Ga68 V/Q PET/CT for Pulmonary Embolism Diagnosis: a Diagnostic Accuracy Study vs CT Pulmonary Angiography (PETEP)
Gallium68 Ventilation/Perfusion PET/CT for Pulmonary Embolism Diagnosis: a Diagnostic Accuracy Study vs CT Pulmonary Angiography
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
V/Q PET/CT imaging is now possible by substituting 99mTc with 68Ga, a positron-emitting radionuclide, using the same carrier molecules as conventional V/Q imaging. Ventilation imaging can be performed with 68Ga-carbon nanoparticles using the same synthesis device as Technegas. Perfusion imaging can be performed with 68Ga-macroaggregated albumin (68Ga-MAA).Technical advantages of PET compared to SPECT include higher sensitivity, higher spatial and temporal resolution and superior quantitative capability. This offers the opportunity to improve the accuracy of V/Q imaging in patients with suspected PE, while decreasing the acquisition time.
The aim is to perform a formal diagnostic accuracy study of V/Q PET/CT for PE, using CTPA as a reference standard.
Patients with suspected acute PE undergo CTPA and V/Q PET/CT imaging within 24 hours.
V/Q PET/CT images are not used for patients management.
After completion of inclusion, central readings of scans will be conducted independently.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Pierre-Yves LE ROUX
- Phone Number: +33 0298223327
- Email: pierre-yves.leroux@chu-brest.fr
Study Locations
-
-
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Brest, France
- CHRU de Brest
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient with suspected first episode of acute PE,
- Age ≥ 18 years .
- Insured patient.
Exclusion Criteria:
- Patients with a clinically suspected massive PE.
- Contraindication to contrast media (including renal insufficiency with creatinine clearance < 30 ml/min).
- Inability to perform CTPA and V/Q PET/CT within 24 hours.
- History of deep vein thrombosis or PE
- Unable/unwilling to give informed consent.
- Pregnancy / breast-feeding.
- Patient under guardianship or curatorship
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intervention
Patients with suspected acute PE undergo CTPA and V/Q PET/CT imaging within 24 hours. V/Q PET/CT images are not used for patients management. After completion of inclusion, central readings will be independently conducted:
|
Ventilation images are acquired after inhalation of Galligas prepared using a Technegas generator (Cyclopharm, Sydney, Australia).
The patients is placed in a supine position and inhaled Galligas using the standard ventilation technique.
Ventilation images are then acquired.
Without the patient moving, 68Ga-MAA are then injected.
Perfusion PET images are then acquired
CTPA will be done according to the usual protocol in the radiology department of the investigator center
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Sensitivity of V/Q PET/CT for PE diagnosis
Time Frame: Baseline
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Proportion of patients with a positive V/Q PET/CT among patients with PE according to the reference standard (CTPA).
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Baseline
|
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Specificity of V/Q PET/CT for PE diagnosis
Time Frame: Baseline
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Proportion of patients with a negative V/Q PET/CT among patients without PE according to the reference standard (CTPA).
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Baseline
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- PETEP (29BRC18.0275)
- 2018-004723-36 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
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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