This Prospective Observational Study Aims to Evaluate the Capability of Ultra-high-resolution Photon-counting CT Angiography (UHR PCD-CTA) for Noninvasive Evaluation of Intracranial Venous Sinus Stents. The Study Will Compare Image Quality, Stent Visualization, Metal-related Artifacts, and Diagnosti
Evaluation of Ultra-High-Resolution Photon-Counting CT Angiography for Intracranial Venous Sinus Stent Assessment
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Intracranial venous sinus stenting has become an important treatment option for patients with symptomatic venous sinus stenosis, particularly those with idiopathic intracranial hypertension. Accurate imaging follow-up after stent placement is essential for evaluating stent patency, recurrent stenosis, and potential complications such as in-stent thrombosis or occlusion.
Conventional CT angiography (CTA) is commonly used for noninvasive follow-up after venous sinus stent implantation; however, accurate assessment of stented venous sinuses remains challenging due to metal-related artifacts. Blooming artifact caused by the high attenuation of metallic stent material may result in overestimation of stent thickness and obscuration of the stent lumen. In addition, beam-hardening artifacts from the stent and adjacent skull structures may further degrade image quality and reduce diagnostic confidence, potentially limiting the ability of CTA to detect clinically significant restenosis or thrombotic complications.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Jinhao Lyu, MD
- Phone Number: +8615903562929
- Email: 330322990@qq.com
Study Contact Backup
- Name: Jinying He
- Email: 1527012389@qq.com
Study Locations
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100853
- Recruiting
- Chinese PLA General Hospital
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Contact:
- Jinhao Lyu, MD
- Phone Number: +8615903562929
- Email: 330322990@qq.com
-
Contact:
- Jinying He
- Phone Number: +8613854153820
- Email: 1527012389@qq.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Adults aged ≥18 years.
- History of intracranial venous sinus stent implantation.
- Undergoing follow-up contrast-enhanced CT angiography after stent -placement.
- Available clinical and imaging data.
Exclusion Criteria:
- Severe motion artifacts affecting image interpretation.
- Contraindication to iodinated contrast media.
- Severe renal impairment preventing contrast-enhanced CT examination.
- Incomplete imaging data.
- Other conditions preventing reliable assessment of the venous sinus stent.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
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Patients With Intracranial Venous Sinus Stenosis
Patients with symptomatic intracranial venous sinus stenosis who underwent CT angiography before and after venous sinus stent implantation.
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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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Agreement between UHR PCD-CTA and DSA for intracranial venous sinus stent patency
Time Frame: 1-4 years
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Agreement between ultra-high-resolution photon-counting detector CT angiography (UHR PCD-CTA) and digital subtraction angiography (DSA) for the assessment of intracranial venous sinus stent patency will be quantified using Cohen's kappa (κ) coefficient.
Stent patency will be classified according to the predefined diagnostic criteria, with DSA serving as the reference standard.
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1-4 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Signal-to-noise ratio on UHR PCD-CTA
Time Frame: 1-4years
|
Signal-to-noise ratio (SNR) will be calculated using CT attenuation and image noise measurements obtained from predefined regions of interest on UHR PCD-CTA images.
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1-4years
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Xin Lou, Chinese PLA General Hospital
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
Other Study ID Numbers
Other Study ID Numbers
- PCD-CT venous Stent
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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