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Study on AI Recognition System Of Heart Sound In Congenital Heart Disease Screening

Recruiting
Conditions
Congenital Heart Disease in Children
Interventions
Diagnostic Test: Heart Auscultation and Echocardiography
Registration Number
NCT04307030
Lead Sponsor
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
Brief Summary

The objective of this study is to establish AI algorithm based on the deep learning to strengthen the ability to classify the heart murmurs of healthy people and different major or other subdivided congenital heart diseases(CHDs) and to evaluate the effectiveness of artificial intelligence technology-assisted heart sound recognition system (referred to as: Heart sound AI recognition system) for multi-center CHD screening.

Detailed Description

This is a multi-center cluster cross-sectional study in CHINA. Heart sounds will be collected by auscultation using an electronic stethoscope in children (0 \~ 18 years old) confirmed with or without CHDs by echocardiography during outpatient or hospitalization in 10 pediatric medical centers. Heart sounds will be visualized as phonocardiogram, and feature extraction will be done after classification of normal and abnormal heart sounds and labeling the characteristics of heart murmurs by pediatric cardiovascular specialists. Artificial intelligence algorithm (machine learning, deep learning, etc.) will be trained to build a heart sounds recognition system with the data mentioned above.We will use the receiver operating characteristic (ROC) curve to compare the ability of recognition and classification of abnormal heart sounds between different artificial intelligence algorithm. Taken the results of echocardiography as the gold standard, we will use the evaluation indexes,such as sensitivity, specificity, accuracy, positive predictive value, negative predictive value, etc, to compare the diagnostic capacity of CHD screening between the AI recognition system and human cardiovascular pediatricians. Our target is to use artificial intelligence technology to assist heart auscultation for CHD screening.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
5000
Inclusion Criteria
  1. 0 ~ 18 years of age, regardless of gender ;
  2. Children with or without congenital heart disease confirmed by echocardiography;
  3. On the basis of informed consent,willing to cooperate with our group.
Exclusion Criteria
  1. ≥ 18 years of age;
  2. Children who can not undergo echocardiography or other related tests;
  3. Subjects who refuse to join in, or who are unwilling to cooperate with the provision of diagnostic and therapeutic data for further analysis and research.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
0 ~ 18 years old childrenHeart Auscultation and EchocardiographyChildren During Outpatient or Hospitalization
Primary Outcome Measures
NameTimeMethod
Receiver operating characteristic (ROC) of sensitivityJuly 2020 to December 2021

ROC of sensitivity in CHD screening by different artificial intelligence algorithm and auscultation

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (16)

Beijing Anzhen Hospital

🇨🇳

Beijing, China

The First Affiliated Hospital of Guangxi Medical University

🇨🇳

Guangxi, China

Guangzhou Women and Children's Medical Center

🇨🇳

Guangzhou, China

Hunan Children's Hospital

🇨🇳

Hunan, China

Kunming Children's Hospital

🇨🇳

Kunming, China

Children's Hospital of Shanghai

🇨🇳

Shanghai, China

Linyi Hospital for Women and Children

🇨🇳

Linyi, China

Shanghai Children's Medical Center

🇨🇳

Shanghai, China

Shiyan Taihe Hospital

🇨🇳

Shiyan, China

Children's Hospital of Soochow University

🇨🇳

Suzhou, China

Wuhan Children's Hospital

🇨🇳

Wuhan, China

Children's Hospital Affiliated to Chongqing Medical University

🇨🇳

Chongqing, China

Children's Hospital Affiliated to Zhejiang Medical University

🇨🇳

Hangzhou, China

Shandong Provincial Hospital

🇨🇳

Jinan, China

Lanzhou University Second Hospital

🇨🇳

Lanzhou, China

The Second Hospital Affiliated to Wenzhou Medical University

🇨🇳

Wenzhou, China

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