About this trial
Objective: To evaluate the impact of real-time AI feedback on fetal biometry accuracy and investigate the Expertise Reversal Effect-whether AI benefits diminish as user experience increases.
Design: A stratified randomized trial of 75 participants (25 Novices, 25 Intermediates, 25 Experts). Users are randomized 1:1 to either AI-assisted or manual measurement groups.
Outcomes:
* Primary: EFW accuracy (MAPE) compared to actual birthweight. * Secondary: Procedure time, image quality, error relative to baseline scans, and cognitive workload (NASA-TLX).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Medical students (doing their masters.
Resident physicians and Senior Consultants in Obstetrics and Gynecology.
Pre pregnancy BMI < 40
Singelton pregnancy
Disqualifiers
Major fetal anatomical anomaly
Anhydramnios (DVP < 2 cm)
CPR ratio < 2.5th percentile
Trial design
Parallel
Treatments tested in this trial
AI interventional group
DeviceParticipants in the intervention arm perform fetal biometry with the assistance of real-time Artificial Intelligence (AI) feedback software.
Treatment groups
Trial outcomes
Primary outcomes
To evaluate the sensitivity to change in ultrasound measurement accuracy when using AI-feedback compared to standard scanning
Mean absolute percentage error (MAPE), defined as the absolute difference between estimated fetal weight (EFW) and actual birth weight (ABW) divided by actual birth weight and expressed as a percentage, for AI-assisted and manual fetal biometry.
Secondary outcomes
Procedural Efficacy
Scan duration (seconds) will be modeled as the dependent variable to assess the tem-poral impact of the AI-feedback.
Image Quality
Salomon Quality Score on the 16-point fetal biometry plane quality scale, comparing AI-assisted and manual ultrasound acquisition. The scale ranges from 0 to 16, with higher scores indicating better anatomical plane quality.
Cognitive and Physiological Load
Both the NASA-TLX (subjective) and GSR (objective) data will be modeled as de-pendent variables. These analyses will determine if the AI-intervention significantly alters the mental effort or autonomic stress response during the procedure.
Measurement Deviation:
The absolute difference between the participant's EFW and a baseline EFW performed of an experienced clinician, will be modeled to assess if AI reduces inter-observer variability.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Copenhagen Academy for Medical Education and Simulation
Lead sponsor
Rigshospitalet, Denmark
Collaborator
Slagelse Hospital
Collaborator