UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000039645
Receipt number R000045218
Scientific Title Creation of an automatic diagnosis system for endoscopic images of esophageal disease using AI
Date of disclosure of the study information 2020/03/30
Last modified on 2021/03/01 14:58:38

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Basic information

Public title

Creation of an automatic diagnosis system for endoscopic images of esophageal disease using
artificial intelligence

Acronym

Creation of an automatic diagnosis system for endoscopic images of esophageal disease using
artificial intelligence

Scientific Title

Creation of an automatic diagnosis system for endoscopic images of esophageal disease using AI

Scientific Title:Acronym

Creation of an automatic diagnosis system for endoscopic images of esophageal disease using AI

Region

Japan


Condition

Condition

Esophageal diseases (such as esophageal malignant tumors, leiomyomas, neuroendocrine tumors, granuloma, reflux esophagitis, and eosinophilic esophagitis) and normal esophagus

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To create an automatic diagnosis system for endoscopic images of esophageal disease using artificial intelligence (AI)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Diagnosis accuracy of various esophageal diseases using AI diagnostic system

Key secondary outcomes

Diagnosis sensitivity, specificity, positive predictive value, negative predictive value of various esophageal diseases using AI diagnostic system. Time required for diagnosis. Doctor's diagnostic accuracy, sensitivity, specificity, positive predictive value, negative predictive value


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Esophageal diseases (such as esophageal malignant tumors, leiomyomas, neuroendocrine tumors, granuloma, reflux esophagitis, and eosinophilic esophagitis) and endoscopic images of normal esophagus (images / movies)

Key exclusion criteria

When the patient reject to use existing information through an information disclosure document published on the homepage of the facility.

Target sample size

5000


Research contact person

Name of lead principal investigator

1st name Ryu
Middle name
Last name Ishihara

Organization

Osaka International Cancer Institute.

Division name

Gastrointestinal Oncology

Zip code

541-8567

Address

1-69 Otemae 3-chome, Chuo-ku, Osaka541-8567, Japan

TEL

06-6945-1181

Email

ryu1486@gmail.com


Public contact

Name of contact person

1st name Kotaro
Middle name
Last name Waki

Organization

Osaka International Cancer Institute

Division name

Gastrointestinal Oncology

Zip code

541-8567

Address

1-69 Otemae 3-chome, Chuo-ku, Osaka541-8567, Japan

TEL

06-6945-1181

Homepage URL


Email

waki-ko@mc.pref.osaka.jp


Sponsor or person

Institute

Osaka International Cancer Institute
Gastrointestinal Oncology

Institute

Department

Personal name



Funding Source

Organization

Tada Tomohiro AI Endoscopic Diagnostic System Verification Fund

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Tada Tomohiro Institute of Gastroenterology and Proctology
Nigata University Graduate School of medical and Dental Science
Department of Gastroenterology, Fukuoka University hospital
AI Medical Service Inc.
Department of Gastroenterology and Hepatology, Kumamoto University Hospital
Department of Gastroenterology and Hepatology, Kumamoto chuo hospital
Department of Gastroenterology and Hepatology,Keio University Hospital
Department of Endoscopic Medicine, Mie University Hospital
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka International Cancer Institute, Ethics Committee

Address

1-69 Otemae 3-chome, Chuo-ku, Osaka541-8567, Japan

Tel

06-6945-1181

Email

rinri01@opho.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 03 Month 30 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/10.1111/den.13934

Number of participants that the trial has enrolled

21

Results

We prepared 100 video datasets, including 50 superficial ESCCs, 22 noncancerous lesions, and 28 normal esophagi. The AI system had sensitivity of 85.7% (54 of 63 ESCCs) and specificity of 40%. Initial evaluation by endoscopists conducted with plain video (without AI support) had average sensitivity of 75.0% (47.3 of 63 ESCC) and specificity of 91.4%.

Results date posted

2021 Year 03 Month 01 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 01 Month 27 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 12 Month 18 Day

Date of IRB

2018 Year 12 Month 18 Day

Anticipated trial start date

2018 Year 12 Month 18 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Design: Multicenter observational study
From the electronic medical record system and the endoscopic image server, the diagnosis information, the treatment information, and the endoscopic images of the patient having the esophageal disease are extracted after the anonymization processing. Similarly, it is extracted after the anonymization processing of the diagnosis information of the patient having the normal esophagus and the endoscopic images. Upload the extracted information and images to the server of AI medical service, which is responsible for developing the AI diagnostic system. AI medical service educates AI about 90% of the images classified by diagnosis name, and uses the remaining 10% of the images as verification images to evaluate the diagnostic accuracy of the AI diagnosis system for esophageal disease.
We have the doctors who actually work in endoscopic practice diagnose the images and videos collected in our hospital after anonymization processing and compare them with the diagnostic accuracy of AI.


Management information

Registered date

2020 Year 02 Month 29 Day

Last modified on

2021 Year 03 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045218


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name