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Pancreatic Cystic Lesion (PCL)NCT07543263

An Artificial Intelligence System for Multimodal, Multi-class Diagnosis of Pancreatic Cystic Lesions Based on Endoscopic Ultrasonography

An observational study of Pancreatic Cystic Lesion (PCL), run by Qilu Hospital of Shandong University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of this study is to develop and validate an artificial intelligence system named iEUS-PCL (intelligent endoscopic ultrasound system-pancreatic cystic lesions) for detecting and multimodal, multi-class diagnosing pancreatic cystic lesions (PCL) during endoscopic ultrasound (EUS) examination. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pancreatic Cystic Lesion (PCL)
What is being tested?
iEUS-PCL(intelligent endoscopic ultrasound system- pancreatic cystic lesion)
Type of treatment
Medical device
How many people
176 participants
Where
1 siteChina
Study dates
20 Apr 2026to 30 Jun 2028
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult patients with suspected pancreatic cystic lesions undergoing EUS.

Who may be able to join

  • Patients aged ≥18 years scheduled for EUS with suspected pancreatic cystic lesions based on clinical symptoms, medical history, laboratory tests or radiological examinations, and who agree to participate in the research and voluntarily sign the informed consent.
  • Patients with no prior history of treatment for pancreatic lesions.

Who cannot join

  • Patients with absolute contraindications to EUS examination.
  • Pregnancy or lactating.
  • Uncorrectable coagulopathy (PTT>50 seconds or INR>1.5) and/or uncorrectable thrombocytopenia(platelet count<50×109/L).
  • Upper gastrointestinal obstruction.
  • Patients who underwent surgical treatment or anatomical alterations of the pancreas due to lesions in other thoracic and/or abdominal organs, as well as patients with congenital anatomical abnormalities.
  • Patients who have undergone biliary/pancreatic duct stent placement.
  • Patients who refuse to sign the informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250012

    Zhen Li, doctor, 86+18560086106, qilulizhen@sdu.edu.cn

    Recruiting

Other trials in China

About this study

The aim of this study is to develop and validate an artificial intelligence system named iEUS-PCL (intelligent endoscopic ultrasound system-pancreatic cystic lesions) for detecting and multimodal, multi-class diagnosing pancreatic cystic lesions (PCL) during endoscopic ultrasound (EUS) examination.

Read the detailed description

This multicenter, prospective cohort study aims to develop and validate a multimodal artificial intelligence system named iEUS-PCL for the detection and differential diagnosis of PCL. The model was developed based on retrospectively collected EUS images, EUS features, clinical data and radiological imaging features of patients who underwent EUS examination. The diagnostic performance of iEUS-PCL will be evaluated prospectively in real-time EUS videos and compared with endosonographers' performance.

Being tested
iEUS-PCL(intelligent endoscopic ultrasound system- pancreatic cystic lesion)
Keywords
endoscopic ultrasound, pancreatic cystic lesion, machine learning

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • iEUS-PCL(intelligent endoscopic ultrasound system- pancreatic cystic lesion)Device

    The iEUS-PCL will automatically detect pancreatic cystic lesions and integrate the patients' EUS images, EUS features, clinical data and radiological imaging features to perform three classification tasks:

    1. binary classification: benign/malignant lesions;
    2. binary classification: mucinous/non-mucinous lesions;
    3. four-category classification: intraductal papillary mucinous neoplasm/ mucinous cystic neoplasm/ serous cyst neoplasm/ pancreatic cyst.
Study groups in NCT07543263
Study groupRoleWhat they receive
Patients undergoing EUSPatients aged ≥18 years scheduled for EUS with suspected pancreatic cystic lesions based on clinical symptoms, medical history, laboratory tests or radiological examinations are eligible upon agreement to participate in the research and voluntary signing of the informed consent.
Receives: Device: iEUS-PCL(intelligent endoscopic ultrasound system- pancreatic cystic lesion)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The accuracy of iEUS-PCL for pancreatic cystic lesions

    The primary outcome of the study is to evaluate the accuracy of the iEUS-PCL in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  2. The sensitivity of iEUS-PCL for pancreatic cystic lesions

    The primary outcome of the study is to evaluate the sensitivity of the iEUS-PCL in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  3. The specificicy of iEUS-PCL for pancreatic cystic lesions

    The primary outcome of the study is to evaluate the specificity of the iEUS-PCL in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  4. The postive predictive value of iEUS-PCL for pancreatic cystic lesions

    The primary outcome of the study is to evaluate the postive predictive value of the iEUS-PCL in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  5. The negative predictive value of iEUS-PCL for pancreatic cystic lesions

    The primary outcome of the study is to evaluate the negative predictive value of the iEUS-PCL in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

Secondary outcomes (5)
  1. Comparison of the accuracy between iEUS-PCL and endosonographers

    The secondary outcome of the study is to comparing the accuracy between iEUS-PCL and different-level endosonographers in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  2. Comparison of the sensitivity between iEUS-PCL and endosonographers

    The secondary outcome of the study is to comparing the sensitivity between iEUS-PCL and different-level endosonographers in identifying in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  3. Comparison of the specificity between iEUS-PCL and endosonographers

    The secondary outcome of the study is to comparing the specificity between iEUS-PCL and different-level endosonographers in identifying in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  4. Comparison of the postive predictive value between iEUS-PCL and endosonographers

    The secondary outcome of the study is to comparing the postive predictive value between iEUS-PCL and different level endosonographers in identifying in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

  5. Comparison of the negative predictive value between iEUS-PCL and endosonographers

    The secondary outcome of the study is to comparing the negative predictive value between iEUS-PCL and different-level endosonographers in identifying in identifying the pancreatic cystic lesions (benign/malignant; mucinous/non-mucinous; 4-category).

    Measured: During procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Apr 2026
  2. Study start20 Apr 2026
  3. Primary completion30 Jun 2028 (estimated)
  4. Study completion30 Jun 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
176 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07543263
Sponsor's protocol ID
2026-SDU-QILU-2
Status last verified
Oct 2026
First submitted
15 Apr 2026
Last updated
5 Nov 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Goyal H, Sherazi SAA, Gupta S, Perisetti A, Achebe I, Ali A, Tharian B, Thosani N, Sharma NR. Application of artificial intelligence in diagnosis of pancreatic malignancies by endoscopic ultrasound: a systemic review. Ther Adv Gastroenterol. 2022 Apr 29;15:17562848221093873. doi: 10.1177/17562848221093873. eCollection 2022.

    PubMed 35509425
  • Qin X, Ran T, Chen Y, Zhang Y, Wang D, Zhou C, Zou D. Artificial Intelligence in Endoscopic Ultrasonography-Guided Fine-Needle Aspiration/Biopsy (EUS-FNA/B) for Solid Pancreatic Lesions: Opportunities and Challenges. Diagnostics (Basel). 2023 Sep 26;13(19):3054. doi: 10.3390/diagnostics13193054.

    PubMed 37835797
  • Tian G, Xu D, He Y, Chai W, Deng Z, Cheng C, Jin X, Wei G, Zhao Q, Jiang T. Deep learning for real-time auxiliary diagnosis of pancreatic cancer in endoscopic ultrasonography. Front Oncol. 2022 Oct 7;12:973652. doi: 10.3389/fonc.2022.973652. eCollection 2022.

    PubMed 36276094
  • Kloth C, Haggenmuller B, Beck A, Wagner M, Kornmann M, Steinacker JP, Steinacker-Stanescu N, Vogele D, Beer M, Juchems MS, Schmidt SA. Diagnostic, Structured Classification and Therapeutic Approach in Cystic Pancreatic Lesions: Systematic Findings with Regard to the European Guidelines. Diagnostics (Basel). 2023 Jan 26;13(3):454. doi: 10.3390/diagnostics13030454.

    PubMed 36766560
  • Vilela A, Quingalahua E, Vargas A, Hawa F, Shannon C, Carpenter ES, Shi J, Krishna SG, Lee UJ, Chalhoub JM, Machicado JD. Global Prevalence of Pancreatic Cystic Lesions in the General Population on Magnetic Resonance Imaging: A Systematic Review and Meta-analysis. Clin Gastroenterol Hepatol. 2024 Sep;22(9):1798-1809.e6. doi: 10.1016/j.cgh.2024.02.018. Epub 2024 Feb 28.

    PubMed 38423346
  • Elta GH, Enestvedt BK, Sauer BG, Lennon AM. ACG Clinical Guideline: Diagnosis and Management of Pancreatic Cysts. Am J Gastroenterol. 2018 Apr;113(4):464-479. doi: 10.1038/ajg.2018.14. Epub 2018 Feb 27.

    PubMed 29485131
  • European Study Group on Cystic Tumours of the Pancreas. European evidence-based guidelines on pancreatic cystic neoplasms. Gut. 2018 May;67(5):789-804. doi: 10.1136/gutjnl-2018-316027. Epub 2018 Mar 24.

    PubMed 29574408
  • Rangwani S, Ardeshna DR, Rodgers B, Melnychuk J, Turner R, Culp S, Chao WL, Krishna SG. Application of Artificial Intelligence in the Management of Pancreatic Cystic Lesions. Biomimetics (Basel). 2022 Jun 14;7(2):79. doi: 10.3390/biomimetics7020079.

    PubMed 35735595
  • Oh S, Kim YJ, Park YT, Kim KG. Automatic Pancreatic Cyst Lesion Segmentation on EUS Images Using a Deep-Learning Approach. Sensors (Basel). 2021 Dec 30;22(1):245. doi: 10.3390/s22010245.

    PubMed 35009788
  • Jiang J, Chao WL, Cao T, Culp S, Napoleon B, El-Dika S, Machicado JD, Pannala R, Mok S, Luthra AK, Akshintala VS, Muniraj T, Krishna SG. Improving Pancreatic Cyst Management: Artificial Intelligence-Powered Prediction of Advanced Neoplasms through Endoscopic Ultrasound-Guided Confocal Endomicroscopy. Biomimetics (Basel). 2023 Oct 19;8(6):496. doi: 10.3390/biomimetics8060496.

    PubMed 37887627
  • Hwang J, Kim YK, Min JH, Jeong WK, Hong SS, Kim HJ. Comparison between MRI with MR cholangiopancreatography and endoscopic ultrasonography for differentiating malignant from benign mucinous neoplasms of the pancreas. Eur Radiol. 2018 Jan;28(1):179-187. doi: 10.1007/s00330-017-4926-5. Epub 2017 Aug 4.

    PubMed 28779397
  • Huang W, Xu Y, Li Z, Li J, Chen Q, Huang Q, Wu Y, Chen H. Enhancing noninvasive pancreatic cystic neoplasm diagnosis with multimodal machine learning. Sci Rep. 2025 May 12;15(1):16398. doi: 10.1038/s41598-025-01502-4.

    PubMed 40355497
  • Gheorghiu MI, Seicean A, Pojoga C, Hagiu C, Seicean R, Sparchez Z. Contrast-enhanced guided endoscopic ultrasound procedures. World J Gastroenterol. 2024 May 7;30(17):2311-2320. doi: 10.3748/wjg.v30.i17.2311.

    PubMed 38813054
  • Vilas-Boas F, Ribeiro T, Afonso J, Cardoso H, Lopes S, Moutinho-Ribeiro P, Ferreira J, Mascarenhas-Saraiva M, Macedo G. Deep Learning for Automatic Differentiation of Mucinous versus Non-Mucinous Pancreatic Cystic Lesions: A Pilot Study. Diagnostics (Basel). 2022 Aug 24;12(9):2041. doi: 10.3390/diagnostics12092041.

    PubMed 36140443
  • Nguon LS, Seo K, Lim JH, Song TJ, Cho SH, Park JS, Park S. Deep Learning-Based Differentiation between Mucinous Cystic Neoplasm and Serous Cystic Neoplasm in the Pancreas Using Endoscopic Ultrasonography. Diagnostics (Basel). 2021 Jun 8;11(6):1052. doi: 10.3390/diagnostics11061052.

    PubMed 34201066

Questions about this trial

What is this clinical trial studying?

An observational study of Pancreatic Cystic Lesion (PCL), run by Qilu Hospital of Shandong University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Zhen Li (86+18560086106, qilulizhen@sdu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The accuracy of iEUS-PCL for pancreatic cystic lesions (time frame: During procedure). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07543263, which also lists 20 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2026.

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