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
研究概览
详细说明
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.
研究类型
注册 (预期的)
联系人和位置
学习地点
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Haifa、以色列、3109601
- Rambam healt care campus, Department of Medical Imaging
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
---|---|
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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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Exact and reliable evaluation of the aneurysm size
大体时间: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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次要结果测量
结果测量 |
大体时间 |
---|---|
The size difference between systolic and diastolic aneurysm.
大体时间: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).
大体时间:two years
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two years
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Evaluation of the pressure on the aneurysmal wall.
大体时间:two years
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two years
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合作者和调查者
调查人员
- 首席研究员:Diana Gaitini, MD, Prof.、Director of Ultrasound Unit, Rambam Health Care Campus
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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