IDEAL: Artificial Intelligence and Big Data for Early Lung Cancer Diagnosis Study (IDEAL)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT03753724 |
Recruitment Status :
Completed
First Posted : November 27, 2018
Last Update Posted : July 29, 2022
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Condition or disease |
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Pulmonary Nodule, Solitary Pulmonary Nodule, Multiple Lung Cancer |

Study Type : | Observational |
Actual Enrollment : | 1293 participants |
Observational Model: | Other |
Time Perspective: | Prospective |
Official Title: | IDEAL: Artificial Intelligence and Big Data for Early Lung Cancer Diagnosis Prospective Study (Phase 2) |
Actual Study Start Date : | August 29, 2018 |
Actual Primary Completion Date : | March 31, 2022 |
Actual Study Completion Date : | March 31, 2022 |

Group/Cohort |
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Group 1
On review of the scans by an expert, no further follow up or investigation is required, as the nodule(s) has been categorised as benign. As the patient was unaware the scan was being reviewed and no further investigations are required. Patient is invited to take part in the study (by telephone).
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Group 2
On review, the nodule is indeterminate and further scanning at a later date is required. The patient is informed of this, usually via a telephone call from either the doctor or nurse specialist working in the Lung Nodule Clinic (LNC) or site equivalent. This LNC is usually a virtual clinic - no physical interaction with the patient - and the follow up scan is reviewed and the patient contacted again via the virtual clinic. Patient is invited to take part in the study (by telephone, by post or in clinic if appropriate).
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Group 3
On review, the nodule is regarded as potentially malignant and further scans and a clinic appointment is made for the patient. Patient is invited to take part in the study (in clinic if appropriate).
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- The overall diagnostic performance of a new computer aided prediction (CAP) model for malignancy in small pulmonary nodules (% diagnostic accuracy). [ Time Frame: Up to 1 year. ]Area Under the Receiver Operator Characteristic Curve (AUC).
- The health economic benefits of the CAP model. [ Time Frame: At 2 weeks, 3 months (group 2 & 3 only) and year 1. ]Measured reduction in health care related costs using the CAP model algorithm compared to the current standard of care.
- The diagnostic performance of the CAP model for malignancy in small pulmonary nodules at a specific operating point relevant to clinical practice. [ Time Frame: Up to 1 year. ]Measure of diagnostic performance of the risk model.

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Male or Female, aged 18 years or above
- CT scans identified as having pulmonary nodule(s) of 5-15mm
- Patients with solid or predominantly solid nodules referred to the pulmonary nodule clinic or for CT scan review by a specialist
- CT scan section thickness of 3mm and less
Exclusion Criteria:
- The CT scans are technically inadequate
- Having received treatment for cancer in the last 5 years
- Patient has more than five reported qualifying nodules

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03753724
United Kingdom | |
Royal Berkshire Nhs Foundation Trust | |
Reading, Berkshire, United Kingdom, RG1 5AN | |
Nottingham University Hospitals Nhs Trust | |
Nottingham, Nottinghamshire, United Kingdom, NG7 2UH | |
Oxford University Hospitals NHS Foundation Trust | |
Oxford, Oxfordshire, United Kingdom, OX3 7LE | |
Leeds Teaching Hospitals Nhs Trust | |
Leeds, West Yorkshire, United Kingdom, LS9 7TF |
Principal Investigator: | Fergus Gleeson, Prof | University of Oxford/Oxford University Hospitals NHS Foundation Trust |
Responsible Party: | University of Oxford |
ClinicalTrials.gov Identifier: | NCT03753724 |
Other Study ID Numbers: |
13489 |
First Posted: | November 27, 2018 Key Record Dates |
Last Update Posted: | July 29, 2022 |
Last Verified: | July 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Plan Description: | To be confirmed. |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
pulmonary nodules lung cancer artificial intelligence CAP model |
Lung Neoplasms Multiple Pulmonary Nodules Solitary Pulmonary Nodule Respiratory Tract Neoplasms Thoracic Neoplasms |
Neoplasms by Site Neoplasms Lung Diseases Respiratory Tract Diseases |