AI could help avoid unnecessary lung procedures
NCT ID NCT06638398
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether an artificial intelligence (AI) tool called the Virtual Nodule Clinic can help doctors better manage lung nodules that are not clearly cancerous or benign. The AI analyzes CT scans and patient information to estimate the risk of cancer. The goal is to see if using this tool leads to more appropriate care—like monitoring harmless nodules instead of doing invasive tests, and catching cancer earlier. About 400 adults aged 35 and older with lung nodules are taking part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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400 people
The number who actually took part.
- Started
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Oct 2024
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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35 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults 35-year-old and older with undiagnosed IPN(s) 8-30mm referred for evaluation * Referral includes direct in-basket messages in the electronic healthcare record (EHR) to study providers, telehealth visits or clinic visit * For multiple nodules, we will obtain the score from the dominant or most suspicious nodule based on providers or radiologist impression * Available CT scan with slice thickness of 3 mm or less with the nodule of interest present. Nodules identified during screening low dose computed tomography of the chest (LDCT) that have had a conventional, follow-up CT performed are eligible for inclusion Exclusion Criteria: * Pure ground glass nodule * Patients known to be a prisoners * Patients known to be pregnant * Known active malignancy within the last 5 years at time of enrollment (excluding non-melanoma skin cancers) * More than 5 IPNs present on imaging * Nodules referred after initial LDCT for screening with only one LDCT available. The Lung Cancer Prediction Convolutional Neural Network (LCP CNN) algorithm is not currently validated for screening studies * Thoracic implants that impact the image appearance of the nodule * Clinician determines that use of the LCP CNN model is required or contraindicated for the optimal care of the patient
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Meharry Medical College
Nashville, Tennessee, 37208, United States
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University of Colorado
Aurora, Colorado, 80045, United States
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VA Tennessee Valley Healthcare Center
Nashville, Tennessee, 37212, United States
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Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37203, United States
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Washington University in St. Louis
St Louis, Missouri, 63110, United States
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