RecruitingNCT07399236

AI-Based Prediction of Liver Metastasis in Colorectal Cancer (A Retrospective Study)

A Multicenter, Retrospective, Observational Study to Develop and Validate a Multimodal Deep Learning Model for Predicting Metachronous Liver Metastasis in Colorectal Cancer Patients After Curative Resection


Sponsor

Tongji Hospital

Enrollment

1,500 participants

Start Date

Jan 1, 2015

Study Type

OBSERVATIONAL

Conditions

Summary

This multicenter, retrospective study aims to develop and validate a multimodal deep learning model for predicting the risk of metachronous liver metastasis in patients with stage I-III colorectal cancer following curative resection. The model will integrate preoperative contrast-enhanced CT imaging, digitized histopathological whole-slide images, and standard clinical-pathological data. The primary objective is to assess the model's discriminatory performance, measured by the area under the receiver operating characteristic curve (AUC), and to compare its predictive accuracy against traditional prognostic factors such as TNM staging and serum carcinoembryonic antigen levels. This research utilizes existing archival data; no direct patient contact or intervention is involved. The ultimate goal is to provide a robust, data-driven tool for improved risk stratification, which could potentially guide personalized surveillance strategies and adjuvant therapy decisions in the future.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria5

  • Age 18-75 years, any gender.
  • Histologically confirmed primary colon or rectal adenocarcinoma.
  • Underwent curative radical resection (R0 resection) for colorectal cancer.
  • Preoperative contrast-enhanced abdominal/pelvic CT scan performed within 1 month before surgery, with acceptable image quality.
  • No evidence of distant metastasis (including synchronous liver metastasis) on preoperative or intraoperative exploration.

Exclusion Criteria5

  • History of other malignant tumors.
  • Previous history of liver surgery or liver transplantation.
  • Missing clinical, imaging, or pathological data required for the study.
  • Death within the perioperative period (within 30 days after surgery).
  • Lack of regular follow-up information.

Interventions

OTHERMultimodal Deep Learning Model Analysis

This is a non-interventional study. The primary study procedure is the application of a multimodal deep learning model to retrospectively analyze existing clinical data (contrast-enhanced CT images, digitized pathology slides, and structured clinical variables) for the purpose of predicting the risk of metachronous liver metastasis. No therapeutic or diagnostic interventions are administered to participants as part of this research protocol.


Locations(1)

Tongji Hospital

Wuhan, Hubei, China

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NCT07399236


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