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The goal of this clinical trial is to develop and verify the auxiliary role of the artificial intelligence system in mediastinal ultrasound endoscopic scanning. The main questions it aims to answer are as follows: 1.The comparison of the image recognition accuracy between the artificial intelligence system and the ultrasound endoscopist; 2. Whether the artificial intelligence system can improve the integrity and efficiency of the mediastinum scanning for the ultrasound endoscopist. Participants will undergo mediastinal EUS with or without the assistance of the artificial intelligence system.
In this study, a total of 200 cases of mediastinal endoscopic ultrasound scanning videos will be collected. First of all, an artificial intelligence system based on deep learning for the navigation and quality control of mediastinal endoscopic ultrasonography will be established. Secondly, the artificial intelligence system will be used to identify the site and anatomical structure of the mediastinal ultrasound endoscope, and the results of the artificial intelligence system's station recognition will be compared with the results of the endoscopist's station recognition. Finally, the completeness of standard sites and scanning time of endoscopic-assisted and non-assisted AI systems were compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AI-assisted group | Experimental | Subjects will undergo EUS examination with the assistance of AI system. |
|
| non-assisted group | No Intervention | Subjects will undergo EUS examination without the assistance of AI system |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AI system | Device | Patients will undergo EUS examination with the assistance of AI system. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Accuracy | The number of correctly classified images divided by the total number of images. | 1 year |
| The completeness for standard station scanning | This was calculated as the number of stations successfully scanned divided by the total number of stations that should have been scanned. | Until the end of the study |
| Measure | Description | Time Frame |
|---|---|---|
| Cohen's kappa coefficient | This data is to evaluate the agreement between the model and the endoscopists. | 1 year |
| The completeness for standard stations and anatomical landmarks per individual |
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Inclusion Criteria:
Exclusion Criteria:
First. The patient's physical condition does not meet the requirements of conventional endoscopic ultrasonography:
Second. Disagree to participate in this study.
Third. There are other problems that do not meet the requirements of this research or that affect the results of the research:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaoyan Wang, Doctor | Contact | +8613974889301 | wxy20011@163.com | |
| Shiqin Huang, MD | Contact | +8618308312098 | sqhuang0213@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaoyan Wang, Doctor | The Third Xiangya Hospital of Central South University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Third Xiangya Hospital of Central South University | Recruiting | Changsha | Hunan | 410013 | China |
Some data underlying this trial cannot be shared publicly due to protection of participant's privacy.
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| ID | Term |
|---|---|
| D008477 | Mediastinal Diseases |
| ID | Term |
|---|---|
| D013896 | Thoracic Diseases |
| D012140 | Respiratory Tract Diseases |
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The completeness of stations and anatomic landmarks of endoscopic ultrasonography by different endoscopists in the AI system assisted group and the control group were compared.
| Until the end of the study |
| The completeness of anatomical landmarks | It calculated as the number of anatomical structures successfully scanned divided by the total number of structures that should have been scanned | Until the end of the study |
| Operation time | In addition to puncture, elastography, and ultrasound enhancement to observe the lesion or treatment, it can also be used to observe the time of the mediastinum. | Until the end of the study |
| The incidence of adverse events | The incidence of adverse events in both groups during the entire research process. | Until the end of the study |