Femtosecond laser imaging with FastLung AI for intraoperative lung diagnosis
Official title: Label-free Femtosecond Laser Imaging Combined With the Fast Lung Artificial Intelligence Model for Rapid Intraoperative Diagnosis of Lung Surgical Specimens: A Multicentre, Prospective, Parallel-workflow, Non-inferiority Study.
Run by Shanghai Chest Hospital · NCT07681245 · Data updated 2026-11-12
This study tests whether labeling-free femtosecond laser imaging with FastLung AI can match the accuracy of standard frozen sections for diagnosing lung tumors during surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 294 (estimated) |
| Sponsor | Shanghai Chest Hospital Academic / other |
| Drugs / interventions | chemotherapy, immunotherapy |
| Locations | 5 sites (Shanghai, Shanghai Municipality and 4 other locations) |
| Status | Recruiting |
| Started | July 3, 2026 |
| Main results expected | October 30, 2026 |
| Study ends | November 30, 2026 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07681245 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Patients undergoing lung surgery (e.g., wedge resection, segmentectomy, lobectomy) who require intraoperative pathology and have a fresh tissue specimen available.
✕Probably not a fit
Patients whose tumors are not correctly diagnosed by either method or whose tissue quality is inadequate may not benefit from this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This multicenter, prospective study compares two diagnostic methods on paired fresh lung tissue from planned lung surgeries. Each specimen is split, with one half undergoing standard frozen section and the other half analyzed by femtosecond laser imaging using FastLung AI. The diagnostic results are then compared to the final paraffin-embedded pathology, which serves as the truth. The femtosecond laser results are for research and do not influence surgical decisions. The trial uses a non-inferiority design to determine if the laser-imaging approach performs at least as well as frozen sections in intraoperative settings.
Why it matters
Potential benefit: If successful, this approach could enable rapid, accurate intraoperative testing that might streamline workflows and reduce turnaround time.
How similar studies have gone: Previous studies have explored AI-assisted intraoperative diagnostics; this study tests a novel combination with femtosecond laser imaging in a non-inferiority framework.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Preoperative imaging suggests a pulmonary nodule, pulmonary space-occupying lesion, or suspected pulmonary tumor lesion. 2. The participant is scheduled to undergo pulmonary wedge resection, segmentectomy, lobectomy, or other pulmonary surgery. 3. Fresh lung tissue specimens can be obtained intraoperatively for femtosecond laser imaging. 4. Intraoperative frozen section diagnosis is planned to assess the nature of the tumor lesion. 5. Corresponding postoperative paraffin-embedded pathological diagnosis can be obtained. 6. The participant or the participant's legally authorized representative has signed the written informed consent form. 7. Patients had not received any antitumor treatment prior to enrollment or specimen collection, including chemotherapy, radiotherapy, targeted therapy, immunotherapy, or other systemic anticancer treatments. Exclusion Criteria: 1. The intraoperative specimen is insufficient and cannot simultaneously meet the requirements for routine clinical pathological diagnosis and research-related testing. 2. The specimen shows severe carbonization, necrosis, compression, contamination, or improper preservation, and the investigator determines that effective imaging cannot be completed. 3. The femtosecond laser imaging specimen cannot be matched with the corresponding lesion assessed by final paraffin pathology. 4. Final paraffin-embedded pathological diagnosis cannot be obtained. 5. The participant withdraws informed consent. 6. Other conditions that, in the opinion of the investigator, make the participant unsuitable for this study.
Where it's running
-
Huadong Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Shanghai Chest Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Tongji Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Tongren Hospital
Shanghai, Shanghai Municipality, China Recruiting -
Dongfang Hospital
Shanghai, Shanghai Municipality, China Not yet recruiting
Study contacts
- Study coordinator: Xinghua Cheng, Dr. PhD.
- Email: xinhuacheng@sjtu.edu.cn
- Phone: 17701681215
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.