AzTrials
AzTrials

Prostate Cancer (Diagnosis)NCT07614256

Multimodal Imaging and Digital Pathology for Prostate Cancer Prediction

An observational study of Prostate Cancer (Diagnosis) and Clinically Significant Prostate Cancer, run by Guangxi Medical 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

This is a multicenter observational study. A deep learning model integrated with multimodal imaging and digital pathology spatial registration is built based on preoperative multiparametric magnetic resonance imaging, transrectal ultrasound and postoperative digital pathological whole slide images. Read more about this study

Who is it for?
Ages 40 to 90 years, men only
How many people
3,000 participants
Where
1 siteChina
Study dates
30 May 2025to 31 Dec 2030
How long will I take part?
12 Years
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 40 to 90 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Study population: This is a prospective and retrospective multicenter cohort study. The study population consists of consecutive male subjects aged 40-90 years who are scheduled to undergo or have undergone prostate biopsy or radical prostatectomy, with complete standard-of-care preoperative multiparametric MRI (mpMRI), transrectal ultrasound (TRUS) images, and corresponding pathological diagnosis results. The collected data include: 1. Preoperative mpMRI and TRUS images 2. Digital whole-slide images of prostate biopsy specimens 3. Digital whole-slide images of radical prostatectomy specimens (if performed) The prospective cohort will include newly enrolled subjects who provide written informed consent, while the retrospective cohort will include historical subjects with complete imaging, pathology slide, and clinical data from participating centers.

Who may be able to join

  • Subjects who are scheduled to undergo or have undergone prostate biopsy or radical prostatectomy.
  • Subjects who have completed standard-of-care preoperative multiparametric MRI (mpMRI) and transrectal ultrasound (TRUS) examinations.
  • Subjects with complete pathological diagnosis results available.
  • Age between 40 and 90 years.
  • Able and willing to provide written informed consent (for prospective cohort participants only).

Who cannot join

  • Prior history of pelvic radiation therapy or radical prostatectomy.
  • Incomplete or poor-quality mpMRI or TRUS images (e.g., motion artifacts, insufficient sequences).
  • Concurrent other primary malignant tumors.
  • Severe systemic diseases that may affect the evaluation of the prostate.
  • Subjects with incomplete clinical or pathological data.
  • Contraindications to MRI examination (e.g., incompatible metallic implants, severe claustrophobia).

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
  • Liuzhou People's Hospital Affiliated to Guangxi Medical University

    Liuzhou, Guangxi, 545006

    Caigou Shi, MD, +86 13677729003, shicaigou@sr.gxmu.edu.cn

    Recruiting

Other trials in China

About this study

Official title: A Multicenter Study of a Deep Learning Model Based on Spatial Registration of Multimodal Imaging and Digital Pathology for Predicting Clinically Significant Prostate Cancer

This is a multicenter observational study. A deep learning model integrated with multimodal imaging and digital pathology spatial registration is built based on preoperative multiparametric magnetic resonance imaging, transrectal ultrasound and postoperative digital pathological whole slide images. The study is designed to achieve accurate prediction of clinically significant prostate cancer and non-invasive risk stratification. Unnecessary prostate biopsy and overdiagnosis can be reduced to support the optimization of clinical diagnosis and treatment strategies.

Read the detailed description

This prospective and retrospective multicenter observational study enrolls patients with suspected prostate cancer who receive standardized preoperative multiparametric magnetic resonance imaging, transrectal ultrasound examination, followed by prostate biopsy or radical prostatectomy. Complete clinical data including age, BMI, prostate specific antigen indicators, PI-RADS v2.1 scores, Gleason score and ISUP grading are collected from all eligible participants.

Biomechanically constrained non-rigid spatial registration technique is applied to achieve precise alignment between preoperative multimodal images and postoperative digital pathological whole slide images using high-quality multicenter datasets. A transformer-based multimodal deep learning fusion model is developed to analyze correlations between macroscopic imaging features and microscopic pathological heterogeneity, thereby establishing an interpretable artificial intelligence framework for clinically significant prostate cancer prediction.

Comprehensive model validation is conducted via internal cross-validation, external multicenter independent verification and international public datasets. Decision curve analysis and clinical impact curve are applied to assess clinical applicability. The model serves as an intelligent auxiliary tool to refine biopsy strategies, avoid redundant puncture and excessive treatment, and facilitate early precise diagnosis and risk stratification of prostate cancer.

Being tested
No Intervention: Observational Cohort
Keywords
Prostate cancer, Clinically significant prostate cancer, Multiparametric Magnetic Resonance Imaging, Transrectal ultrasound, Digital pathology, Deep learning, Artificial intelligence, Spatial registration, Risk stratification
Medical subject headings
Prostatic Neoplasms, Disease

What participants receive

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

  • No Intervention: Observational CohortOther

    This is an observational study. No new treatment, drug, device, or procedure is being administered to participants. Only standard-of-care clinical data, imaging, and pathology records are collected and analyzed.

What is being measured

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

  1. Area Under the Receiver Operating Characteristic Curve (AUC) for predicting clinically significant prostate cancer (csPCa)

    The diagnostic performance of the multimodal deep learning model in predicting clinically significant prostate cancer using preoperative imaging data from this prospective and retrospective multicenter cohort. The AUC will be calculated to evaluate the model's discriminative ability.

    Measured: Baseline (at the time of imaging/pathology data collection)

Timeline

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

  1. First posted29 May 2026
  2. Study start30 May 2025
  3. Primary completion30 Jun 2030 (estimated)
  4. Study completion31 Dec 2030 (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
3,000 participants (estimated)
Target duration
12 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT07614256
Sponsor's protocol ID
GXMU-PCa-AI-KY20260016
Status last verified
May 2026
First submitted
13 May 2026
Last updated
29 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: This study does not have a plan to share individual participant data due to institutional and ethical restrictions.

Publications

  • Shao L, Liang C, Yan Y, Zhu H, Jiang X, Bao M, Zang P, Huang X, Zhou H, Nie P, Wang L, Li J, Zhang S, Ren S. An MRI-pathology foundation model for noninvasive diagnosis and grading of prostate cancer. Nat Cancer. 2025 Oct;6(10):1621-1637. doi: 10.1038/s43018-025-01041-x. Epub 2025 Sep 2.

    PubMed 40897909
  • Rusu M, Jahanandish H, Vesal S, Li CX, Bhattacharya I, Venkataraman R, Zhou SR, Kornberg Z, Sommer ER, Khandwala YS, Hockman L, Zhou Z, Choi MH, Ghanouni P, Fan RE, Sonn GA. ProCUSNet: Prostate Cancer Detection on B-mode Transrectal Ultrasound Using Artificial Intelligence for Targeting During Prostate Biopsies. Eur Urol Oncol. 2025 Apr;8(2):477-485. doi: 10.1016/j.euo.2024.12.012. Epub 2025 Jan 28.

    PubMed 39880746
  • Saha A, Hosseinzadeh M, Huisman H. End-to-end prostate cancer detection in bpMRI via 3D CNNs: Effects of attention mechanisms, clinical priori and decoupled false positive reduction. Med Image Anal. 2021 Oct;73:102155. doi: 10.1016/j.media.2021.102155. Epub 2021 Jun 29.

    PubMed 34245943
  • Lee YJ, Moon HW, Choi MH, Eun Jung S, Park YH, Lee JY, Kim DH, Eun Rha S, Kim SH, Lee KW, Choi YJ, Lee YS, Lee W, Lee S, Grimm R, von Busch H, Han D, Lou B, Kamen A. MRI-based Deep Learning Algorithm for Assisting Clinically Significant Prostate Cancer Detection: A Bicenter Prospective Study. Radiology. 2025 Mar;314(3):e232788. doi: 10.1148/radiol.232788.

    PubMed 40067105
  • Twilt JJ, Saha A, Bosma JS, Padhani AR, Bonekamp D, Giannarini G, van den Bergh R, Kasivisvanathan V, Obuchowski N, Yakar D, Elschot M, Veltman J, Futterer J, Huisman H, de Rooij M; PI-CAI Consortium. AI-Assisted vs Unassisted Identification of Prostate Cancer in Magnetic Resonance Images. JAMA Netw Open. 2025 Jun 2;8(6):e2515672. doi: 10.1001/jamanetworkopen.2025.15672.

    PubMed 40512493
  • Goel S, Shoag JE, Gross MD, Al Hussein Al Awamlh B, Robinson B, Khani F, Baltich Nelson B, Margolis DJ, Hu JC. Concordance Between Biopsy and Radical Prostatectomy Pathology in the Era of Targeted Biopsy: A Systematic Review and Meta-analysis. Eur Urol Oncol. 2020 Feb;3(1):10-20. doi: 10.1016/j.euo.2019.08.001. Epub 2019 Sep 4.

    PubMed 31492650
  • Pham THN, Schulze-Hagen MF, Rahnama'i MS. Targeted multiparametric magnetic resonance imaging/transrectal ultrasound-guided (mpMRI/TRUS) fusion prostate biopsy versus systematic random prostate biopsy: A comparative real-life study. Cancer Rep (Hoboken). 2024 Feb;7(2):e1962. doi: 10.1002/cnr2.1962. Epub 2024 Jan 12.

    PubMed 38217298
  • Drost FH, Osses DF, Nieboer D, Steyerberg EW, Bangma CH, Roobol MJ, Schoots IG. Prostate MRI, with or without MRI-targeted biopsy, and systematic biopsy for detecting prostate cancer. Cochrane Database Syst Rev. 2019 Apr 25;4(4):CD012663. doi: 10.1002/14651858.CD012663.pub2.

    PubMed 31022301
  • Moliere S, Hamzaoui D, Ploussard G, Mathieu R, Fiard G, Baboudjian M, Granger B, Roupret M, Delingette H, Renard-Penna R. A Systematic Review of the Diagnostic Accuracy of Deep Learning Models for the Automatic Detection, Localization, and Characterization of Clinically Significant Prostate Cancer on Magnetic Resonance Imaging. Eur Urol Oncol. 2025 Aug;8(4):1182-1202. doi: 10.1016/j.euo.2024.11.001. Epub 2024 Nov 14.

    PubMed 39547898
  • Epstein JI, Amin MB, Reuter VE, Humphrey PA. Contemporary Gleason Grading of Prostatic Carcinoma: An Update With Discussion on Practical Issues to Implement the 2014 International Society of Urological Pathology (ISUP) Consensus Conference on Gleason Grading of Prostatic Carcinoma. Am J Surg Pathol. 2017 Apr;41(4):e1-e7. doi: 10.1097/PAS.0000000000000820.

    PubMed 28177964
  • Zeng H, Chen W, Zheng R, Zhang S, Ji JS, Zou X, Xia C, Sun K, Yang Z, Li H, Wang N, Han R, Liu S, Li H, Mu H, He Y, Xu Y, Fu Z, Zhou Y, Jiang J, Yang Y, Chen J, Wei K, Fan D, Wang J, Fu F, Zhao D, Song G, Chen J, Jiang C, Zhou X, Gu X, Jin F, Li Q, Li Y, Wu T, Yan C, Dong J, Hua Z, Baade P, Bray F, Jemal A, Yu XQ, He J. Changing cancer survival in China during 2003-15: a pooled analysis of 17 population-based cancer registries. Lancet Glob Health. 2018 May;6(5):e555-e567. doi: 10.1016/S2214-109X(18)30127-X.

    PubMed 29653628
  • Schafer EJ, Laversanne M, Sung H, Soerjomataram I, Briganti A, Dahut W, Bray F, Jemal A. Recent Patterns and Trends in Global Prostate Cancer Incidence and Mortality: An Update. Eur Urol. 2025 Mar;87(3):302-313. doi: 10.1016/j.eururo.2024.11.013. Epub 2024 Dec 11.

    PubMed 39668103
  • Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, Jemal A. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.

    PubMed 38572751

Questions about this trial

What is this clinical trial studying?

An observational study of Prostate Cancer (Diagnosis) and Clinically Significant Prostate Cancer, run by Guangxi Medical 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 5 inclusion and 6 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 29 May 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 Caigou Shi, MD (+86 13677729003, shicaigou@sr.gxmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Receiver Operating Characteristic Curve (AUC) for predicting clinically significant prostate cancer (csPCa) (time frame: Baseline (at the time of imaging/pathology data collection)). 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 NCT07614256, which also lists 13 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 29 May 2026.

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