Neonatal Neurological Observation With Video AI (NeoNOVA)
調査の概要
状態
詳細な説明
To fill this critical gap in neonatal care, the investigators developed and validated NeoPose, a low-cost, non-invasive, computer vision digital health tool to continuously monitor infants using real time video streams. NeoPose uses Pose Artificial Intelligence (AI) for an explainable approach to measure, quantify, and analyze infant movement. From the vectorized movement, investigators can accurately confirm the presence of encephalopathy and quantify the degree of sedation. The explainable AI platform enables continuous neuromonitoring with AI-driven alerts, suspicious event replay, movement comparisons, and training on a vast dataset of normal and abnormal infant movements far beyond what any provider could witness.
The Neonatal Neurological Observation with Video AI (NeoNOVA) study is a multi-site, prospective, single-arm, pragmatic, silent observational study to evaluate the performance of NeoPose and AI-derived insights in real world settings. NeoNOVA will deploy a bedside video monitoring system (ArtemisAI Platform) that continuously, passively video records the subject from enrollment to discharge. The study will prospectively validate the AI system's tracking accuracy against ground-truth human-labeled video frames (primary objective; outcome median position error in pixels), will evaluate the association between a video-derived movement index and standardized bedside assessments of encephalopathy, pain, and sedation (secondary objective; outcomes N-PASS and modified Sarnat scales), and will support hypothesis-generating research on novel video prediction algorithms for outcomes like sepsis and need for respiratory support (tertiary objective). The study operates in "silent mode," where AI outputs are not shown to the patient's clinical team. Findings are intended to support a structured clinical evidence generation plan for a Software as a Medical Device (SaMD) designed for continuous, non-contact neurological monitoring in the NICU.
研究の種類
入学 (推定)
連絡先と場所
研究連絡先
- 名前:Saum Naderi, MA
- 電話番号:714-913-3641
- メール:saum@artemisailabs.com
研究連絡先のバックアップ
- 名前:Florian Richter, PhD
- 電話番号:773-312-3301
- メール:florian@artemisailabs.com
研究場所
-
-
New York
-
New York、New York、アメリカ、10029
- 募集
- Mount Sinai Hospital
-
コンタクト:
- Rachelle Weisman, MPH
- メール:rachelle.weisman@mssm.edu
-
コンタクト:
- Klaren Ng
- 電話番号:347-525-8336
- メール:klaren.ng@mssm.edu
-
主任研究者:
- Benjamin Glicksberg, PhD
-
New York、New York、アメリカ、10065
- まだ募集していません
- Weill Cornell Medicine / NewYork-Presbyterian Hospital
-
コンタクト:
- Martha Liu
- 電話番号:646-697-6428
- メール:mal4038@med.cornell.edu
-
主任研究者:
- Sushma Krishna, MD
-
-
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Signed and dated informed consent from at least one parent or legally authorized representative (LAR) who is at least 18 years old.
- Parent/LAR expresses willingness to comply with study procedures for the duration of the infant's hospital stay.
- Infant of any sex (including intersex/undetermined) admitted to newborn services (including the NICU) at a participating hospital.
Exclusion Criteria:
- Parents or LAR unable to provide informed consent or are under the age of 18.
- Non-viable neonates
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
NICU-Admitted Infants Undergoing Continuous Video Monitoring
Infants admitted to newborn services, including the neonatal intensive care unit (NICU), who meet eligibility criteria and undergo continuous, non-contact bedside video monitoring from enrollment until hospital discharge.
|
A non-contact, passive bedside video recording system is mounted adjacent to the infant's crib or incubator.
The device continuously captures video data from enrollment to hospital discharge or withdrawal.
The device runs AI models to track infant anatomic landmarks and calculate a continuous movement index.
The trial runs in "silent mode," where AI outputs are not shown to the patient's clinical team and do not influence care.
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
AI Anatomic Landmark Tracking Accuracy
時間枠:At study completion, an average of 1 week.
|
The primary endpoint is analytical performance of the AI pose estimation system, quantified as median position error (in pixels) between AI-predicted and human-labeled anatomic landmark positions extracted from continuous bedside video.
Success is defined as median position error less than typical human inter-rater variability.
|
At study completion, an average of 1 week.
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Movement Index - Encephalopathy measured by modified Sarnat exam
時間枠:Through study completion, an average of 1 week.
|
Association between a video-derived movement index and encephalopathy classification of severity from the modified Sarnat exam score, a bedside neurological exam assessed by trained clinical staff.
|
Through study completion, an average of 1 week.
|
|
Movement Index - N-PASS
時間枠:Through study completion, an average of 1 week.
|
Association between a video-derived movement index and Neonatal Pain, Agitation, and Sedation Scale (N-PASS) score (ordinal outcome), a bedside neurological exam measuring pain/sedation and assessed by trained clinical staff.
|
Through study completion, an average of 1 week.
|
|
Movement Index - Sedative Exposure
時間枠:Through study completion, an average of 1 week.
|
Association between movement index and sedative exposure, a routinely collected clinical variable that influences neonatal arousal.
|
Through study completion, an average of 1 week.
|
|
Movement Index - Chronological Age at Video
時間枠:Through study completion, an average of 1 week.
|
Association between movement index and chronological age at video, a routinely collected clinical variable that influences neonatal arousal.
|
Through study completion, an average of 1 week.
|
|
Movement Index - Gestational age at birth
時間枠:Through study completion, an average of 1 week.
|
Association between the movement index and gestational age at birth, a routinely collected clinical variable that influences neonatal arousal.
|
Through study completion, an average of 1 week.
|
|
Movement Index - Sleep state
時間枠:Through study completion, an average of 1 week.
|
Association between the movement index and sleep state, a routinely collected clinical variable that influences neonatal arousal.
|
Through study completion, an average of 1 week.
|
|
Movement Index - EEG evidence of cerebral dysfunction
時間枠:Through study completion, an average of 1 week.
|
Association between the movement index and, if obtained as part of routine clinical care, EEG evidence of cerebral dysfunction (a biomarker of encephalopathy).
|
Through study completion, an average of 1 week.
|
その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
AI Anatomic Landmark Tracking - Post-Menstrual Age at Video
時間枠:At study completion, an average of 1 week.
|
Assess performance of AI anatomic landmark tracking (median position error) across post-menstrual ages at the time of video recording.
|
At study completion, an average of 1 week.
|
|
AI Anatomic Landmark Tracking - Encephalopathy Status
時間枠:At study completion, an average of 1 week.
|
Assess performance of AI anatomic landmark tracking (median position error) across encephalopathy statuses.
|
At study completion, an average of 1 week.
|
|
AI Anatomic Landmark Tracking - Caregiver-reported Race/Ethnicity
時間枠:At study completion, an average of 1 week.
|
Assess performance of AI anatomic landmark tracking (median position error) across caregiver-reported race/ethnicity.
|
At study completion, an average of 1 week.
|
|
AI Anatomic Landmark Tracking - Sex
時間枠:At study completion, an average of 1 week.
|
Assess performance of AI anatomic landmark tracking (median position error) and sex.
|
At study completion, an average of 1 week.
|
|
AI Anatomic Landmark Tracking - Lighting Conditions
時間枠:At study completion, an average of 1 week.
|
Assess performance of AI anatomic landmark tracking (median position error) and lighting conditions (phototherapy, lights on/off, time of day).
|
At study completion, an average of 1 week.
|
|
Parent and Provider Feedback
時間枠:At baseline and study completion (Day 1 - Day 7, on average).
|
Brief structured surveys administered to parents and clinical providers to assess acceptability, usability, and perceived burden of the bedside video monitoring system.
Findings will inform system design refinements and support future bedside adoption and regulatory human factors documentation.
|
At baseline and study completion (Day 1 - Day 7, on average).
|
協力者と研究者
スポンサー
捜査官
- 主任研究者:Benjamin Glicksberg, PhD、Icahn School of Medicine at Mount Sinai
出版物と役立つリンク
一般刊行物
- Feng R, Richter F, Mari E, Gleason A, Le C, Kellner CP, Shrivastava RK, Fields M, Rapoport BI, Bederson JB, Schadt EE, Glicksberg BS, Richter F, Dangayach NS. Artificial Intelligence Monitoring of Neurological Status From Patient Videos in the Neuroscience Intensive Care Unit. Neurosurgery. 2026 Jan 14. doi: 10.1227/neu.0000000000003899. Online ahead of print.
- Gleason A, Richter F, Beller N, Arivazhagan N, Feng R, Holmes E, Glicksberg BS, Morton SU, La Vega-Talbott M, Fields M, Guttmann K, Nadkarni GN, Richter F. Detection of neurologic changes in critically ill infants using deep learning on video data: a retrospective single center cohort study. EClinicalMedicine. 2024 Nov 11;78:102919. doi: 10.1016/j.eclinm.2024.102919. eCollection 2024 Dec.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- STUDY-25-01036
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。