Tumor
Conditions
Brief summary
This study aims to develop and validate a deep learning-based opportunistic multi-cancer screening system using routine non-contrast chest-abdomen-pelvis CT examinations, including CHANCE-Breast, CHANCE-Liver, CHANCE-Kidney, and CHANCE-Bladder, for the early detection of breast, liver, kidney, and bladder cancers. In addition, the study will assess a human-AI collaborative framework to determine its potential for improving cancer detection and reducing missed diagnoses in clinical practice.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with a confirmed diagnosis of the target malignancy who received treatment at our institution; 2. Diagnostic-quality CT images without substantial metal or motion artifacts and with complete anatomical coverage of the target organ (breast, liver, kidney, or bladder); 3. Availability of complete pre-treatment non-contrast CT imaging data.
Exclusion criteria
1. Non-diagnostic image quality; 2. Absence of a definitive reference-standard diagnosis; 3. Incomplete clinical or imaging data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy | 1.5 years | Proportion of correct classifications |
| Sensitivity | 1.5years | Proportion of true positive cases |
| Specificity | 1.5years | Proportion of true negative cases |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Delta Sensitivity (AI-assisted vs. unassisted) | 1.5years | Absolute difference in sensitivity between AI-assisted and unassisted human readings |
| Delta Specificity (AI-assisted vs. unassisted) | 1.5years | Absolute difference in specificity between AI-assisted and unassisted human readings |
| Delta Accuracy (AI-assisted vs. unassisted) | 1.5years | Absolute difference in accuracy between AI-assisted and unassisted human readings |
Countries
China