Flow MRI in Normal Pressure Hydrocephalus (HydroFlux)
Benefit of Flow Magnetic Resonance Imaging in the Management of Normal Pressure Hydrocephalus
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Hauts-de-France
-
Lille, Hauts-de-France, France, 59000
- CHU Lille
-
-
Picardie
-
Amiens, Picardie, France, 80054
- CHU Amiens
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ventricular dilation seen on morphological magnetic resonance imaging (MRI)
- Walking disorder
- Cognitive disorder
- Participants gave their written informed consent
Exclusion Criteria:
- Contra-indication to MRI
- Obstructive tumoral hydrocephalus
- Curatorship or tutorship
- Pregnancy or lactation
- No social assurance
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Surgery
Patients who will undergo flow imaging and neurosurgery (shunting).
(25% of the studied population)
|
Quantitative flow study was performed by 2D phase-contrast velocity-encoded cine MRI (repetition/echo time, 15/7 ms; field of view = 140 x 140 mm²; matrix size = 256 x 128, flip angle = 25 degrees,one excitation, slice thickness = 5 mm). Cerebrospinal fluid and blood flows are measured with a velocity-encoding value of 5-10 cm/s and 80 cm/s respectively. Peripheral gating was used to cover the entire cardiac cycle with retrospective cardiac synchronization of 32 quantitative flow-encoded images per cycle. Clinical examination consists in Larson's score and MMSE
Other Names:
|
|
Experimental: Clinical follow-up
Patients who will undergo flow imaging but not surgery (75% of the studied population)
|
Quantitative flow study was performed by 2D phase-contrast velocity-encoded cine MRI (repetition/echo time, 15/7 ms; field of view = 140 x 140 mm²; matrix size = 256 x 128, flip angle = 25 degrees,one excitation, slice thickness = 5 mm). Cerebrospinal fluid and blood flows are measured with a velocity-encoding value of 5-10 cm/s and 80 cm/s respectively. Peripheral gating was used to cover the entire cardiac cycle with retrospective cardiac synchronization of 32 quantitative flow-encoded images per cycle. Clinical examination consists in Larson's score and MMSE
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
cerebrospinal fluid (CSF) stroke volume evolution other 6 months
Time Frame: Day 1 (baseline), Day 180
|
Measurement of cerebrospinal fluid (CSF) stroke volume via flow MRI at the Sylvius' aqueduct, pontine cistern and spinal spaces levels and determination of its evolution
|
Day 1 (baseline), Day 180
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Blood flow analysis : evolution other 6 months
Time Frame: Day 1 (baseline), Day 180
|
Assessment of arterial (internal carotids and cerebral arteries) and venous (sagittal sinus, straight sinus) blood flow in terms of mean cerebral blood outflow and stroke volume and determination of blood flow evolution.
|
Day 1 (baseline), Day 180
|
|
Larson's score evolution over 6 months
Time Frame: Day 1, Day 180
|
Record symptoms on walking, living conditions and urinary disorders
|
Day 1, Day 180
|
|
Neuropsychological test evolution over 6 months
Time Frame: Day1, Day 180
|
Consists in mini mental status evaluation (MMSE) for cognitive evaluation
|
Day1, Day 180
|
|
Blood flow analysis : evolution other one year
Time Frame: Day 1 (baseline) and Day 365
|
Assessment of arterial (internal carotids and cerebral arteries) and venous (sagittal sinus, straight sinus) blood flow in terms of mean cerebral blood outflow and stroke volume and determination of blood flow evolution.
|
Day 1 (baseline) and Day 365
|
|
Larson's score evolution over one year
Time Frame: Day 1 and Day 365
|
Record symptoms on walking, living conditions and urinary disorders
|
Day 1 and Day 365
|
|
Neuropsychological test evolution over one year
Time Frame: Day1, Day 365
|
Consists in mini mental status evaluation (MMSE) for cognitive evaluation
|
Day1, Day 365
|
|
cerebrospinal fluid (CSF) stroke volume evolution other one year
Time Frame: Day1 (baseline), Day 365
|
Measurement of cerebrospinal fluid (CSF) stroke volume via flow MRI at the Sylvius' aqueduct, pontine cistern and spinal spaces levels and determination of its evolution
|
Day1 (baseline), Day 365
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Olivier Balédent, PhD, CHU Amiens
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Neurocognitive Disorders
- Hydrocephalus
- Dementia
- Hydrocephalus, Normal Pressure
- Circulatory and Respiratory Physiological Phenomena
- Physical Phenomena
- Cardiovascular Physiological Phenomena
- Blood Circulation
- Hydrodynamics
- Cerebrovascular Circulation
Other Study ID Numbers
Other Study ID Numbers
- PHRCIR11-DR-BALEDENT
- 2011-A01633-38 (Registry Identifier: RCB)
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