Using US to Evaluate Aortic Aneurysm Size Based on 3D Co-registration to Previous CT Scan
Using Ultrasound to Evaluate Aortic Aneurysm Size Based on 3D Co-registration to Previous Computerized Tomography
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Selection test for assessing aortic aneurysm is CT angio, it performed after injection of contrast material and allows a complete demonstration of the blood vessels. This test exposes the patient to ionizing radiation and the injection of iodine contrast medium. Repeated tests pose a risk of developing a malignancy in the future due to the use of ionizing radiation and risk of renal impairment and allergic reactions due to the injection of contrast material. Ultrasound is another test that enables the detection and evaluation of aortic aneurysm. Patients with a known diagnosis of aortic aneurysm detected on CT are required to continuous monitoring in light of its growth over time and the risk of rupture.
Using Co-registration over the US device will enable to conduct a US directed aorta examination, which uses the information produced from the CT as a "roadmap" for detection and localization of the aneurysm. That can theoretically improve detection capabilities and characteristics of the aneurysm and outcomes of the invasive treatment.
Type d'étude
Inscription (Anticipé)
Contacts et emplacements
Lieux d'étude
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Haifa, Israël, 3109601
- Rambam healt care campus, Department of Medical Imaging
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
•Patients with abdominal aortic aneurysm diagnosis in clinical follow-up or after an invasive procedure to fix it.
Exclusion Criteria:
- Inability to perform Ultrasound
- Pace maker
- Hemodynamic instability
- Inability to cooperate in US examination
- Pregnant Women - does not undergo CT
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
|---|---|
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Patients with known aortic aneurysm
Patients with known abdominal aortic aneurysm diagnosed in clinical follow-up or after an invasive procedure to repair it. US-CT Fusion examination |
Patients will undergo an US examination using an US device with US-CT Fusion capabilities.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Exact and reliable evaluation of the aneurysm size
Délai: two years
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The size of the aneurysm will be evaluated by two different doctors or twice with large time frame between the studies. The difference between the measurements with the fusion technology will be compared to the difference without the fusion technology. The accuracy of the measurement will be evaluated by comparing to previous CT examination. |
two years
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Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
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The size difference between systolic and diastolic aneurysm.
Délai: two years
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two years
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Aneurysm neck size and changes following an invasive procedure to repair it (EVAR).
Délai: two years
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two years
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Evaluation of the pressure on the aneurysmal wall.
Délai: two years
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two years
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Diana Gaitini, MD, Prof., Director of Ultrasound Unit, Rambam Health Care Campus
Publications et liens utiles
Publications générales
- Kobeiter H, Nahum J, Becquemin JP. Zero-contrast thoracic endovascular aortic repair using image fusion. Circulation. 2011 Sep 13;124(11):e280-2. doi: 10.1161/CIRCULATIONAHA.110.014118. No abstract available. Erratum In: Circulation. 2011 Dec 6;124(23):e782.
- McNally MM, Scali ST, Feezor RJ, Neal D, Huber TS, Beck AW. Three-dimensional fusion computed tomography decreases radiation exposure, procedure time, and contrast use during fenestrated endovascular aortic repair. J Vasc Surg. 2015 Feb;61(2):309-16. doi: 10.1016/j.jvs.2014.07.097. Epub 2014 Aug 28. Erratum In: J Vasc Surg. 2015 May;61(5):1382. J Vasc Surg. 2015 Sep;62(3):839.
- Pfister K, Schierling W, Jung EM, Apfelbeck H, Hennersperger C, Kasprzak PM. Standardized 2D ultrasound versus 3D/4D ultrasound and image fusion for measurement of aortic aneurysm diameter in follow-up after EVAR. Clin Hemorheol Microcirc. 2016;62(3):249-60. doi: 10.3233/CH-152012.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Anticipé)
Achèvement de l'étude (Anticipé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 0551-15 RMB CTIL
Plan pour les données individuelles des participants (IPD)
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Description du régime IPD
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