Artificial Intelligence Clinical Trial
— AI-ODOfficial title:
Real-life Implementation of an Artificial Intelligence Based Optical Diagnosis Strategy for Diminutive Colorectal Polyps
Verified date | September 2023 |
Source | Centre hospitalier de l'Université de Montréal (CHUM) |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a prospective study that is the first to implement resect and discard and diagnose and leave strategies in real-time practice using stringent documentation and adjudication by 2 expert endoscopists as the gold standard. Therefore, this study mainly aims to evaluate the agreement between (CADx) assisted optical diagnosis and adjudication by two expert endoscopists in establishing surveillance intervals concordant with the European Society for Gastrointestinal Endoscopy (ESGE) and US Multisociety task force (USMSTF) guidelines.
Status | Recruiting |
Enrollment | 102 |
Est. completion date | January 30, 2024 |
Est. primary completion date | December 1, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 45 Years to 80 Years |
Eligibility | Inclusion Criteria: - Age 45-80 years - Undergoing an outpatient colonoscopy at the Centre Hospitalier de l'Université de Montréal (CHUM) - Signed informed consent form Exclusion Criteria: - Inflammatory Bowel Disease; - Active colitis; - Hereditary CRC syndrome; - Coagulopathy; - American Society of Anesthesiologists (ASA) status >3 |
Country | Name | City | State |
---|---|---|---|
Canada | Centre Hospitalier de l'Université de Montréal | Montréal | Quebec |
Lead Sponsor | Collaborator |
---|---|
Daniel Von Renteln |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Agreement between (CADx) assisted optical diagnosis and adjudication by two expert endoscopists in establishing surveillance intervals | To calculate the proportion of surveillance intervals that are concordant with the European Society for Gastrointestinal Endoscopy (ESGE) and US Multisociety task force (USMSTF) guidelines when using adjudication by two expert endoscopists as the reference standard. | 120 days | |
Secondary | Diagnostic characteristics of of (CADx) assisted optical diagnosis strategy using adjudication by two expert endoscopists as the reference standard | To calculate the accuracy, sensitivity, specificity, positive predictive value, negative predictive value of (CADx) assisted optical diagnosis (resect and discard) strategy using adjudication by two expert endoscopists as the reference standard. | 120 days | |
Secondary | Negative predictive value for the diagnosis of rectosigmoid adenomas of an AI (CADx) assisted optical diagnosis (diagnose and leave) strategy using adjudication by two expert endoscopists as the reference standard | To calculate the negative predictive value for the diagnosis of rectosigmoid adenomas of an AI (CADx) assisted optical diagnosis strategy using adjudication by two expert endoscopists as the reference standard | 120 days | |
Secondary | Assessing efficiency gains through AI-assisted optical diagnosis | To calculate the percentage of histopathologic analyses that could be avoided and the cost savings resulting from replacing pathology with AI-assisted optical diagnosis. | 120 days | |
Secondary | Willingness of patients for undergoing AI-assisted optical diagnosis instead of pathology for diminutive polyps | To calculate the percentage of patients who agree to undergo resect and discard and diagnose and leave strategies | 120 days | |
Secondary | Assessing cost savings through AI-assisted optical diagnosis | To calculate the cost savings associated with avoiding histologic analysis of resected specimen (estimated in 2023 Canadian Dollars). | 120 days | |
Secondary | Assessing efficiency gains through same-day surveillance interval communication due to implementation of AI-based optical diagnosis | To calculate the percentage of patients who can receive surveillance interval assignment on the same day as the colonoscopy. | 120 days |
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