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Evaluating the Real World Performance of an AI Based Lung Nodule Detection Tool

Performance Estimation of Triaging Artificial Intelligence Based Computer-Aided Detection Algorithm in Routine Chest Radiography

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06597968
Enrollment
44900
Registered
2024-09-19
Start date
2025-06-24
Completion date
2027-04-25
Last updated
2026-07-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lung Nodule

Keywords

chest x-ray, CAD software

Brief summary

chest x-rays will be analyzed by AI software for a secondary read of lung nodules. Chest x-rays will either be sent to the AI tool to be read or to radiologists to read. If the image is sent to the AI tool, the AI software will generate a report on if it detects a lung nodule or not. The image will then be sent to a radiologist to determine if there is agreement or disagreement with the AI tool.

Detailed description

The study is a prospective study for measuring the performance of an AI software in detecting lung nodules from chest X-rays. Data collected during the study will be analyzed for study purposes after end date of data collection. There will be two study arms: the control arm and the interventional arm. Control Arm: There will be no interruption to the existing standard of care pathway. Interventional Arm: Use of AI will occur in parallel to the standard of care pathway. Consistent with the control Arm, the radiologists or clinicians interpreting the chest x-ray images will proceed as usual based on the existing standard operating procedures of the study site. In addition, the AI software will function as a second reader; meaning images will be processed by the AI software which will generate a report. In the event that the radiologist and the AI tool do not agree, cases will be reviewed by qualified study team members twice per week.

Interventions

DEVICEAI Based CAD Software (qXR-Ln)

All x-ray images have already been obtained and will then be run through CAD software for secondary nodule detection

Sponsors

University Hospitals Cleveland Medical Center
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
No

Inclusion criteria

* Chest X-ray images of patients aged 18 - 89 years. * Modality: CR/DR/DX. * PA/view * Lung nodules measuring 6 mm -30 mm (for chest X-ray images where presence of nodules is required).

Exclusion criteria

* Incomplete view of the chest. * Lateral view * Known lung cancer at the time of Chest x-ray images.

Design outcomes

Primary

MeasureTime frame
number of patients with actionable lung nodule as measured by CT scanup to one year
total number of patients having chest x-rayup to one year
number of patients with high risk lung nodule as measured by CT scanup to one year
total number of patients referred for a CT scanup to one year
number of lung nodule positive imagesup to one year
number of lung nodule negative imagesup to one year

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORAmit Gupta, MD

University Hospitals Cleveland Medical Center

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 15, 2026