Red Dichromatic Imaging for Improving Post-Biopsy Bronchoscopic Field Visibility
The goal of this observational study is to learn whether red dichromatic imaging (RDI) can help doctors see the bronchoscopic field more clearly after a biopsy. The study will include adults who need a bronchoscopic biopsy because doctors can see an abnormal area inside the airway.During a bronchoscopic biopsy, bleeding can happen after tissue is taken. Blood may cover the biopsy area and make it harder for doctors to see where to continue the procedure.
RDI is an imaging mode that uses special colors of light to help show blood-covered areas more clearly.The main question this study aims to answer is:Does RDI improve visibility of the bronchoscopic field after bleeding caused by bronchoscopic biopsy? Researchers will compare images taken with standard white light imaging and RDI during the same bronchoscopy procedure. Both types of images will be taken after the first biopsy and before any field-clearing treatment is done.
Participants will have bronchoscopic biopsy as part of their regular medical care, have images taken using standard white light imaging and RDI during the same procedure, have routine follow-up for possible medical problems after bronchoscopy. Taking part in this study will not add extra biopsies or change the participant's regular medical care.
研究概览
地位
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Zhongbo Chen
- 电话号码:86+13777125910
- 邮箱:leonczb@163.com
学习地点
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Hefei
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Hefei、Hefei、中国、230022
- Anhui Chest Hospital
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接触:
- Fei Tang
- 电话号码:+86-13505696936
- 邮箱:tangfei1205@163.com
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Huzhou
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Zhejiang、Huzhou、中国、313000
- Huzhou Central Hospital
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接触:
- Jiayou Luo
- 电话号码:+86-13757071890
- 邮箱:zhewenfu0647@163.com
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Jiaxing
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Zhejiang、Jiaxing、中国、314000
- The Second Hospital of Jiaxing
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接触:
- Na Li
- 电话号码:+86-18858334316
- 邮箱:doctorlina@126.com
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Jinhua
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Zhejiang、Jinhua、中国、321100
- Lanxi Hospital of Traditional Chinese Medicine
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接触:
- Xin Shi
- 电话号码:+86-15356893371
- 邮箱:121354634@qq.com
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Ningbo
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Zhejiang、Ningbo、中国、315000
- The First Affiliated Hospital of Ningbo University
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接触:
- ZHongbo Chen
- 电话号码:+86-13777125910
- 邮箱:leonczb@163.com
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Shanghai Municipality
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Shanghai、Shanghai Municipality、中国、200030
- Shanghai Chest Hospital
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接触:
- Ying Li
- 电话号码:+86-15821959854
- 邮箱:myliying@123.com
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Zhoushan
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Zhejiang、Zhoushan、中国、316000
- Zhoushan Hospital
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接触:
- Haifeng Li
- 电话号码:+86-13666589830
- 邮箱:1770182534@qq.com
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
取样方法
研究人群
描述
Inclusion Criteria:
- Age ≥18 years.
- Visible abnormal endobronchial lesion under bronchoscopy, including endobronchial neoplasm, mucosal abnormality, airway stenosis, or other lesion requiring biopsy to determine its nature.
- Provision of informed consent to participate in this clinical study and signing of the informed consent form.
Exclusion Criteria:
- Presence of contraindications to bronchoscopy, such as severe cardiopulmonary disease, coagulation dysfunction (including patients receiving anticoagulant therapy and/or anticoagulant drugs who have not discontinued these drugs for more than 5 days before the examination), poor tolerance of anesthesia, psychiatric disease, or severe neurosis.
- Intra-procedural decrease in SpO₂ or inability to tolerate bronchoscopy.
- Obvious airway bleeding observed during bronchoscopy that may increase the risk of worsening the patient's condition.
- Images that are obviously blurred or out of focus, or that contain severe reflection, bubbles, or instrument obstruction, making subsequent image analysis impossible.
- Inability to cooperate with the study for any reason, or any other condition that the investigator considers unsuitable for study participation.
学习计划
研究是如何设计的?
设计细节
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 |
|---|---|---|
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Proportion of post-biopsy bronchoscopic fields judged suitable for direct procedural continuation
大体时间:Periprocedural
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Paired white light imaging and red dichromatic imaging images will be assessed by independent evaluators.
A bronchoscopic field will be judged suitable for direct procedural continuation if the biopsy site, lesion surface, or lesion boundary remains identifiable and biopsy or subsequent bronchoscopic procedures can continue without additional field-clearing intervention.
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Periprocedural
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Visual distinguishability score between the bleeding area and surrounding blood-covered background
大体时间:Periprocedural
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Paired white light imaging and red dichromatic imaging images will be assessed by independent evaluators.
The visual distinguishability between the biopsy-related bleeding area and the surrounding blood-covered background will be scored on a 4-point scale.
A score of 1 indicates that the two areas are almost indistinguishable, and a score of 4 indicates that the two areas are clearly distinguishable and easy to identify.
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Periprocedural
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Objective color difference between the bleeding area and surrounding blood-covered background
大体时间:Periprocedural
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Objective color difference will be measured using paired white light imaging and red dichromatic imaging images.
Regions of interest will be selected from the biopsy-related bleeding area and the surrounding blood-covered background.
Color parameters will be measured in the CIE 1976 L*a*b* color space, and the overall color difference will be calculated as ΔE.
Differences in the L*, a*, and b* channels may also be analyzed.
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Periprocedural
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Proportion of bronchoscopic fields judged suitable for procedural continuation after one field-clearing intervention
大体时间:Periprocedural
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Among cases in which both white light imaging and red dichromatic imaging are initially judged unsuitable for direct procedural continuation, one field-clearing intervention may be performed according to clinical need.
This may include suction, irrigation, cold saline, topical epinephrine, or other necessary measures.
After this intervention, paired white light imaging and red dichromatic imaging images will be assessed to determine whether the bronchoscopic field is suitable for continuation of biopsy or subsequent bronchoscopic procedures.
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Periprocedural
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
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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