- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05477680
Intraoperative Brain Shift Calculation Study (BRASH)
Intraoperative Brain Shift Calculation Study: a Prospective, Single Arm Clinical Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Brain shift is the main natural cause of major navigation imprecision. Despite numerous attempts no trials showed a possibility to calculate and predict it's value although some patterns were found. Some modern navigational features allow to partially resolve this problem. Manual shift correction allows to displace brain structures but can only be used if brain shift is linear. Intraoperative computed tomography (CT) and magnetic resonance imaging (MRI) allow to update navigational data but violate surgical workflow and cannot display brain tissue in real time. Intraoperative sonography has poorer quality, limited observe volume and lengthy learning curve.
The purpose of the study is to calculate magnitude, type of intraoperative brain shift and assess possibility of it's prediction.
For each patient a surgeon intraoperatively will assess location of brain surface, various intracranial structures and lesion margins during surgery. Postoperatively these data will be compared to lesion's characteristics, patient's state and intraoperative features.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Alexander Dmitriev, MD
- Phone Number: +7 (916) 423-54-08
- Email: dmitriev@neurosklif.ru
Study Locations
-
-
-
Moscow, Russian Federation, 129090
- Recruiting
- Sklifosovsky Institute of Emergency Care
-
Contact:
- Alexander Dmitriev, MD
- Phone Number: +7 (916) 423-54-08
- Email: dmitriev@neurosklif.ru
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- all intracranial tumors
- cavernomas
- arteriovenous malformations
- spontaneous (non-traumatic) intracerebral hemorrhages
- traumatic intracerebral hemorrhages
- supratentorial localization
- newly diagnosed
- age 18-100 years
- stable hemodynamics
- error of patient registration in neuronavigation no more than 2 mm
Exclusion Criteria:
- rapid cerebral dislocation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Surgery
Removing different brain lesions using neuronavigation
|
Surgeon removes brain lesions and assesses brain shift with neuronavigation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Brain shift (in millimeters)
Time Frame: Intraoperatively
|
Maximal difference between disposition of different brain structures in preoperative scans and it's real intraoperative location
|
Intraoperatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cerebral complications
Time Frame: From admission to intensive care unit after surgery till hospital discharge, up to 365 days
|
Which cerebral complications arose after surgery
|
From admission to intensive care unit after surgery till hospital discharge, up to 365 days
|
Karnofsky Performance status in percents
Time Frame: within 10 days after surgery
|
Assesses patients' possibilities to self-service
|
within 10 days after surgery
|
Collaborators and Investigators
Investigators
- Principal Investigator: Alexander Dmitriev, MD, Sklifosovsky Institute of Emergency Care
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Hematologic Diseases
- Hemorrhage
- Hemorrhagic Disorders
- Hemostatic Disorders
- Central Nervous System Neoplasms
- Nervous System Neoplasms
- Cardiovascular Abnormalities
- Hemangioma
- Neoplasms, Vascular Tissue
- Vascular Malformations
- Intracranial Hemorrhages
- Cavernous Sinus Syndromes
- Congenital Abnormalities
- Brain Neoplasms
- Arteriovenous Malformations
- Cerebral Hemorrhage
- Hematoma
- Hemangioma, Cavernous
Other Study ID Numbers
- 9e
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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