基于多模态人工智能的肺结节决策系统前瞻性多中心临床研究

注册号:

Registration number:

ChiCTR2500103643 

最近更新日期:

Date of Last Refreshed on:

2025-06-03 11:50:24 

注册时间:

Date of Registration:

2025-06-03 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于多模态人工智能的肺结节决策系统前瞻性多中心临床研究

Public title:

A Prospective Multicenter Clinical Study on the Multimodal Artificial Intelligence-Based Pulmonary Nodule Decision System

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于多模态人工智能的肺结节决策系统前瞻性多中心临床研究

Scientific title:

A Prospective Multicenter Clinical Study on the Multimodal Artificial Intelligence-Based Pulmonary Nodule Decision System

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

刘权兴 

研究负责人:

戴纪刚 

Applicant:

Quanxing Liu 

Study leader:

Jigang Dai 

申请注册联系人电话:

Applicant telephone:

+86 153 3034 1857

研究负责人电话:

Study leader's
telephone:

+86 139 8312 2867

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

215584683@qq.com

研究负责人电子邮件:

Study leader's E-mail:

daijigang@tmmu.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

重庆市沙坪坝区新桥街道新桥医院

研究负责人通讯地址:

重庆市沙坪坝区新桥正街83号

Applicant address:

Xinqiao Hospital, Xinqiao Subdistrict, Shapingba District, Chongqing.

Study leader's address:

Chongqing Shapingba to 83 Xinqiao Zhengjie

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

陆军军医大学第二附属医院

Applicant's institution:

The Second Affiliated Hospital of Army Medical University

研究负责人所在单位:

中国人民解放军陆军军医大学第二附属医院

Affiliation of the Leader:

The Second Affiliated Hospital of the Army Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2025-研第090-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

中国人民解放军陆军军医大学第二附属医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Second Affiliated Hospital of Army Medical University PLA

伦理委员会批准日期:

Date of approved by ethic committee:

2025-03-12 00:00:00

伦理委员会联系人:

胡岚岚

Contact Name of the ethic committee:

Hu LanLan

伦理委员会联系地址:

重庆市沙坪坝区新桥正街83号

Contact Address of the ethic committee:

Chongqing Shapingba to 83 Xinqiao Zhengjie

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 23 68755422

伦理委员会联系人邮箱:

Contact email of the ethic committee:

35341579@qq.com

研究实施负责(组长)单位:

中国人民解放军陆军军医大学第二附属医院

Primary sponsor:

The Second Affiliated Hospital of the Army Medical University

研究实施负责(组长)单位地址:

重庆市沙坪坝区新桥正街83号

Primary sponsor's address:

Chongqing Shapingba to 83 Xinqiao Zhengjie

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

重庆市

市(区县):

Country:

China

Province:

Chongqing

City:

单位(医院):

中国人民解放军陆军军医大学第二附属医院

具体地址:

重庆市沙坪坝区新桥正街83号

Institution
hospital:

The Second Affiliated Hospital of the Army Medical University

Address:

Chongqing Shapingba to 83 Xinqiao Zhengjie

经费或物资来源:

科技创新2030

Source(s) of funding:

Noncommunicable Chronic Diseases-National Science and Technology Major Project

研究疾病:

肺结节; 肺癌  

Target disease:

Lung nodules; lung cancer

研究疾病代码:

Target disease code:

研究类型:

诊断试验

Study type:

Diagnostic test

研究所处阶段:

II-III期临床试验 

Study phase:

2-3

研究设计:

诊断试验诊断准确性 

Study design:

Diagnostic test for accuracy 

研究目的:

1.主要目的:整合影像、基因、病理等多模态数据,建立风险分层系统,以更准确地识别高风险患者。 2.次要目的:制定并推广适用于肺结节的微创手术标准化流程,以提高术前规划与术中操作的规范性。  

Objectives of Study:

Primary Objective: Integrate imaging, genetic, pathological and other multimodal data to establish a risk stratification system for more accurate identification of high-risk patients. Secondary Objective: Develop and standardize minimally invasive surgical procedures for pulmonary nodules to improve the consistency of preoperative planning and intraoperative operations.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

3年以内有其他恶性肿瘤发生患者;
1.其他系统来源的肺部转移瘤;
2.有纵隔淋巴结转移的肺癌患者患者;

Exclusion criteria:

1.Patients with other malignant tumors diagnosed within the past 3 years.
2.Pulmonary metastatic tumors originating from other systems.
3.Lung cancer patients with metastasis to mediastinal lymph nodes.

研究实施时间:

Study execute time:

From 2025-02-01 00:00:00 To 2028-01-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-06-26 00:00:00 To 2027-10-15 00:00:00

诊断试验:

Diagnostic Tests:

金标准或参考标准(即可准确诊断某疾病的单项方法或多项联合方法,在本研究中用于诊断是否有该病的临床参考标准):

临床病理检查

Gold Standard or Reference Standard (The clinical reference standards required to establish the presence or absence of the target condition in the tested population in present study):

Clinical pathology examination

指标试验(即本研究的待评估诊断试验,无论为方法、生物标志物或设备,均请列出名称):

整合影像、基因、病理等多模态数据的风险分层系统

Index test:

Integrated imaging, genetic, pathological, and multimodal data risk stratification system.

目标人群(可以是某种疾病患者或正常人群,详细描述其疾病特征,注意应纳入符合分布特点的全序列病例,具有良好的代表性)

病理良恶性待诊断的肺结节患者

例数:

Sample size:

966

Target condition (The target condition is a particular disease or disease stage that the index test will be intended to identify. Please specify the characteristics in detail; the population should has a complete spectrum and good representative):

Patients with pulmonary nodules awaiting pathological diagnosis to determine benign or malignant nature.

容易混淆的疾病人群(即与目标疾病不易区分的一种或多种不同疾病,应避免采用正常人群对照的病例-对照设计):

例数:

Sample size:

0

Population with condition difficult to distinguish from the target condition, the normal population in a case-control study design should be avoid:

None

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

重庆市 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

中国人民解放军陆军军医大学第二附属医院 

单位级别:

三级甲等 

Institution
hospital:

The Second Affiliated Hospital of the Army Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆市 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

中国人民解放军陆军特色医学中心 

单位级别:

三级甲等 

Institution
hospital:

Army Medical Center of PLA

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆市 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

中国人民解放军陆军军医大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

The First Affiliated Hospital of Army Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

福建省 

市(区县):

 

Country:

China

Province:

Fujian

City:

单位(医院):

中国人民解放军联勤保障部队第九〇〇医院 

单位级别:

三级甲等 

Institution
hospital:

The 900 Hospital of the Joint Service Support Force of the People's Liberation Army of China

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

浙江省 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

湖州市福音医院(中国人民解放军陆军第七十二集团军医院) 

单位级别:

三级甲等 

Institution
hospital:

THE 72ND GROUP ARMY HOSPITAL OF PLA

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

阴性预测值

指标类型:

主要指标

Outcome:

Negative Predictive Value, NPV

Type:

Primary indicator

测量时间点:

术后

测量方法:

诊断试验结果为阴性的人中,真正未患病的比例。

Measure time point of outcome:

Postoperative

Measure method:

NPV=True Negative(TN)/[True Negative(TN)+False Negatives (FN)]

指标中文名:

准确性

指标类型:

主要指标

Outcome:

Accuracy

Type:

Primary indicator

测量时间点:

术后

测量方法:

诊断试验中正确分类的样本占总样本的比例,即真阳性和真阴性的总和与所有样本的比值。

Measure time point of outcome:

Postoperative

Measure method:

Accuracy=[True Positive(TP)+True Negative(TN)]/[True Positive(TP)+True Negative(TN)+False Positive(FP)+False Negative(FN)]

指标中文名:

特异性

指标类型:

主要指标

Outcome:

Specificity

Type:

Primary indicator

测量时间点:

术后

测量方法:

诊断试验在非患病者中正确识别出阴性的比例

Measure time point of outcome:

Postoperative

Measure method:

Specificity=True Negative(TN)/[True Negative(TN)+False Positive(FP)]

指标中文名:

敏感性

指标类型:

主要指标

Outcome:

Sensitivity

Type:

Primary indicator

测量时间点:

术后

测量方法:

诊断试验在患病者中正确识别出阳性的比例

Measure time point of outcome:

Postoperative

Measure method:

Sensitivity = True Positives (TP) / [True Positives (TP) + False Negatives (FN)].

指标中文名:

阳性预测值

指标类型:

主要指标

Outcome:

Positive Predictive Value, PPV

Type:

Primary indicator

测量时间点:

术后

测量方法:

诊断试验结果为阳性的人中,真正患病的比例

Measure time point of outcome:

Postoperative

Measure method:

PPV=True Positives(TP)/[True Positives(TP)+False Positive(FP)]

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

肺结节患者术前血浆

组织:

Sample Name:

Preoperative plasma of lung nodules patients

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

肺结节手术切除组织

组织:

Sample Name:

Pulmonary nodule surgical resection tissue

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

邮件联系研究者

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Contact researcher by email

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

病历记录表示例见附件,研究资料将保存在陆军军医大学第二附属医院。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The medical record form is shown in the appendix, and the research data will be stored at the Second Affiliated Hospital of the Army Medical University.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2025-06-03 11:50:09