Using Ultrasonography, Shear Wave Elastography, Strain Imaging, and 3-D Volume Ultrasonography on Cardiovascular Disease
Assessment of Contrast-enhanced Ultrasonography, Shear Wave Elastography, Strain Imaging, and 3-D Volume Ultrasonography on Arterial Wall Visualization and Stiffness in Patients With Fibromuscular Dysplasia...
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Aims, purpose, or objectives:
- To describe whether contrast-enhanced ultrasonography, strain imaging, and 3-D volume ultrasonography are helpful to characterize affected arteries and improve the imaging of arterial wall among patients with Fibromuscular Dysplasia (FMD) and segmental arterial mediolysis (SAM).
- Evaluate the arterial elastic properties of individuals with FMD and compare to normal individuals, those with atherosclerosis disease, those with personal history of spontaneous coronary artery dissections (SCAD), and/or personal history of segmental arterial mediolysis (SAM) by elastography.
- Identification of vulnerable arterial elastic properties using contrast-enhanced ultrasonography, shear wave elastography, strain imaging, and 3-D volume ultrasonography to predict short-term and long-term outcomes among individuals with FMD, normal individuals, those with atherosclerosis disease, those with SCAD, and/or SAM.
- Develop risk factor profiles and risk score systems of patients undergoing contrast-enhanced ultrasonography, shear wave elastography, strain imaging, and 3-D volume ultrasonography among individuals with FMD, those with atherosclerosis disease, those with personal history of SCAD, and/or personal history of SAM.
Study Type
Study Type
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of fibromuscular dysplasia (FMD), and/or segmental arterial mediolysis (SAM), and/or spontaneous coronary artery dissection (SCAD), and those with atherosclerosis, and normal individuals.
- Adult male and non-pregnant female patient 18-100 years of age.
- Patients who are able and willing to sign the informed consent will be enrolled.
Exclusion Criteria:
- Missing records to determine whether or not they have fibromuscular dysplasia (FMD), and/or segmental arterial mediolysis (SAM), and/or spontaneous coronary artery dissection (SCAD), and those with atherosclerosis, and normal individuals.
- Patients who do not accept to participate in research studies.
- Prior contraindication to contrast agent.
- Women who are breastfeeding or pregnant
- Patients less than 18 yo
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Normal
Healthy volunteers.
Assessment using Shear Wave Elastography, Pulse Wave Imaging, Contrast-Enhanced Ultrasound, Strain Imaging and 3-D Volume ultrasound
|
The subject will be asked to lay on a hospital bed for ultrasound imaging of the arteries.
The subject will have an automatic blood pressure cuff put on to measure blood pressure.
The subject will also have a three-lead ECG taken during the experiment.
The artery will be visualized using ultrasound imaging, and the depth of the arterial wall will be noted.
The focal depth on the device will be set to measure shear wave propagation in the walls of the artery.
Measurements will be made at multiple locations along the artery's length and at different phases of the cardiac cycle determined by ECG gating.
Either or both the Verasonics or GE Logiq systems will be used for measurements.
Measurements made with these systems use acoustic output within the FDA regulatory limits of diagnostic imaging.
Other Names:
Researchers will use the Verasonics device to acquire data for measurement of wave velocity in the tissue of interest (arterial walls and surrounding tissue) due to the pressure pulse from ejection of blood by the heart into the systemic circulation.
Using ECG gating we can regulate the timing of the individual acquisitions.
In each acquisition, high frame rate ultrasound imaging is used to acquire data to measure the motion of the propagating waves.
Multiple measurements on different heartbeats are made with varying delays to obtain measurements throughout the heart cycle assuming at that the behavior during consecutive heartbeats is similar.
Multiple measurements will be made in a given artery and multiple locations in the arterial wall.
Other Names:
Will be done using Lumason (Bracco Diagnostics, Inc) administered intravenously via slow hand infusion.
Real-time contrast-enhanced carotid cine-loop (longitudinal and short axis) images obtained at least 3 seconds before and 5 minutes after the appearance of the contrast effect in the lumen of the determined artery will be acquired and digitally stored for off line analysis.
Up to two vials will be used for a study.
Other Names:
Measurements will be performed offline on the workstation using Echo PAC software (GE Healthcare Inc., Princeton, NJ).
The media-adventitia interface of the arterial wall will be manually traced from a still frame image.
The circumferential and radial strain curves will be automatically obtained.
Measurements of the peak radial and circumferential strain, strain rate will be obtained.
If arterial plaque is identified: A region of interest will be placed at the plaque in 3 different regions: 2 shoulder regions and the fibrous cap top, the measurement results of the peak longitudinal, radial and circumferential strain, strain rate will be acquired by the software.
When generating a 3D volume the ultrasound data can be collected in 4 common ways.
Freehand, which involves tilting the probe and capturing a series of ultrasound images and recording the transducer orientation for each slice.
Mechanically, where the internal linear probe tilt is handled by a motor inside the probe.
Using an endoprobe, which generates the volume by inserting a probe and then removing the transducer in a controlled manner.
The fourth technology is the matrix array transducer that uses beam steering to sample points throughout a pyramid shaped volume
|
|
Active Comparator: Fibromuscular Dysplasia (FMD)
Subjects with diagnosis of FMD.
Assessment using Shear Wave Elastography, Pulse Wave Imaging, Contrast-Enhanced Ultrasound, Strain Imaging and 3-D Volume ultrasound
|
The subject will be asked to lay on a hospital bed for ultrasound imaging of the arteries.
The subject will have an automatic blood pressure cuff put on to measure blood pressure.
The subject will also have a three-lead ECG taken during the experiment.
The artery will be visualized using ultrasound imaging, and the depth of the arterial wall will be noted.
The focal depth on the device will be set to measure shear wave propagation in the walls of the artery.
Measurements will be made at multiple locations along the artery's length and at different phases of the cardiac cycle determined by ECG gating.
Either or both the Verasonics or GE Logiq systems will be used for measurements.
Measurements made with these systems use acoustic output within the FDA regulatory limits of diagnostic imaging.
Other Names:
Researchers will use the Verasonics device to acquire data for measurement of wave velocity in the tissue of interest (arterial walls and surrounding tissue) due to the pressure pulse from ejection of blood by the heart into the systemic circulation.
Using ECG gating we can regulate the timing of the individual acquisitions.
In each acquisition, high frame rate ultrasound imaging is used to acquire data to measure the motion of the propagating waves.
Multiple measurements on different heartbeats are made with varying delays to obtain measurements throughout the heart cycle assuming at that the behavior during consecutive heartbeats is similar.
Multiple measurements will be made in a given artery and multiple locations in the arterial wall.
Other Names:
Will be done using Lumason (Bracco Diagnostics, Inc) administered intravenously via slow hand infusion.
Real-time contrast-enhanced carotid cine-loop (longitudinal and short axis) images obtained at least 3 seconds before and 5 minutes after the appearance of the contrast effect in the lumen of the determined artery will be acquired and digitally stored for off line analysis.
Up to two vials will be used for a study.
Other Names:
Measurements will be performed offline on the workstation using Echo PAC software (GE Healthcare Inc., Princeton, NJ).
The media-adventitia interface of the arterial wall will be manually traced from a still frame image.
The circumferential and radial strain curves will be automatically obtained.
Measurements of the peak radial and circumferential strain, strain rate will be obtained.
If arterial plaque is identified: A region of interest will be placed at the plaque in 3 different regions: 2 shoulder regions and the fibrous cap top, the measurement results of the peak longitudinal, radial and circumferential strain, strain rate will be acquired by the software.
When generating a 3D volume the ultrasound data can be collected in 4 common ways.
Freehand, which involves tilting the probe and capturing a series of ultrasound images and recording the transducer orientation for each slice.
Mechanically, where the internal linear probe tilt is handled by a motor inside the probe.
Using an endoprobe, which generates the volume by inserting a probe and then removing the transducer in a controlled manner.
The fourth technology is the matrix array transducer that uses beam steering to sample points throughout a pyramid shaped volume
|
|
Active Comparator: Atherosclerosis
Subjects with diagnosis of atherosclerosis.
Assessment using Shear Wave Elastography, Pulse Wave Imaging, Contrast-Enhanced Ultrasound, Strain Imaging and 3-D Volume ultrasound
|
The subject will be asked to lay on a hospital bed for ultrasound imaging of the arteries.
The subject will have an automatic blood pressure cuff put on to measure blood pressure.
The subject will also have a three-lead ECG taken during the experiment.
The artery will be visualized using ultrasound imaging, and the depth of the arterial wall will be noted.
The focal depth on the device will be set to measure shear wave propagation in the walls of the artery.
Measurements will be made at multiple locations along the artery's length and at different phases of the cardiac cycle determined by ECG gating.
Either or both the Verasonics or GE Logiq systems will be used for measurements.
Measurements made with these systems use acoustic output within the FDA regulatory limits of diagnostic imaging.
Other Names:
Researchers will use the Verasonics device to acquire data for measurement of wave velocity in the tissue of interest (arterial walls and surrounding tissue) due to the pressure pulse from ejection of blood by the heart into the systemic circulation.
Using ECG gating we can regulate the timing of the individual acquisitions.
In each acquisition, high frame rate ultrasound imaging is used to acquire data to measure the motion of the propagating waves.
Multiple measurements on different heartbeats are made with varying delays to obtain measurements throughout the heart cycle assuming at that the behavior during consecutive heartbeats is similar.
Multiple measurements will be made in a given artery and multiple locations in the arterial wall.
Other Names:
Will be done using Lumason (Bracco Diagnostics, Inc) administered intravenously via slow hand infusion.
Real-time contrast-enhanced carotid cine-loop (longitudinal and short axis) images obtained at least 3 seconds before and 5 minutes after the appearance of the contrast effect in the lumen of the determined artery will be acquired and digitally stored for off line analysis.
Up to two vials will be used for a study.
Other Names:
Measurements will be performed offline on the workstation using Echo PAC software (GE Healthcare Inc., Princeton, NJ).
The media-adventitia interface of the arterial wall will be manually traced from a still frame image.
The circumferential and radial strain curves will be automatically obtained.
Measurements of the peak radial and circumferential strain, strain rate will be obtained.
If arterial plaque is identified: A region of interest will be placed at the plaque in 3 different regions: 2 shoulder regions and the fibrous cap top, the measurement results of the peak longitudinal, radial and circumferential strain, strain rate will be acquired by the software.
When generating a 3D volume the ultrasound data can be collected in 4 common ways.
Freehand, which involves tilting the probe and capturing a series of ultrasound images and recording the transducer orientation for each slice.
Mechanically, where the internal linear probe tilt is handled by a motor inside the probe.
Using an endoprobe, which generates the volume by inserting a probe and then removing the transducer in a controlled manner.
The fourth technology is the matrix array transducer that uses beam steering to sample points throughout a pyramid shaped volume
|
|
Active Comparator: Spontaneous Coronary Artery Dissection (SCAD)
Subjects with diagnosis of SCAD.
Assessment using Shear Wave Elastography, Pulse Wave Imaging, Contrast-Enhanced Ultrasound, Strain Imaging and 3-D Volume ultrasound
|
The subject will be asked to lay on a hospital bed for ultrasound imaging of the arteries.
The subject will have an automatic blood pressure cuff put on to measure blood pressure.
The subject will also have a three-lead ECG taken during the experiment.
The artery will be visualized using ultrasound imaging, and the depth of the arterial wall will be noted.
The focal depth on the device will be set to measure shear wave propagation in the walls of the artery.
Measurements will be made at multiple locations along the artery's length and at different phases of the cardiac cycle determined by ECG gating.
Either or both the Verasonics or GE Logiq systems will be used for measurements.
Measurements made with these systems use acoustic output within the FDA regulatory limits of diagnostic imaging.
Other Names:
Researchers will use the Verasonics device to acquire data for measurement of wave velocity in the tissue of interest (arterial walls and surrounding tissue) due to the pressure pulse from ejection of blood by the heart into the systemic circulation.
Using ECG gating we can regulate the timing of the individual acquisitions.
In each acquisition, high frame rate ultrasound imaging is used to acquire data to measure the motion of the propagating waves.
Multiple measurements on different heartbeats are made with varying delays to obtain measurements throughout the heart cycle assuming at that the behavior during consecutive heartbeats is similar.
Multiple measurements will be made in a given artery and multiple locations in the arterial wall.
Other Names:
Will be done using Lumason (Bracco Diagnostics, Inc) administered intravenously via slow hand infusion.
Real-time contrast-enhanced carotid cine-loop (longitudinal and short axis) images obtained at least 3 seconds before and 5 minutes after the appearance of the contrast effect in the lumen of the determined artery will be acquired and digitally stored for off line analysis.
Up to two vials will be used for a study.
Other Names:
Measurements will be performed offline on the workstation using Echo PAC software (GE Healthcare Inc., Princeton, NJ).
The media-adventitia interface of the arterial wall will be manually traced from a still frame image.
The circumferential and radial strain curves will be automatically obtained.
Measurements of the peak radial and circumferential strain, strain rate will be obtained.
If arterial plaque is identified: A region of interest will be placed at the plaque in 3 different regions: 2 shoulder regions and the fibrous cap top, the measurement results of the peak longitudinal, radial and circumferential strain, strain rate will be acquired by the software.
When generating a 3D volume the ultrasound data can be collected in 4 common ways.
Freehand, which involves tilting the probe and capturing a series of ultrasound images and recording the transducer orientation for each slice.
Mechanically, where the internal linear probe tilt is handled by a motor inside the probe.
Using an endoprobe, which generates the volume by inserting a probe and then removing the transducer in a controlled manner.
The fourth technology is the matrix array transducer that uses beam steering to sample points throughout a pyramid shaped volume
|
|
Active Comparator: Segmental Arterial Mediolysis (SAM)
Subjects with diagnosis of SAM.
Assessment using Shear Wave Elastography, Pulse Wave Imaging, Contrast-Enhanced Ultrasound, Strain Imaging and 3-D Volume ultrasound
|
The subject will be asked to lay on a hospital bed for ultrasound imaging of the arteries.
The subject will have an automatic blood pressure cuff put on to measure blood pressure.
The subject will also have a three-lead ECG taken during the experiment.
The artery will be visualized using ultrasound imaging, and the depth of the arterial wall will be noted.
The focal depth on the device will be set to measure shear wave propagation in the walls of the artery.
Measurements will be made at multiple locations along the artery's length and at different phases of the cardiac cycle determined by ECG gating.
Either or both the Verasonics or GE Logiq systems will be used for measurements.
Measurements made with these systems use acoustic output within the FDA regulatory limits of diagnostic imaging.
Other Names:
Researchers will use the Verasonics device to acquire data for measurement of wave velocity in the tissue of interest (arterial walls and surrounding tissue) due to the pressure pulse from ejection of blood by the heart into the systemic circulation.
Using ECG gating we can regulate the timing of the individual acquisitions.
In each acquisition, high frame rate ultrasound imaging is used to acquire data to measure the motion of the propagating waves.
Multiple measurements on different heartbeats are made with varying delays to obtain measurements throughout the heart cycle assuming at that the behavior during consecutive heartbeats is similar.
Multiple measurements will be made in a given artery and multiple locations in the arterial wall.
Other Names:
Will be done using Lumason (Bracco Diagnostics, Inc) administered intravenously via slow hand infusion.
Real-time contrast-enhanced carotid cine-loop (longitudinal and short axis) images obtained at least 3 seconds before and 5 minutes after the appearance of the contrast effect in the lumen of the determined artery will be acquired and digitally stored for off line analysis.
Up to two vials will be used for a study.
Other Names:
Measurements will be performed offline on the workstation using Echo PAC software (GE Healthcare Inc., Princeton, NJ).
The media-adventitia interface of the arterial wall will be manually traced from a still frame image.
The circumferential and radial strain curves will be automatically obtained.
Measurements of the peak radial and circumferential strain, strain rate will be obtained.
If arterial plaque is identified: A region of interest will be placed at the plaque in 3 different regions: 2 shoulder regions and the fibrous cap top, the measurement results of the peak longitudinal, radial and circumferential strain, strain rate will be acquired by the software.
When generating a 3D volume the ultrasound data can be collected in 4 common ways.
Freehand, which involves tilting the probe and capturing a series of ultrasound images and recording the transducer orientation for each slice.
Mechanically, where the internal linear probe tilt is handled by a motor inside the probe.
Using an endoprobe, which generates the volume by inserting a probe and then removing the transducer in a controlled manner.
The fourth technology is the matrix array transducer that uses beam steering to sample points throughout a pyramid shaped volume
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Subjects who Completed All of the Ultrasound Examinations
Time Frame: 2 years after starting enrollment
|
Completion of ultrasound examinations to determine visualization of arterial wall (contrast-enhanced ultrasound, 3-D volume ultrasound) and its mechanical properties (shear wave elastography, pulse wave imaging, strain imaging)
|
2 years after starting enrollment
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Matthew W Urban, Mayo Clinic
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- 17-000020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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