Artificial Intelligence-Assisted Training for Novice Physicians in Electronic Nasopharyngolaryngoscopy

Официальное название

Application of an Artificial Intelligence-Assisted Monitoring System for Electronic Nasopharyngolaryngoscopy in the Training of Novice Physicians: A Prospective, Single-Center, Randomized Controlled Study

Обзор

This study aims to evaluate whether an artificial intelligence-assisted monitoring system can improve the training of novice physicians in electronic nasopharyngolaryngoscopy. The study will compare AI-assisted training with conventional training in terms of post-training examination performance.

Подробное описание

Electronic nasopharyngolaryngoscopy is an important diagnostic procedure in otorhinolaryngology, but its examination quality is highly dependent on the operator's experience. Novice physicians may have difficulty in systematically visualizing key anatomical regions, maintaining a clear field of view, and completing a standardized examination.

Artificial intelligence-assisted monitoring systems may provide real-time feedback during endoscopic examination and help trainees improve anatomical site recognition and procedural completeness. This study is designed to evaluate the educational value of an AI-assisted monitoring system in the training of novice physicians performing electronic nasopharyngolaryngoscopy.

Novice physicians will be assigned to different training approaches, including an AI-assisted training method and a conventional training method. During the training phase, participants will receive supervised practice, with or without the support of the AI-assisted monitoring system, depending on group allocation.

Following the training period, participants will perform electronic nasopharyngolaryngoscopy under appropriate supervision. Their performance will be evaluated using recorded procedure data and expert assessment to compare outcomes between training approaches. Measures will be taken throughout the study to ensure patient safety under the guidance of experienced physicians.

Вмешательства

• Устройство Artificial Intelligence-Assisted Monitoring System for Electronic Nasopharyngolaryngoscopy
  The AI-assisted monitoring system analyzes electronic nasopharyngolaryngoscopy video in real time and provides prompts regarding anatomical sites that have been examined. Examined anatomical sites are displayed on the screen, and the system provides information such as examination time and number of anatomical sites covered. The system is used as an adjunctive training tool and does not replace the clinical judgment of supervising physicians.

Первичные конечные точки

• Post-training procedural performance score [Срок оценки: During each post-training assessment procedure.]

Вторичные конечные точки (5)

• Anatomical Site Coverage Rate [Срок оценки: During each post-training assessment procedure.]
• Examination Time [Срок оценки: During each post-training assessment procedure.]
• Image Quality Score [Срок оценки: During each post-training assessment procedure.]
• Patient Comfort [Срок оценки: Immediately after or during each post-training assessment procedure.]
• Trainee Satisfaction with the AI System [Срок оценки: Within 2 weeks after completion of the training phase]

Критерии участия

Eligibility Criteria for Novice Physicians： Inclusion Criteria

• Aged 18 years or older.
• Otorhinolaryngology residents or standardized residency training physicians.
• No prior independent experience in electronic nasopharyngolaryngoscopy.
• Holding both a physician qualification certificate and a physician practice certificate registered at the study institution.
• Willing to participate in the study and provide written informed consent. Exclusion Criteria
• Previous participation in other endoscopy training studies.
• Inability to complete the required continuous training period

Eligibility Criteria for Patient Participants： Inclusion Criteria

• Aged 18 years or older.
• Male or female.
• Clinical need for electronic nasopharyngolaryngoscopy.
• Able and willing to provide written informed consent. Exclusion Criteria
• Pregnancy.
• History of allergy to topical anesthetics such as tetracaine or lidocaine.
• Language or communication barriers.
• Anatomical abnormalities, such as laryngeal stenosis, or prior nasopharyngeal or laryngeal surgery.
• Inability to tolerate the examination position.
• Any condition judged by the investigator to make the participant unsuitable for the study.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Китай · 1 центр

• Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai — Шанхай

Идентификаторы

NCT: NCT07726641 · 2025-802a

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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