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CTRI Number  CTRI/2025/11/097157 [Registered on: 11/11/2025] Trial Registered Prospectively
Last Modified On: 10/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A study using Artificial Intelligence (AI) to differentiate between infection and cancer in PET/CT scans of the lung, head and neck, and breast 
Scientific Title of Study   Developing Predictive Models for Classifying Infection vs. Malignancy in PET/CT Imaging of Lung, Head and Neck, and Breast Cancer 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sandra Sony 
Designation  Research Scholar 
Affiliation  Manipal Institute of Technology 
Address  Research Lab 5, School of Computer Engineering, Innovation Centre (Academic Block 4), Manipal Institute of Technology,
Manipal Academy of Higher Education (MAHE), Manipal
Udupi
KARNATAKA
576104
India 
Phone  9620608869  
Fax    
Email  sandra2.mitmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ananth Pai 
Designation  Head of Department and Professor 
Affiliation  Kasturba Medical College 
Address  Department of Medical Oncology, Kasturba Medical College,
Manipal Academy of Higher Education (MAHE), Manipal
Udupi
KARNATAKA
576104
India 
Phone  9880239139  
Fax    
Email  ananth.pai@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Hareesha K S 
Designation  Professor 
Affiliation  Manipal Institute of Technology 
Address  Director, International Centre for Applied Sciences (ICAS), Academic Block 5, LG-2, Manipal Institute of Technology,
Manipal Academy of Higher Education (MAHE), Manipal
Udupi
KARNATAKA
576104
India 
Phone  9481509128  
Fax    
Email  hareesh.ks@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical College, Manipal, Udupi, Karnataka - 576104 
 
Primary Sponsor  
Name  Manipal Institute of Technology  
Address  Manipal Institute of Technology , Manipal Academy of Higher Education (MAHE), Manipal, Udupi, Karnataka - 576104 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sumeet Suresh Malapure  Kasturba Medical College  Department of Nuclear Medicine, Shirdi Sai Baba Cancer Hospital and Research Centre, Kasturba Medical College, Manipal, Madhav Nagar, Udupi, Karnataka - 576104
Udupi
KARNATAKA 
9654007422

sumeet.malapure@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Kasturba Medical College and Kasturba Hospital, Manipal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A00-B99||Certain infectious and parasitic diseases, (2) ICD-10 Condition: C50-C50||Malignant neoplasms of breast, (3) ICD-10 Condition: C00-C14||Malignant neoplasms of lip, oral cavity and pharynx, (4) ICD-10 Condition: C30-C39||Malignant neoplasms of respiratory and intrathoracic organs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1. Histopathologically confirmed cases (via biopsy or FNAC) of carcinoma of the lung, breast, or head and neck.
2. Patients undergoing 18F-FDG PET/CT imaging for: Staging or restaging of malignancy;
Evaluation of Pyrexia of Unknown Origin (PUO) and/or suspected infectious pathology;
Assessment of imaging heterogeneity in known malignancies;
3. Availability of complete PET/CT imaging data in DICOM format
4. Availability of relevant clinical records
 
 
ExclusionCriteria 
Details  1. Incomplete or poor-quality PET/CT imaging
2. Missing or inadequate clinical data
3. Pregnant women and lactating women
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Improved diagnostic precision in differentiating infection from malignancy  3 years 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study aims to develop a hybrid predictive model to differentiate infection from malignancy using clinical data, radiomic features, and PET CT metabolic parameters. A comprehensive dataset will be collected, preprocessed, and analyzed. Machine learning methods will be used to identify key features and build a diagnostic model. The performance of the model will be validated and its ability to improve diagnostic accuracy and clinical decision making will be assessed across lung, breast, and head and neck cancer cases. 
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