Intervention Type OTHER

Staging of colon cancer

classify size, lymph node involvement and possibility of metastasis in medical images (computerized tomosynthesis) of thorax and pelvis region

Intervention Type OTHER

invasion in rectum cancer

assess whether vascular extramural o mesorectal fascia has been invaded in the tumour using magnetic resonance medical images taken at diagnosis in the pelvic region

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patients with an histological confirmation of cancer diagnosis (prostate, lung, breast, colon or rectum)
* availability of radiological images (MR for prostate and rectum, CT for lung and colon or mammographys for breast).
* enough follow up (12 months for prostate, breast and rectum), 18 months for lung, and 24 months for colon.

Exclusion Criteria

* patients with incomplete or low quality data (radiological, pathological or uncomplete clinical data necessary for the ground truth)
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Pisa

OTHER

Sponsor Role collaborator

University Hospital Rijeka

OTHER

Sponsor Role collaborator

University of Messina

OTHER

Sponsor Role collaborator

Istanbul Medipol University Hospital

OTHER

Sponsor Role collaborator

Centro Hospitalar do Porto

OTHER

Sponsor Role collaborator

Hospitales Universitarios Virgen del Rocío

OTHER

Sponsor Role collaborator

IRCCS Policlinico S. Donato

OTHER

Sponsor Role collaborator

National Cancer Center Affiliate of Vilnius University Hospital Santaros Klinikos

OTHER

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

Osakidetza

OTHER

Sponsor Role collaborator

Le Collège des Enseignants de Radiologie de France

OTHER

Sponsor Role collaborator

Instituto de Investigacion Sanitaria La Fe

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hospital Universitario y Politécnico la Fe

Valencia, , Spain

Site Status

Countries

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Spain

References

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Yilmaz EC, Turkbey B. The added value of a deep learning-based computer-aided detection system on prostate cancer detection among readers with varying level of multiparametric MRI expertise. Chin Clin Oncol. 2022 Dec;11(6):42. doi: 10.21037/cco-22-104. Epub 2022 Nov 15. No abstract available.

Reference Type BACKGROUND
PMID: 36408543 (View on PubMed)

Related Links

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https://chaimeleon.eu

Accelerating the lab to market transition of AI tools for cancer management is an European project that contemplates the evaluation of the in silico clinical validation

Other Identifiers

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952172

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

CHAIMELEON insilico validation

Identifier Type: -

Identifier Source: org_study_id

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