NeoDoppler: New Ultrasound Technology for Continuous Monitoring of Cerebral Circulation Pilot (CE-NeoDoppler)
NeoDoppler: New Ultrasound Technology for Continuous Monitoring of Cerebral Blood Flow in Infants
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
A new ultrasound technology called NeoDoppler has been developed, which can measure blood flow in the brain over time. The product is approved for clinical use (CE approved). A pilot study, with with inclusion of different patient groups in need of continuous monitoring, will be conducted to map variability of cerebral hemodynamics. These studies include:
- A feasibility study on healthy preterm- and term born neonates to map what is normal cerebral blood flow in neonates born before gestational week 32, in gestational week 32-37 and at term.
- A study including preterm neonates with patent ductus arteriosus to look at the connection between the heart's function and the brain's blood flow.
- Studies of sick neonates including conditions such as perinatal asphyxia, stroke, pulmonary hypertension and congenital heart disease to study how different medical conditions influences cerebral blood flow.
- A study on cerebral blood flow during ongoing procedures such as intubation, anesthesia, spinal puncture and peripheral and central arterial- and venous catheter.
- A study of how infection, sepsis and meningitis affects cerebral blood flow.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Siri Ann Nyrnes, MD, PhD
- Phone Number: 004793062121
- Email: siri.a.nyrnes@ntnu.no
Study Contact Backup
- Name: Siv Steinsmo Ødegård, MD, PhD
- Phone Number: 0047 97772989
- Email: siv.steinsmo@gmail.com
Study Locations
-
-
-
Trondheim, Norway, 7030
- Recruiting
- Children's clinic, St. Olavs University Hospital
-
Contact:
- Siri Ann Nyrnes, MD, PhD
- Phone Number: +4793062121
- Email: siri.ann.nyrnes@stolav.no
-
Contact:
- Ragnhild Støen, MD, PhD
- Phone Number: +4799565665
- Email: Ragnhild.Stoen@stolav.no
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Principal Investigator:
- Siri Ann Nyrnes, MD, PhD
-
Sub-Investigator:
- Hester Berger, MD, PhD
-
Sub-Investigator:
- Ragnhild Støen, MD, PhD
-
Sub-Investigator:
- Sigrid Vik, MD
-
Sub-Investigator:
- Martin Leth-Olsen, MD
-
Sub-Investigator:
- Siv Ødegård, MD, PhD
-
Sub-Investigator:
- Lina Ytrehus, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Open fontanelle
- Healthy preterm or term born neonates
- Neonates with a medical condition of interest according to the different cohort studies: patent ductus arteriosus, perinatal asphyxia, stroke, pulmonary hypertension, congenital heart condition or infection/sepsis/meningitis
- Neonates in need of procedures
Exclusion Criteria:
- Caregivers not understanding/speaking Norwegian or English
- Caregivers not giving their consent
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Feasibility study - Healthy neonates
Neonates born with gestational week < 32 weeks, gestational week 32-37 and at term.
Will will include 20-30 of each sex in each group.
|
The NeoDoppler is small and light weighed constructed as a single element transducer, that can be gently fixed over the fontanelle.
The system is fully compatible for cooccurring use with other intensive care equipment for neonates as well as caregiving from the parents.
It is capable of measuring cerebral blood flow at different depths of the brain simultaneously.
The Doppler velocity measurements arise from a cylindrical volume of tissue.
It is therefore less sensitive to the exact position and angle of the probe over the fontanel to target the vessels of interest than standard hand-held Doppler.
This means that the NeoDoppler system may be placed by healthcare professionals who do not have specialized training performing diagnostic ultrasound exams of the cerebral vasculature in neonates.
|
|
Patients with patent ductus arteriosus (premature infants)
Preterm neonates with patent ductus arteriosus (n=20)
|
The NeoDoppler is small and light weighed constructed as a single element transducer, that can be gently fixed over the fontanelle.
The system is fully compatible for cooccurring use with other intensive care equipment for neonates as well as caregiving from the parents.
It is capable of measuring cerebral blood flow at different depths of the brain simultaneously.
The Doppler velocity measurements arise from a cylindrical volume of tissue.
It is therefore less sensitive to the exact position and angle of the probe over the fontanel to target the vessels of interest than standard hand-held Doppler.
This means that the NeoDoppler system may be placed by healthcare professionals who do not have specialized training performing diagnostic ultrasound exams of the cerebral vasculature in neonates.
|
|
Different groups of sick neonates
Neonates with different medical conditions such as perinatal asphyxia, stroke, pulmonary hypertension and congenital heart disease will be conducted.
We will include 5-30 neonates in each group.
|
The NeoDoppler is small and light weighed constructed as a single element transducer, that can be gently fixed over the fontanelle.
The system is fully compatible for cooccurring use with other intensive care equipment for neonates as well as caregiving from the parents.
It is capable of measuring cerebral blood flow at different depths of the brain simultaneously.
The Doppler velocity measurements arise from a cylindrical volume of tissue.
It is therefore less sensitive to the exact position and angle of the probe over the fontanel to target the vessels of interest than standard hand-held Doppler.
This means that the NeoDoppler system may be placed by healthcare professionals who do not have specialized training performing diagnostic ultrasound exams of the cerebral vasculature in neonates.
|
|
Neonates/infants undergoing procedures
Neonates/infants undergoing procedures such as intubation, anesthesia, spinal puncture, peripheral and central arterial and venous catheter.
We will include 20-30 neonates.
|
The NeoDoppler is small and light weighed constructed as a single element transducer, that can be gently fixed over the fontanelle.
The system is fully compatible for cooccurring use with other intensive care equipment for neonates as well as caregiving from the parents.
It is capable of measuring cerebral blood flow at different depths of the brain simultaneously.
The Doppler velocity measurements arise from a cylindrical volume of tissue.
It is therefore less sensitive to the exact position and angle of the probe over the fontanel to target the vessels of interest than standard hand-held Doppler.
This means that the NeoDoppler system may be placed by healthcare professionals who do not have specialized training performing diagnostic ultrasound exams of the cerebral vasculature in neonates.
|
|
Neonates with infection/sepsis
Infants with infection/sepsis and/or meningitis (n=40).
|
The NeoDoppler is small and light weighed constructed as a single element transducer, that can be gently fixed over the fontanelle.
The system is fully compatible for cooccurring use with other intensive care equipment for neonates as well as caregiving from the parents.
It is capable of measuring cerebral blood flow at different depths of the brain simultaneously.
The Doppler velocity measurements arise from a cylindrical volume of tissue.
It is therefore less sensitive to the exact position and angle of the probe over the fontanel to target the vessels of interest than standard hand-held Doppler.
This means that the NeoDoppler system may be placed by healthcare professionals who do not have specialized training performing diagnostic ultrasound exams of the cerebral vasculature in neonates.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cerebral Doppler velocities (cm/second)
Time Frame: 2 hours - 7 days
|
Cerebral Doppler velocities measured in cm/sec is generated by tracing of the Doppler spectrum.
|
2 hours - 7 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Measurement quality
Time Frame: 2 hours - 7 days
|
Quality indicator: Defined as a scale from 0-100% where 100% is the best possible Doppler spectrum quality. Values below 80% is below the threshold of good enough quality to be used as valid measurements in the study. |
2 hours - 7 days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Siri Ann Nyrnes, MD, PhD, Childrens Clinic, St. Olavs University Hospital and NTNU
- Study Director: Øyvind Rognmo, PhD, Norwegian University of Science and Technology, Trondheim, Norway
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Wounds and Injuries
- Pathologic Processes
- Female Urogenital Diseases and Pregnancy Complications
- Heart Diseases
- Obstetric Labor, Premature
- Obstetric Labor Complications
- Pregnancy Complications
- Infections
- Respiratory Tract Diseases
- Systemic Inflammatory Response Syndrome
- Inflammation
- Lung Diseases
- Death
- Congenital Abnormalities
- Cardiovascular Abnormalities
- Hypertension
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Pathological Conditions, Signs and Symptoms
- Stroke
- Premature Birth
- Asphyxia
- Heart Defects, Congenital
- Sepsis
- Ductus Arteriosus, Patent
- Hypertension, Pulmonary
Other Study ID Numbers
Other Study ID Numbers
- 2017/314
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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