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This research is being done to determine if an image-based deep learning model (Sybil) can accurately predict the likelihood of future lung cancer based on chest computed tomography (CT) imaging from individuals with a family history of lung cancer.
This is a non-therapeutic study that will enroll individuals who have a family history of lung cancer. During the study, participants will provide questionnaire responses regarding their personal medical history, family lung cancer history, and exposures along with contributing images from at least one previously obtained CT chest scan. The images and data collected will be analyzed by an image-based deep learning model (Sybil). Sybil is a type of artificial intelligence model that has been shown to accurately predict individuals' future risk of lung cancer based solely on images from a CT Chest scan, but it is unknown if it works well in people with a family history of lung cancer. It is expected that 2,250 will take part in this research study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Retrospective CT scan | Participants will contribute images and corresponding radiology reports from at least one retrospective CT chest scan. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CT scan | Diagnostic Test | Previously obtained computed tomography scan |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Sybil's performance in predicting future lung cancer diagnoses | We will estimate future lung cancer diagnoses using the area under the receiver operating curve (AUROC). | From date of receival of retrospective CT scan for up to 2 years. |
| Measure | Description | Time Frame |
|---|---|---|
| Distribution of Sybil lung cancer risk scores compared to participants in the NLST clinical trial | We will compare the distribution of Sybil scores between participants in the LEGACY study and National Lung Screening Trial. | From receival of retrospective CT scan for up to 2 years. |
| Incidence and prevalence of lung cancer in the study population |
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Inclusion Criteria:
≥18 years of age
Positive family history of lung cancer (defined as):
Willing to provide images from at least one previously obtained CT Chest scan, if available.
Exclusion Criteria:
- None
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This study will enroll individuals who have a family history of lung cancer (≥1 first-degree relative or ≥2 second-degree relatives).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Allison Chang, MD | Contact | 617-724-4000 | aechang@mgb.org |
| Name | Affiliation | Role |
|---|---|---|
| Allison Chang, MD | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: Allison Chang, MD (aechang@mgb.org). The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.
Data can be shared no earlier than 1 year following the date of publication
Contact the Partners Innovations team at http://www.partners.org/innovation
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| ID | Term |
|---|---|
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D014057 | Tomography, X-Ray Computed |
| ID | Term |
|---|---|
| D007090 | Image Interpretation, Computer-Assisted |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Sybil |
| Other |
Image-based deep learning model |
|
We will estimate the incidence of lung cancer in the LEGACY population. |
| From receival of retrospective CT scan for up to 2 years. |
| Incidence, prevalence, and characteristics of lung nodules in this population | We will estimate the incidence, prevalence, and characteristics of lung nodules in the LEGACY population. | From receival of retrospective CT scan for up to 2 years. |
| D008171 |
| Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D011856 | Radiographic Image Enhancement |
| D007089 | Image Enhancement |
| D010781 | Photography |
| D011859 | Radiography |
| D014056 | Tomography, X-Ray |
| D014054 | Tomography |