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Trial Title: A Prospective Cohort Study Comparing AI Prediction Model With Imaging Assessment to Diagnose Lymph Node Metastasis in Cervical Cancer

NCT ID: NCT06541288

Condition: Uterine Cervical Neoplasms

Conditions: Official terms:
Uterine Cervical Neoplasms
Lymphatic Metastasis

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Factorial Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: AI Prediction Model
Description: Pelvic MRI was performed after pathologic diagnosis clarified the diagnosis of cervical cancer. Further pelvic lymph node metastasis status was determined by artificial intelligence multimodal fusion prediction modeling
Arm group label: AI Prediction Model

Intervention type: Diagnostic Test
Intervention name: Conventional Imageing Assessment
Description: Pelvic MRI was performed after pathologic diagnosis clarified the diagnosis of cervical cancer.Further pelvic MRI images are read by a specialized imaging physician to determine pelvic lymph node status.
Arm group label: Conventional Imageing Assessment

Summary: The goal of this prospective cohort study is to learn whether artificial intelligence multimodal fusion prediction models are effective in diagnosing pelvic lymph node metastasis in cervical cancer. The main question it aims to answer is: can artificial intelligence multimodal fusion prediction models improve the accuracy of preoperative diagnosis of pelvic lymph node metastasis in cervical cancer? The researchers compared the AI multimodal fusion prediction model with traditional imaging physician assessments to see if the prediction model could yield more accurate lymph node metastasis determinations. Participants will undergo pelvic MRI after pathologically confirming a diagnosis of cervical cancer, and the results will be used to determine pelvic lymph node metastasis status by the predictive model and the imaging physician, respectively. Subsequent pathology results after surgical lymph node clearance will be used as the gold standard to determine the accuracy of the two preoperative lymph node diagnostic modalities.

Criteria for eligibility:
Criteria:
Inclusion criteria: 1. patients with preoperative diagnosis of invasive cervical cancer stage I-III, with any type of pathology, and patients who underwent radical/modified radical cervical cancer surgery + pelvic lymph node dissection in our hospital or sub-center; 2. Age ≥18 years and ≤80 years; 3. patients who underwent preoperative pelvic MRI (plain/enhanced) imaging in our hospital or sub-centers. Exclusion criteria: 1. patients during pregnancy or lactation, patients with abortion within 42 days; 2. patients who are undergoing or have undergone preoperative neoadjuvant chemotherapy or radiotherapy for this cervical cancer; 3. Patients with other malignant tumors within 5 years; 4. Combination of other underlying diseases that may lead to enlarged pelvic lymph nodes; 5. patients whose preoperative pelvic MRI date is more than 1 month from the day of surgery; 6. poor quality imaging images that are unrecognizable.

Gender: Female

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: The Obstetrics and Gynecology Hospital of Fudan University

Address:
City: Shanghai
Zip: 200090
Country: China

Start date: August 2024

Completion date: December 2027

Lead sponsor:
Agency: Obstetrics & Gynecology Hospital of Fudan University
Agency class: Other

Source: Obstetrics & Gynecology Hospital of Fudan University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06541288

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