基于多模态影像组学的肺部真菌感染鉴别诊断

注册号:

Registration number:

ChiCTR2500108765 

最近更新日期:

Date of Last Refreshed on:

2025-09-04 17:08:50 

注册时间:

Date of Registration:

2025-09-04 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于多模态影像组学的肺部真菌感染鉴别诊断

Public title:

Multimodal Radiomics-Based Differential Diagnosis of Pulmonary Fungal Infections

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于多模态影像组学的肺部真菌感染鉴别诊断

Scientific title:

Multimodal Radiomics-Based Differential Diagnosis of Pulmonary Fungal Infections

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:

何文曼 

研究负责人:

何文曼 

Applicant:

Wenman He 

Study leader:

Wenman He 

申请注册联系人电话:

Applicant telephone:

+86 187 3017 6659

研究负责人电话:

Study leader's
telephone:

+86 187 3017 6659

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:

manwhe95@163.com

研究负责人电子邮件:

Study leader's E-mail:

manwhe95@163.com

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:

汕尾市城区东涌镇品清社区定家声路1号

研究负责人通讯地址:

汕尾市城区东涌镇品清社区定家声路1号

Applicant address:

No. 1 Dingjiasheng Road, Pinqing Community, Dongyong Town, Urban District, Shanwei City, China

Study leader's address:

No. 1 Dingjiasheng Road, Pinqing Community, Dongyong Town, Urban District, Shanwei City, China

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:

中山大学孙逸仙纪念医院深汕中心医院

Applicant's institution:

Sun Yat-sen University Sun Yat-sen Memorial Hospital Shenshan Central Hospital

研究负责人所在单位:

中山大学孙逸仙纪念医院深汕中心医院

Affiliation of the Leader:

Sun Yat-sen University Sun Yat-sen Memorial Hospital Shenshan Central Hospital

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-SSKY-067-01

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:

中山大学孙逸仙纪念医院深汕中心医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Sun Yat-sen Memorial Hospital, Shenshan Central Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-08-04 00:00:00

伦理委员会联系人:

郭晓婷

Contact Name of the ethic committee:

Xiaoting Guo

伦理委员会联系地址:

汕尾市城区东涌镇品清社区定家声路1号

Contact Address of the ethic committee:

No. 1 Dingjiasheng Road, Pinqing Community, Dongyong Town, Urban District, Shanwei City, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 660 386 3906

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

中山大学孙逸仙纪念医院深汕中心医院

Primary sponsor:

Sun Yat-sen University Sun Yat-sen Memorial Hospital Shenshan Central Hospital

研究实施负责(组长)单位地址:

汕尾市城区东涌镇品清社区定家声路1号

Primary sponsor's address:

No. 1 Dingjiasheng Road, Pinqing Community, Dongyong Town, Urban District, Shanwei City, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

汕尾市

Country:

China

Province:

Guangdong Province

City:

Shanwei City

单位(医院):

中山大学孙逸仙纪念医院深汕中心医院

具体地址:

汕尾市城区东涌镇品清社区定家声路1号

Institution
hospital:

Sun Yat-sen University Sun Yat-sen Memorial Hospital Shenshan Central Hospital

Address:

No. 1 Dingjiasheng Road, Pinqing Community, Dongyong Town, Urban District, Shanwei City, China

经费或物资来源:

Source(s) of funding:

None

研究疾病:

呼吸系统炎症与感染  

Target disease:

Respiratory Inflammation and Infection

研究疾病代码:

H0104

Target disease code:

H0104

研究类型:

诊断试验

Study type:

Diagnostic test

研究所处阶段:

回顾性研究 

Study phase:

Retrospective study

研究设计:

诊断试验诊断准确性 

Study design:

Diagnostic test for accuracy 

研究目的:

快速识别不同肺部真菌感染(曲霉、隐球菌、毛霉)的CT影像特征差异  

Objectives of Study:

Rapid Identification of CT Imaging Feature Differences Among Pulmonary Fungal Infections (Aspergillosis, Cryptococcosis, Mucormycosis)​

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:

混合感染(如曲霉合并结核、细菌合并真菌);CT图像质量不合格(运动伪影、层厚>2 mm);抗真菌/抗生素治疗>7天后才行CT检查;妊娠或未成年人(<18岁);罕见真菌(如组织胞浆菌、球孢子菌);临床资料缺失>20%。

Exclusion criteria:

Polymicrobial infections​​ (e.g., fungal-bacterial or fungal-mycobacterial coinfections). ​​Non-diagnostic CT scans​​ (slice thickness >2 mm or significant motion artifacts). ​​Delayed imaging​​ (CT obtained >7 days after initiating antimicrobial therapy). ​​Pregnant women or pediatric patients (<18 years)​​. ​​Infections caused by rare fungi​​ (e.g., endemic dimorphic fungi such as Histoplasma capsulatum). ​​Cases with >20% missing essential clinical data​​.

研究实施时间:

Study execute time:

From 2025-09-05 00:00:00 To 2026-08-03 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-09-05 00:00:00 To 2026-08-03 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):

病原学(真菌培养阳性、痰NGS或肺泡灌洗液NGS真菌阳性)或病理真菌阳性

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):

Microbiological or Pathological Confirmation:​​ Positive fungal culture, ​​OR​​ Fungal pathogen detected by metagenomic next-generation sequencing (mNGS) in sputum or bronchoalveolar lavage fluid (BALF), ​​OR​​ Histopathological evidence of fungal infection (e.g., hyphae or yeast forms on tissue biopsy).

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):

基于深度学习的AI诊断模型

Index test:

AI diagnostic model based on deep learning

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)

呼吸系统炎症与感染患者

例数:

Sample size:

400

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 respiratory Inflammation and Infection

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):

广东省 

市(区县):

汕尾市 

Country:

China

Province:

Guangdong Province

City:

Shanwei City

单位(医院):

中山大学孙逸仙纪念医院深山中心医院 

单位级别:

三级 

Institution
hospital:

Sun Yat-sen University Sun Yat-sen Memorial Hospital Shenshan Central Hospital

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

AUC

指标类型:

主要指标

Outcome:

AUC

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

准确度

指标类型:

主要指标

Outcome:

Accuracy

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

灵敏度

指标类型:

主要指标

Outcome:

Sensitivity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

特异度

指标类型:

主要指标

Outcome:

Specificity

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

唾液或肺泡灌洗液

组织:

Sample Name:

Saliva or Alveolar Lavage Fluid?

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 90 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:

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):

百度网盘

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

Baidu Netdisk​

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:

电子采集与管理系统

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

Electronic Data Capture

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-09-04 17:08:45