TCHCCT-Zhong-Xing-Emergency-Department Ultrasound With IV Contrast in Acute Flank Pain
A Novel Technique for the Assessment of Non-traumatic Pain Diagnosis in the Emergency Department.
연구 개요
상태
상세 설명
Acute flank pain is a common chief complaint in emergency departments (ED), but it is a challenge for physicians in ED to accurately diagnose. It can cause variable diseases and is in many cases lethal (e.g. aortic dissection, ruptured aortic aneurysm, renal artery dissection, ruptured tumor, etc). The computed tomography scan with IV contrast is an ideal tool to diagnose due to its high sensitivity and specificity and is a golden standard examination. However, currently point-of-care ultrasound is routinely used as first-line technique. As this procedure is non-invasive and has no radiative effect, it is considered more logical, especially for those critical patients who are not able to move and perform the CT scan. Furthermore, the iodine contrast of CT scan is known as renal toxicity and should be used with caution in patient with hyperthyroidism and allergy to the contrast. The radiation of CT scan would be harmful to the pregnant patient as well.
IV contrast ultrasound is a novel technique nowadays and it is widely used in diagnosing breast, liver, renal and pancreatic tumors. The ultrasound contrast using air microbubbles could enhance the scanning quality and also has high sensitivity and specificity. In ED, ultrasound with contrast now could be applied to the abdominal trauma and pediatric injury. For those patients with poor renal function, thyroid disease and pregnant women who cannot undergo IV contrast CT, IV contrast ultrasound provides a faster and safer way to evaluate patients in ED. We compared CT and ultrasound with IV contrast to determine the difference in efficiency between both examinations.
연구 유형
등록 (예상)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Tzu-Yao Hung, MD
- 전화번호: 886-979305599
- 이메일: bryansolitude@gmail.com
연구 장소
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Taipei, 대만, 100
- Taipei City Hospital Zhong-Xing branch
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연락하다:
- Tzu-Yao Hung, MD
- 전화번호: 886-2-979305599
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Acute flank pain who visit ER
Exclusion Criteria:
- Younger than 18 years old
- Known allergy to contrast
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 특수 증상
- 할당: 무작위
- 중재 모델: 크로스오버 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Ultrasound with IV contrast
use ultrasound with IV contrast to perform in acute flank pain patient
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To compare the efficiency over the ultrasound scan within contrast
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활성 비교기: CT with IV contrast
to compare with ultrasound with IV contrast in acute flank pain patient
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CT with IV contrast
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활성 비교기: Ultrasound without IV contrast
baseline for the Ultrasound with IV contrast
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Ultrasound without IV contrast
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활성 비교기: CT without IV contrast
baseline for the CT with IV contrast
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CT without IV contrast
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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The diagnostic rate of ultrasound with IV contrast in acute flank pain patient
기간: The hospitalization of each participant, up to 28 days
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Evaluate the sensitivity and specificity in ultrasound scan
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The hospitalization of each participant, up to 28 days
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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To compare the efficiency over the ultrasound and CT scan within or without contrast
기간: The hospitalization of each participant, up to 28 days
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compared the sensitivity and specificity between CT and ultrasound scan
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The hospitalization of each participant, up to 28 days
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공동 작업자 및 조사자
수사관
- 연구 책임자: Tzu-Yao Hung, MD, Taipei City Hospital ZhongXing Branch
연구 기록 날짜
연구 주요 날짜
연구 시작 (예상)
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
Acute Flank Pain에 대한 임상 시험
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Ultrasound with IV contrast에 대한 임상 시험
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Massachusetts General HospitalNational Institute of Mental Health (NIMH)모병