E- Predict: EBUS ELASTOGRAPHY STRAIN in Lung Cancer (E-PREDICT)
E-PREDICT Evaluating the Predictive Value of EBUS ELASTOGRAPHY STRAIN in Patients With (Suspected) Lung Cancer
EBUS elastography is a method to determine stiffness of lymph nodes, based on the minute deformation of the node by the beating heart. Whether EBUS elastography may further increase the sensitivity to predict the presence or absence of malignancy is unclear.
We suggest to use EBUS elastography strain pattern analysis for this assessment and correlate these measurements with the final pathology outcome to determine NPV, PPV, sensitivity and specificity of this analysis to predict the presence or absence of malignancy in patients with (suspected) lung cancer in a prospectively obtained observational cohort study.
調査の概要
状態
条件
詳細な説明
Patients will undergo a routine EBUS and/or EUS or EUSb with Pentax series EBUS or EUS scopes in combination with Hitachi Preirus Hi-Vision ultrasound processor with installed elastography software. Normal international guidelines for staging, diagnosis and specimen acquisition will be followed. For a normal evaluation B-mode measurements from all lymph node regions are obtained assessing size and standard ultrasound characteristics and all lymph nodes in the regions of interest that meet the criteria for fine needle aspiration will be sampled. For this study, in addition to the normal B-mode assessment of five sonographic B-mode characteristics elastography strain graph video, elastography image, and a strain histogram from the region of interest will be obtained.
Fine needle aspiration for cytology evaluation will be obtained from nodes based on imaging characteristics or standard sonography characteristics following current everyday clinical practice and the international guidelines. Subsequently, the patient charts will be retrospectively analysed after completion of the diagnostic and/or surgical treatment of the (suspected) lung cancer to match the obtained imaging data to pathology results (cytology and or histology where present) and clinical follow up until 6 months after the diagnostic procedure.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Bologna、イタリア、40138
- Interventional Pulmonology Unit Policlinico S. Orsola-Malpighi
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Firenze、イタリア、50100
- Azienda Ospedaliera Universitaria di Careggi
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Modena、イタリア、41037
- Ausl Modena - Ospedale Santa Maria Bianca
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Pesaro、イタリア
- Pesaro-Fano Hospital
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Amsterdam、オランダ、1105 AZ
- Academic Medical Center
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Gelderland
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Nijmegen、Gelderland、オランダ、6500 HB
- Radboudumc
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Copenhagen、デンマーク、Dk 2100
- Rigshospitalet
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Patients with indication for diagnostic or staging EBUS procedure for suspected or proven lung cancer.
- ASA physical status 1-3.
- Age 18 years or older.
Exclusion Criteria:
- Bleeding disorders.
- Contra-indication for temporary interruption of the use of anticoagulant therapy (acenocoumarol, warfarin, therapeutic dose of low molecular weight heparines or clopidrogel).
- Known allergy for lidocaine.
- Uncontrolled pulmonary hypertension.
- Recent and/or uncontrolled cardiac disease.
- Compromised upper airway (eg concomitant head and neck cancer or central airway stenosis for any reason).
- Prior radiotherapy treatment involving the central airways
- ASA classification greater than or equal to 4.
- Pregnancy.
- Inability to consent.
研究計画
研究はどのように設計されていますか?
デザインの詳細
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
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stiffness of lymph nodes
時間枠:participants will be followed for the duration of hospital stay, an expected average of 4 hours
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stiffness/strain is a relative measure and has therefor no units
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participants will be followed for the duration of hospital stay, an expected average of 4 hours
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協力者と研究者
捜査官
- 主任研究者:Erik van der Heijden, MD, PhD、chest physician
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
肺癌の臨床試験
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