- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05982821
Artificial Intelligent Accelerates the Learning Curve for Mastering Contrast-enhanced Ultrasound of Thyroid Nodules
Artificial Intelligent Accelerates the Learning Curve for Mastering Thyroid Imaging Reporting and Data System of Contrast-enhanced Ultrasound
The goal of this observational study is to learn about the learning curve for mastering the thyroid imaging reporting and data system of contrast-enhanced ultrasound with the assistance of artificial intelligence in patients with thyroid nodules. The main questions it aims to answer are:
- Can we develop a artificial intelligent software to assist doctors in the diagnosis of thyroid nodules using contrast-enhanced ultrasound?
- Can artificial intelligent reduce the number of cases and time for doctors to master the contrast-enhanced ultrasound diagnosis of thyroid nodules?
Participants will be asked to undergo contrast-enhanced ultrasound examination and ultrasound-guided fine-needle aspiration of thyroid nodules. Researchers will compare the number of cases and time for doctors with and without artificial intelligent assistance to master the contrast-enhanced ultrasound diagnosis of thyroid nodules to see if artificial intelligent reduce the number of cases and time.
Study Overview
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Jingliang Ruan, PhD
- Phone Number: +8613694202230
- Email: ruanjl3@mail.sysu.edu.cn
Study Locations
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Guangdong
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Guangzhou, Guangdong, China, 510289
- Recruiting
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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Contact:
- Jingliang Ruan, PhD
- Phone Number: +8613694202230
- Email: ruanjl3@mail.sysu.edu.cn
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Principal Investigator:
- Jingliang Ruan, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Study population with the same indication for contrast-enhanced ultrasound and fine-needle aspiration biopsy:
- Planned ablation or surgery;
- At least one suspicious ultrasound feature, such as hypoechoic/very hypoechoic, irregular/lobulated margin, taller than wide, or punctate echogenic foci.
Description
Inclusion Criteria:
- Patients with thyroid nodules with a solid component ≥5 mm confirmed by conventional ultrasound;
- Patients who underwent conventional ultrasound, contrast-enhanced ultrasound, and fine-needle aspiration biopsy;
- Patients with a final benign or malignant pathological results.
Exclusion Criteria:
- Patients with cytopathology of Bethesda I, III, or IV and without final benign or malignant pathology;
- Patients with a history of thyroid ablation or surgery;
- Patients with low-quality ultrasound images.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Training set
Patients with thyroid nodules underwent contrast-enhanced ultrasound and ultrasound-guided fine-needle aspiration during January 2018 and December 2020 in Sun Yat-sen Memorial Hospital Sun Yat-sen University.
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Artificial intelligence assisted radiologists to extract ultrasound features of thyroid nodules.
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Internal test set
Patients with thyroid nodules underwent contrast-enhanced ultrasound and ultrasound-guided fine-needle aspiration during January 2021 and May 2023 in Sun Yat-sen Memorial Hospital Sun Yat-sen University.
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Artificial intelligence assisted radiologists to extract ultrasound features of thyroid nodules.
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External test set
Patients with thyroid nodules underwent contrast-enhanced ultrasound and ultrasound-guided fine-needle aspiration during January 2022 and June 2023 in Houjie Hospital of Dongguan and Central People's Hospital of Zhanjiang.
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Artificial intelligence assisted radiologists to extract ultrasound features of thyroid nodules.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Area under curve.
Time Frame: At the end of the first (M1), third (M3), and sixth (M6) months of the trainees' rotation.
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Receiver operating characteristic curve analysis.
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At the end of the first (M1), third (M3), and sixth (M6) months of the trainees' rotation.
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The number of cases
Time Frame: At the end of the first (M1), third (M3), and sixth (M6) months of the trainees' rotation.
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The faculty responsible for the training program assessed the skills of each resident.
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At the end of the first (M1), third (M3), and sixth (M6) months of the trainees' rotation.
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The cases time.
Time Frame: At the end of the first (M1), third (M3), and sixth (M6) months of the trainees' rotation.
|
The faculty responsible for the training program assessed the skills of each resident.
|
At the end of the first (M1), third (M3), and sixth (M6) months of the trainees' rotation.
|
Collaborators and Investigators
Investigators
- Principal Investigator: Jingliang Ruan, PhD, Sun Yat-sen Memorial Hospital,Sun Yat-sen University
Publications and helpful links
General Publications
- Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, Pacini F, Randolph GW, Sawka AM, Schlumberger M, Schuff KG, Sherman SI, Sosa JA, Steward DL, Tuttle RM, Wartofsky L. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016 Jan;26(1):1-133. doi: 10.1089/thy.2015.0020.
- Russ G, Bonnema SJ, Erdogan MF, Durante C, Ngu R, Leenhardt L. European Thyroid Association Guidelines for Ultrasound Malignancy Risk Stratification of Thyroid Nodules in Adults: The EU-TIRADS. Eur Thyroid J. 2017 Sep;6(5):225-237. doi: 10.1159/000478927. Epub 2017 Aug 8.
- Burgos N, Zhao J, Brito JP, Hoang JK, Pitoia F, Maraka S, Castro MR, Lee JH, Singh Ospina N. Clinician Agreement on the Classification of Thyroid Nodules Ultrasound Features: A Survey of 2 Endocrine Societies. J Clin Endocrinol Metab. 2022 Jul 14;107(8):e3288-e3294. doi: 10.1210/clinem/dgac279.
- Tessler FN, Middleton WD, Grant EG, Hoang JK, Berland LL, Teefey SA, Cronan JJ, Beland MD, Desser TS, Frates MC, Hammers LW, Hamper UM, Langer JE, Reading CC, Scoutt LM, Stavros AT. ACR Thyroid Imaging, Reporting and Data System (TI-RADS): White Paper of the ACR TI-RADS Committee. J Am Coll Radiol. 2017 May;14(5):587-595. doi: 10.1016/j.jacr.2017.01.046. Epub 2017 Apr 2.
- Burgos N, Ospina NS, Sipos JA. The Future of Thyroid Nodule Risk Stratification. Endocrinol Metab Clin North Am. 2022 Jun;51(2):305-321. doi: 10.1016/j.ecl.2021.12.002. Epub 2022 May 4.
- Zhou J, Yin L, Wei X, Zhang S, Song Y, Luo B, Li J, Qian L, Cui L, Chen W, Wen C, Peng Y, Chen Q, Lu M, Chen M, Wu R, Zhou W, Xue E, Li Y, Yang L, Mi C, Zhang R, Wu G, Du G, Huang D, Zhan W; Superficial Organ and Vascular Ultrasound Group of the Society of Ultrasound in Medicine of the Chinese Medical Association; Chinese Artificial Intelligence Alliance for Thyroid and Breast Ultrasound. 2020 Chinese guidelines for ultrasound malignancy risk stratification of thyroid nodules: the C-TIRADS. Endocrine. 2020 Nov;70(2):256-279. doi: 10.1007/s12020-020-02441-y. Epub 2020 Aug 21.
- Shin JH, Baek JH, Chung J, Ha EJ, Kim JH, Lee YH, Lim HK, Moon WJ, Na DG, Park JS, Choi YJ, Hahn SY, Jeon SJ, Jung SL, Kim DW, Kim EK, Kwak JY, Lee CY, Lee HJ, Lee JH, Lee JH, Lee KH, Park SW, Sung JY; Korean Society of Thyroid Radiology (KSThR) and Korean Society of Radiology. Ultrasonography Diagnosis and Imaging-Based Management of Thyroid Nodules: Revised Korean Society of Thyroid Radiology Consensus Statement and Recommendations. Korean J Radiol. 2016 May-Jun;17(3):370-95. doi: 10.3348/kjr.2016.17.3.370. Epub 2016 Apr 14.
- Kwak JY, Han KH, Yoon JH, Moon HJ, Son EJ, Park SH, Jung HK, Choi JS, Kim BM, Kim EK. Thyroid imaging reporting and data system for US features of nodules: a step in establishing better stratification of cancer risk. Radiology. 2011 Sep;260(3):892-9. doi: 10.1148/radiol.11110206. Epub 2011 Jul 19.
- Sidhu PS, Cantisani V, Dietrich CF, Gilja OH, Saftoiu A, Bartels E, Bertolotto M, Calliada F, Clevert DA, Cosgrove D, Deganello A, D'Onofrio M, Drudi FM, Freeman S, Harvey C, Jenssen C, Jung EM, Klauser AS, Lassau N, Meloni MF, Leen E, Nicolau C, Nolsoe C, Piscaglia F, Prada F, Prosch H, Radzina M, Savelli L, Weskott HP, Wijkstra H. The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017 (Long Version). Ultraschall Med. 2018 Apr;39(2):e2-e44. doi: 10.1055/a-0586-1107. Epub 2018 Mar 6.
- Zhang Y, Zhou P, Tian SM, Zhao YF, Li JL, Li L. Usefulness of combined use of contrast-enhanced ultrasound and TI-RADS classification for the differentiation of benign from malignant lesions of thyroid nodules. Eur Radiol. 2017 Apr;27(4):1527-1536. doi: 10.1007/s00330-016-4508-y. Epub 2016 Aug 15.
- Tang C, Fang K, Guo Y, Li R, Fan X, Chen P, Chen Z, Liu Q, Zou Y. Safety of Sulfur Hexafluoride Microbubbles in Sonography of Abdominal and Superficial Organs: Retrospective Analysis of 30,222 Cases. J Ultrasound Med. 2017 Mar;36(3):531-538. doi: 10.7863/ultra.15.11075. Epub 2017 Jan 10.
- Seifert P, Gorges R, Zimny M, Kreissl MC, Schenke S. Interobserver agreement and efficacy of consensus reading in Kwak-, EU-, and ACR-thyroid imaging recording and data systems and ATA guidelines for the ultrasound risk stratification of thyroid nodules. Endocrine. 2020 Jan;67(1):143-154. doi: 10.1007/s12020-019-02134-1. Epub 2019 Nov 18.
- Wildman-Tobriner B, Buda M, Hoang JK, Middleton WD, Thayer D, Short RG, Tessler FN, Mazurowski MA. Using Artificial Intelligence to Revise ACR TI-RADS Risk Stratification of Thyroid Nodules: Diagnostic Accuracy and Utility. Radiology. 2019 Jul;292(1):112-119. doi: 10.1148/radiol.2019182128. Epub 2019 May 21.
- Zhang B, Tian J, Pei S, Chen Y, He X, Dong Y, Zhang L, Mo X, Huang W, Cong S, Zhang S. Machine Learning-Assisted System for Thyroid Nodule Diagnosis. Thyroid. 2019 Jun;29(6):858-867. doi: 10.1089/thy.2018.0380. Epub 2019 Apr 27.
- Peng S, Liu Y, Lv W, Liu L, Zhou Q, Yang H, Ren J, Liu G, Wang X, Zhang X, Du Q, Nie F, Huang G, Guo Y, Li J, Liang J, Hu H, Xiao H, Liu Z, Lai F, Zheng Q, Wang H, Li Y, Alexander EK, Wang W, Xiao H. Deep learning-based artificial intelligence model to assist thyroid nodule diagnosis and management: a multicentre diagnostic study. Lancet Digit Health. 2021 Apr;3(4):e250-e259. doi: 10.1016/S2589-7500(21)00041-8. Erratum In: Lancet Digit Health. 2021 Jul;3(7):e413.
- Jin Z, Pei S, Ouyang L, Zhang L, Mo X, Chen Q, You J, Chen L, Zhang B, Zhang S. Thy-Wise: An interpretable machine learning model for the evaluation of thyroid nodules. Int J Cancer. 2022 Dec 15;151(12):2229-2243. doi: 10.1002/ijc.34248. Epub 2022 Sep 12.
- Chen Y, Gao Z, He Y, Mai W, Li J, Zhou M, Li S, Yi W, Wu S, Bai T, Zhang N, Zeng W, Lu Y, Liu H. An Artificial Intelligence Model Based on ACR TI-RADS Characteristics for US Diagnosis of Thyroid Nodules. Radiology. 2022 Jun;303(3):613-619. doi: 10.1148/radiol.211455. Epub 2022 Mar 22.
- Zhao CK, Ren TT, Yin YF, Shi H, Wang HX, Zhou BY, Wang XR, Li X, Zhang YF, Liu C, Xu HX. A Comparative Analysis of Two Machine Learning-Based Diagnostic Patterns with Thyroid Imaging Reporting and Data System for Thyroid Nodules: Diagnostic Performance and Unnecessary Biopsy Rate. Thyroid. 2021 Mar;31(3):470-481. doi: 10.1089/thy.2020.0305. Epub 2020 Sep 9.
- Zhao J, Zhou X, Shi G, Xiao N, Song K, Zhao J, Hao R, Li K. Semantic consistency generative adversarial network for cross-modality domain adaptation in ultrasound thyroid nodule classification. Appl Intell (Dordr). 2022;52(9):10369-10383. doi: 10.1007/s10489-021-03025-7. Epub 2022 Jan 13.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SYSKY-2023-702-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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