About this trial
This study aims to evaluate the feasibility and safety of an artificial intelligence (AI)-driven autonomous registration technology in robotic navigational bronchoscopy. A total of 20 patients with pulmonary nodules requiring localization will be enrolled. The Langhe Bronchoscopy Robot System equipped with AI-based autonomous registration software will be used. Primary outcomes include the success rate of autonomous registration and the rate of manual intervention during the process. Secondary outcomes encompass registration time, complication rates, and nodule localization success.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years.
Radiologically confirmed pulmonary nodules requiring preoperative localization.
Scheduled for robotic navigational bronchoscopy using the Bronchoscopy Robot System.
Willing to provide written informed consent.
Disqualifiers
Severe cardiopulmonary dysfunction (e.g., FEV1 < 30% predicted).
Coagulopathy or anticoagulation therapy that cannot be safely interrupted.
Pregnancy or lactation.
Inability to tolerate bronchoscopy under general anesthesia.
Trial design
Single group
Treatments tested in this trial
AI-driven autonomous registration
DeviceAll participants in this arm will undergo robotic navigational bronchoscopy and pulmonary nodule localization performed using the Langhe Bronchoscopy Robot System. The key intervention is the use of artificial intelligence (AI)-driven autonomous registration technology to automatically align the pre-operative chest CT images with the real-time bronchoscopic anatomy prior to the procedure. This process aims to reduce reliance on the conventional, operator-dependent manual registration. Physicians will supervise the entire process and perform necessary manual intervention if the AI registration is unsatisfactory or for safety reasons.
Treatment groups
Trial outcomes
Primary outcomes
Autonomous registration success rate
Proportion of registrations completed independently by the AI algorithm without manual intervention.
Manual intervention rate during autonomous registration
The proportion of cases requiring manual adjustment by the physician during the registration process.
Secondary outcomes
Time consumed for autonomous registration
Complication rate during autonomous registration
Complication rate during autonomous registration (e.g., bleeding, pneumothorax)
Localization success rate of pulmonary nodules
The proportion of successful bronchoscope arrivals at the target nodule after registration.
Sponsors and contacts
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