Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
ID06118840

Assessing the Impact of an Artificial Intelligence-Based Model for Intracranial Aneurysm Detection in CT Angiography on Patients' Diagnosis and Outcomes: The IDEAL Study - A Web-Based Multicenter, Double-Blinded Randomized Controlled Trial

Led by Jinling Hospital, China · Updated on 2025-10-07

6450

Participants Needed

21

Research Sites

21 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are conducting the IDEAL study, a large, multicenter, prospective, double-blind randomized controlled trial, to evaluate the impact of an artificial intelligence (AI) model on diagnosing intracranial aneurysms using head CT angiography (CTA). The study aims to compare the diagnostic sensitivity and specificity of this AI-assisted approach against a sham AI method, while also assessing patient prognosis and various clinical outcomes. Over 6450 patients scheduled for head CTA will be enrolled across 21 hospitals in China. Participants will be randomly assigned to one of two groups: the True-AI group, where radiologists use a deep-learning AI model with high sensitivity to assist in diagnosing intracranial aneurysms, and the Sham-AI group, where radiologists use a similar AI model with very low sensitivity but comparable specificity. Both groups will undergo their usual head CTA scans and diagnoses. The study includes a 12-month follow-up to monitor repeat imaging, clinical follow-up, treatment, and patient outcomes. During the study, patients will have their head CTA images interpreted with either the True-AI or Sham-AI assistance, without knowledge of group assignment by patients or radiologists. Researchers will assess diagnostic accuracy, detection rates of intracranial lesions, workload of CTA interpretation, resource use, hospitalization rates, quality of life measures, functional outcomes, and safety indicators at 3, 6, and 12 months. The primary outcomes focus on diagnostic sensitivity and specificity at 6 months, with secondary outcomes covering broader clinical and patient-centered measures over the follow-up period.

CONDITIONS

Brief Title

IDEAL Study: Blinded RCT for the Impact of AI Model for Cerebral Aneurysms Detection on Patients' Diagnosis and Outcomes

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult inpatients and outpatients who are scheduled for head CTA scanning.
Not Eligible

You will not qualify if you...

  • Age under 18 years.
  • Patients with contraindications to CTA.
  • Modified Rankin Scale (mRS) score > 3.
  • Refuse to sign informed consent.
  • Participation in other clinical studies of intracranial aneurysms.
  • Patients with failed head CTA scanning or incomplete image data, or poor image quality.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Single procedure at baseline

Participants undergo head CT angiography (CTA) scanning and are diagnosed by a radiologist aided by either the True-AI or Sham-AI intracranial aneurysms diagnosis strategy.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 12 months

Participants are monitored for diagnostic performance outcomes, resource use, clinical follow-up, treatment-related outcomes, and quality of life over 12 months after the initial diagnosis.

Follow-up visits at 3 months and 12 months

Trial Site Locations

Total: 21 locations

1

The First Affiliated Hospital of University of Science and Technology of China

Hefei, Anhui, China

Actively Recruiting

2

The First Affiliated Hospital of Wannan Medical College

Wuhu, Anhui, China

Actively Recruiting

3

Guizhou Provincial People's Hospital

Guiyang, Guizhou, China

Actively Recruiting

4

First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Actively Recruiting

5

Shiyan People's Hospital

Shiyan, Hubei, China

Actively Recruiting

6

Research Institute Of Medical Imaging Jinling Hospital

Nanjing, Jiangsu, China, 210018

Actively Recruiting

7

Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

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8

The First Hospital of Jilin University

Changchun, Jilin, China

Actively Recruiting

9

Shandong Provincial Hospital Affiliated to Shandong First Medical University

Jinan, Shandong, China

Actively Recruiting

10

Yidu Central Hospital Affiliated to Shandong Second Medical University

Weifang, Shandong, China

Actively Recruiting

11

The First Affiliated Hospital of Kunming Medical University

Kunming, Yunnan, China

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12

Hainan General Hospital

Haikou, China

Actively Recruiting

13

The First People's Hospital of Kashgar Region

Kashgar, China

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14

University Second Hospital

Lanzhou, China

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15

First People's Hospital of Lianyungang

Lianyungang, China

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16

Ma'anshan People's Hospital

Ma’anshan, China

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17

BenQ Medical Center, Affiliated BenQ Hospital of Medical School, Nanjing Medical University

Nanjing, China

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18

Long Gang Central Hospital of Shenzhen

Shenzhen, China

Actively Recruiting

19

The Affiliated Suqian First Hospital of Nanjing Medical University

Suqian, China

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20

Tianjin Medical University General Hospital

Tianjin, China

Actively Recruiting

21

General Hospital of Ningxia Medical University

Yinchuan, China

Actively Recruiting

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Research Team

L

Longjiang Zhang, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

2

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Published Research Related To This Trial

Assessing the Impact of an Artificial Intelligence-Based Model for Intracranial Aneurysm Detection in CT Angiography on Patient Diagnosis and Outcomes (IDEAL Study)-a protocol for a multicenter, double-blinded randomized controlled trial.

Zhao Shi, Bin Hu, Mengjie Lu...

https://pubmed.ncbi.nlm.nih.gov/38835091