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Evaluating the Efficacy and Safety of AI Localization Models in Multidisciplinary Team Care for NSCLC
Evaluating the Efficacy and Safety of AI Localization Models in Multidisciplinary Team Care for NSCLC: a Prospective, Controlled Clinical Trial Protocol
The goal of this clinical trial is to evaluate the effectiveness and safety of a locally deployed artificial intelligence (AI) decision-support model in the multidisciplinary team (MDT) process for patients with non-small cell lung cancer (NSCLC).
The main questions it aims to answer :
What is the level of agreement between treatment recommendations generated by the AI model and those made by a traditional MDT? How often do clinicians modify their final treatment decision after reviewing the AI model's recommendation? Researchers will compare treatment plans from the traditional MDT (Arm 1), the AI model (Arm 2), and the clinician's final decision after reviewing the AI output (Arm 3) to assess consistency, decision modification rates, and clinical efficiency.
Participants will:
Have their clinical, imaging, and molecular data submitted to both the traditional MDT and the AI model for independent treatment recommendations Receive a final treatment plan determined by clinicians after reviewing both recommendations, with follow-up for safety and survival outcomes
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: qing liang, Dr.
- Telefoonnummer: +86 17863321987
- E-mail: liangtsing99@163.com
Studie Locaties
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Guangdong
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Guangzhou, Guangdong, China, 510000
- Werving
- Guangdong Provincial People's Hospital
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Contact:
- Wenzhao Zhong, Dr.
- Telefoonnummer: +8613609777314
- E-mail: 13609777314@163.com
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Age ≥ 18 years;
- MDT (Multidisciplinary Team) discussion deems a systemic treatment plan necessary;
- Complete clinical, imaging, and molecular pathological data.
Exclusion Criteria:
- Stage I patients;
- Diagnosed with a thoracic tumor other than NSCLC;
- Lack of detailed medical data, or missing data;
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: AI-Assisted Multidisciplinary Team Decision-Making for Non-Small Cell Lung Cancer
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The impact of artificial intelligence on clinicians' treatment plans
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Consistency rate
Tijdsspanne: Baseline(MDT 1 Day)
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Consistency rate between Option 1 and Option 2 (calculated using Kappa value).
Consistency rate between Option 1 and Option 3 (decision modification rate).
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Baseline(MDT 1 Day)
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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MDT Discussion Process Time
Tijdsspanne: Baseline(MDT Day 1)
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Time from start to end of multidisciplinary team (MDT) discussion, measured immediately after MDT end.
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Baseline(MDT Day 1)
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Quality of AI Recommendations
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated quality of AI recommendations using a Likert 5-point scale (1 = very poor, 5 = excellent).
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Baseline(MDT Day 1)
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Clinical Acceptability of AI
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated clinical acceptability of AI recommendations using a Likert 5-point scale (1 = unacceptable, 5 = fully acceptable).
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Baseline(MDT Day 1)
|
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MDT Discussion Efficiency
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated efficiency of MDT discussion process aided by AI using a Likert 5-point scale (1 = very inefficient, 5 = very efficient).
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Baseline(MDT Day 1)
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Process Convenience
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated convenience of the AI-integrated workflow using a Likert 5-point scale (1 = very inconvenient, 5 = very convenient).
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Baseline(MDT Day 1)
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Added Value to Clinical Decision
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated added value of AI to clinical decision-making using a Likert 5-point scale (1 = no added value, 5 = significant added value).
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Baseline(MDT Day 1)
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Learning and Training Value
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated learning and training value of AI system using a Likert 5-point scale (1 = no value, 5 = high value).
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Baseline(MDT Day 1)
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Overall Satisfaction
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated overall satisfaction with AI-assisted MDT using a Likert 5-point scale (1 = very dissatisfied, 5 = very satisfied).
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Baseline(MDT Day 1)
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Willingness to Use in Future
Tijdsspanne: Baseline(MDT Day 1)
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Physician-rated willingness to use AI system in future clinical practice using a Likert 5-point scale (1 = definitely not willing, 5 = definitely willing).
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Baseline(MDT Day 1)
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Disease-Free Survival (DFS)
Tijdsspanne: 3 years
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Time from treatment initiation to disease recurrence or death from any cause, assessed every 3-6 months during 2-3 years follow-up.
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3 years
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Progression-Free Survival (PFS)
Tijdsspanne: 3 years
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Time from treatment initiation to disease progression or death from any cause, assessed every 3-6 months during 2-3 years follow-up.
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3 years
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Overall Survival (OS)
Tijdsspanne: 3 years
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Time from treatment initiation to death from any cause, assessed every 3-6 months during 2-3 years follow-up.
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3 years
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Publicaties en nuttige links
Algemene publicaties
- Pillay B, Wootten AC, Crowe H, Corcoran N, Tran B, Bowden P, Crowe J, Costello AJ. The impact of multidisciplinary team meetings on patient assessment, management and outcomes in oncology settings: A systematic review of the literature. Cancer Treat Rev. 2016 Jan;42:56-72. doi: 10.1016/j.ctrv.2015.11.007. Epub 2015 Nov 24.
- Kim JK, Chua ME, Li TG, Rickard M, Lorenzo AJ. Novel AI applications in systematic review: GPT-4 assisted data extraction, analysis, review of bias. BMJ Evid Based Med. 2025 Sep 22;30(5):313-322. doi: 10.1136/bmjebm-2024-113066.
- Wiegand TLT, Jung LB, Gudera JA, Schuhmacher LS, Moehrle P, Rischewski JF, Mehrzad P, Jeong S, Nguyen LH, Poeschla M, Velezmoro LI, Kruk L, Dimitriadis K, Koerte IK. Demographic inaccuracies and biases in the depiction of patients by artificial intelligence text-to-image generators. NPJ Digit Med. 2025 Jul 19;8(1):459. doi: 10.1038/s41746-025-01817-6.
Studie record data
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Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- KY2025-1003-02
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