基于眼影像组学的肺部肿瘤预测模型构建及其机制研究

注册号:

Registration number:

ChiCTR2600121945 

最近更新日期:

Date of Last Refreshed on:

2026-04-07 15:58:14 

注册时间:

Date of Registration:

2026-04-07 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于眼影像组学的肺部肿瘤预测模型构建及其机制研究

Public title:

Construction of a Predictive Model for Pulmonary Tumors Based on Ophthalmic Imaging Radiomics and Investigation of Its Mechanisms

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于眼影像组学的肺部肿瘤预测模型构建及其机制研究

Scientific title:

Construction of a Predictive Model for Pulmonary Tumors Based on Ophthalmic Imaging Radiomics and Investigation of Its Mechanisms

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:

张艺 

研究负责人:

杨小红 

Applicant:

Yi Zhang 

Study leader:

Xiaohong Yang 

申请注册联系人电话:

Applicant telephone:

+86 20 8382 7812

研究负责人电话:

Study leader's
telephone:

+86 20 8382 7812

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:

13923955440@163.com

研究负责人电子邮件:

Study leader's E-mail:

syyangxh@scut.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:

广东省广州市越秀区中山二路106号

研究负责人通讯地址:

广东省广州市越秀区中山二路106号

Applicant address:

No. 106, Zhongshan 2nd Road, Yuexiu District, Guangzhou, Guangdong

Study leader's address:

No. 106, Zhongshan 2nd Road, Yuexiu District, Guangzhou, Guangdong

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:

广东省人民医院

Applicant's institution:

Guangdong Provincial People's Hospital

研究负责人所在单位:

广东省人民医院

Affiliation of the Leader:

Guangdong Provincial People's 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:

KY2026-299-01

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:

广东省人民医院伦理审查委员会

Name of the ethic committee:

Medical Research Ethics Committee of Guangdong Provincial People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2026-04-03 00:00:00

伦理委员会联系人:

姚丽明

Contact Name of the ethic committee:

Liming Yao

伦理委员会联系地址:

广东省广州市越秀区中山二路106号

Contact Address of the ethic committee:

106 Zhongshan Second Road, Yuexiu District, Guangzhou, Guangdong

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 131 4939 5530

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:

广东省人民医院

Primary sponsor:

Guangdong Provincial People's Hospital

研究实施负责(组长)单位地址:

广东省广州市越秀区中山二路106号

Primary sponsor's address:

106 Zhongshan Second Road, Yuexiu District, Guangzhou, Guangdong

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

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

广东省人民医院

具体地址:

广东省广州市越秀区中山二路106号

Institution
hospital:

Guangdong Provincila People's Hospital

Address:

106 Zhongshan Second Road, Yuexiu District, Guangzhou, Guangdong

经费或物资来源:

自筹

Source(s) of funding:

Self-financing

研究疾病:

肺部肿瘤  

Target disease:

Pulmonary tumors

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

1. 全面挖掘和筛选与肺部肿瘤发生发展高度相关的重要眼影像学标志物,阐述“眼-肺轴”的表型关联性,为疾病的无创筛查及早期预警提供客观、便捷的新型影像学生物标志物。 2. 探索眼影像学标志物与肺部肿瘤的关联机制,明确二者共享遗传风险位点、遗传相关性,同时锚定炎症因子、血浆蛋白质、代谢产物水平作为眼影像学标志物与肺部肿瘤的中介因素,运用孟德尔随机化分析探索因果关系及其潜在的中介效应,阐述“眼-肺轴”的基因关联性及蛋白、代谢关联性,提高以眼观肺部肿瘤的可解释性。 3. 在现有疾病风险预测模型基础上,整合筛选出的关键眼影像学标志物,构建基于眼影像组学的肺部肿瘤筛查模型、诊断判别模型和预后预测模型:筛查模型旨在用于肺部肿瘤高危人群的初筛,以优化LDCT筛查流程;诊断判别模型旨在辅助就诊者的肺部肿瘤风险分层;预后模型旨在用于患病人群的治疗相关并发症和远期预后预测,助力疾病风险分层及预后评估的无创化、精准化、高效化。  

Objectives of Study:

1. Identify key ophthalmic imaging biomarkers closely associated with the development and progression of pulmonary tumors, elucidate the phenotypic correlation of the "eye-lung axis," and provide objective and convenient biomarkers for non-invasive screening and early warning. 2. Investigate the mechanisms linking ophthalmic imaging biomarkers with pulmonary tumors, including shared genetic risk loci and genetic correlations. Inflammatory factors, plasma proteins, and metabolites will be evaluated as potential mediators, and Mendelian randomization will be used to explore causal relationships and mediating effects, thereby clarifying the genetic, proteomic, and metabolic basis of the "eye-lung axis" and improving the interpretability of ocular-based pulmonary tumor prediction. 3. Develop and validate ophthalmic imaging radiomics-based screening, diagnostic, and prognostic models for pulmonary tumors by integrating the selected key biomarkers. These models will support initial screening in high-risk populations, assist risk stratification in clinical settings, and predict treatment-related complications and long-term outcomes, enabling non-invasive, precise, and efficient risk assessment and prognostic evaluation.

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:

1. 合并有严重眼部疾病或接受过眼内手术。 2. 因全身疾病或个人原因无法配合或完成全部的眼科检查。 3. 具有任何可能影响方案依从性的疾病史(如严重精神障碍、认知功能障碍、药物滥用或成瘾等)。

Exclusion criteria:

1. Patients with significant ocular comorbidities or a history of intraocular surgery. 2. Inability to complete required ophthalmic examinations due to systemic conditions or personal reasons. 3. Medical history that may compromise protocol compliance, including: severe psychiatric disorders,cognitive impairment, substance abuse or addiction.

研究实施时间:

Study execute time:

From 2026-01-01 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-04-07 00:00:00 To 2028-12-31 00:00:00

干预措施:

Interventions:

组别:

肺部肿瘤组

样本量:

440

Group:

Pulmonary Tumor Group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

健康对照组

样本量:

440

Group:

Healthy Control Group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

广东省人民医院 

单位级别:

三甲 

Institution
hospital:

Guangdong Provincila People's Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

眼部检查指标(视力、眼压、眼前段照相、眼表分析仪检查、泪液细胞因子检测、眼底彩照、OCT、OCTA)

指标类型:

主要指标

Outcome:

Ocular examination parameters (visual acuity, intraocular pressure, anterior segment photography,ocular surface analyzer examination, tear cytokine testing, fundus color photography, OCT, OCTA).

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

一般临床指标:性别、年龄、籍贯、受教育情况、基本体格检查包括(体重指数、血压、心率)、吸烟史、饮酒史、饮食运动情况、疾病诊断、全身及眼部疾病病史、治疗方案等。

指标类型:

主要指标

Outcome:

General clinical parameters: gender, age, place of origin, education level, body mass index, blood pressure, heart rate, smoking history, alcohol consumption,dietary habits and physical activity patterns, history of systemic and ocular diseases, etc.

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺部肿瘤指标: 肺部肿瘤诊断及相关病史、既往治疗方案、常规血液学检查(血常规、止凝血功能、肝肾功能、电解质、血脂、炎症因子、血浆蛋白质、血浆代谢产物、肿瘤标志物等)、支气管镜检查、病理结果、肺部及全身影像学检查等。

指标类型:

主要指标

Outcome:

Pulmonary tumor indicators: diagnosis of pulmonary tumors and related medical history, previous treatment regimens, routine hematological tests (including complete blood count, coagulation function, liver and kidney function, electrolytes, blood lipids, inflammatory factors, plasma proteins, plasma metabolites, and tumor markers), bronchoscopy findings, pathological results, and pulmonary as well as whole-body imaging examinations.

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:

血液

组织:

Sample Name:

Blood

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:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

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

None

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:

病例记录表

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

Case Record Form, CRF

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:

 2026-04-07 15:57:40