- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07795788
Correlation Between Artificial Intelligence-Based Fecal Coverage Area-Quantified Bowel Preparation Quality Score (FQ-BBPS) and Adenoma Detection Rate
Correlation Between Artificial Intelligence-Based Fecal Coverage Area-Quantified Bowel Preparation Quality Score (FQ-BBPS) and Adenoma Detection Rate: A Single-Center, Prospective, Observational Study
Studieoversigt
Status
Betingelser
Detaljeret beskrivelse
The FQ-BBPS system uses image segmentation to automatically calculate the percentage of mucosa obscured by feces/fluid, providing a continuous, objective alternative to the conventional Boston Bowel Preparation Scale (BBPS). Preliminary retrospective data showed a strong correlation (Spearman ρ = -0.829) between FQ-BBPS(25%) and ADR, and adding this metric improved adenoma prediction over e-BBPS alone. This prospective study (October 2026 - September 2027) will consecutively enroll patients aged 45-75 years undergoing colonoscopy for screening or polyp surveillance, excluding those with prior colorectal surgery, cancer, alarm symptoms, anticoagulant use, or recent trial participation. With a conservative assumed correlation of -0.70, a sample size of 560 (allowing 10% dropout) is planned.
The primary outcome is ADR (proportion with ≥1 histologically confirmed adenoma), and secondary outcomes include detection rates for serrated lesions, advanced adenomas, and polyp detection by size/location; safety endpoints (perforation, immediate/delayed bleeding) will also be recorded. The FQ-BBPS(25%) score will be computed automatically from withdrawal videos, while endoscopists record BBPS and polyp characteristics. Spearman correlation will assess the association, and ROC analysis will explore the optimal cutoff against the 35% ADR reference. The study adheres to the Declaration of Helsinki, with ethics approval and written informed consent from all participants.
Undersøgelsestype
Tilmelding (Anslået)
Kontakter og lokationer
Studiekontakt
- Navn: Danian Ji, M.D.
- Telefonnummer: +86-18019094606
- E-mail: arctg4@163.com
Undersøgelse Kontakt Backup
- Navn: Zhiyu Dong, M.D.
- Telefonnummer: 18817870866
- E-mail: 18817870866@163.com
Studiesteder
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, Kina, 200040
- Huadong Hospital, Fudan University
-
Kontakt:
- Danian Ji, M.D.
- Telefonnummer: +86-18019094606
- E-mail: arctg4@163.com
-
Kontakt:
- Zhiyu Dong, M.D.
- Telefonnummer: 18817870866
- E-mail: 18817870866@163.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- aged 45-75 years
- No colonoscopy within the past 3 years
Exclusion Criteria:
- Patients scheduled for therapeutic colonoscopy, postoperative surveillance after colorectal surgery, or treatment of histologically confirmed polyps
- Patients with highly suspected or pathologically confirmed colorectal cancer
- Patients presenting with alarm symptoms or signs (hematochezia, melena, unexplained anemia or weight loss, palpable abdominal mass, or a positive digital rectal examination)
- Pregnant or breastfeeding women
- Patients with gastrointestinal obstruction
- Patients with inflammatory bowel disease, familial adenomatous polyposis, or serrated polyposis syndrome
- Patients who have taken anticoagulants (e.g., aspirin, warfarin) within 7 days before colonoscopy or who have coagulation disorders
- Failed cecal intubation due to any cause other than excessive feces preventing intubation (e.g., obstructive lesions preventing scope passage, or patient intolerance to the procedure).
- Use of non-guideline-recommended bowel preparation agents
- Patients undergoing emergency colonoscopy
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
|---|
|
Screening/Surveillance colonoscopy
Patients undergoing screening or surveillance colonoscopy
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Adenomdetektionshastighed
Tidsramme: 2 uger efter proceduren
|
2 uger efter proceduren
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Sessile serrated læsionsdetekteringshastighed
Tidsramme: 2 uger efter proceduren
|
2 uger efter proceduren
|
|
Avanceret adenomdetekteringshastighed
Tidsramme: 2 uger efter proceduren
|
2 uger efter proceduren
|
|
Polypdetektionshastighed
Tidsramme: 2 uger efter proceduren
|
2 uger efter proceduren
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studieleder: Danian Ji, M.D., Huadong Hospital
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 2026K353
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
IPD-delingsadgangskriterier
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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