Cathartic-Free DECT Colonography
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Purpose
Asses the clinical performance of dual-energy CTC for the detection of larger polyps 1 cm or larger without cathartic preparation.
| Condition |
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Colonic Polyps |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Cathartic-Free Dual Energy Computerized Tomography (DECT) Colonography. |
| Enrollment: | 12 |
| Study Start Date: | July 2005 |
| Estimated Study Completion Date: | December 2008 |
| Estimated Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
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1
Ten participant minimum: for stool tagging two days preceding the CT colonography, if applicable, with oral Omnipaque. This cohort at Scottsdale Mayo Clinic only.
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2
Ten participant minimum: for intravenous iodine contrast dye. This cohort at Rochester Mayo Clinic only.
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3
Five participant minimum for no oral or IV contrast.
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4
Five participant minimum for either cohorts 1, 2, or 3 as above should there be poor imaging results. A like prepped participant will replace that who had poor quality imaging to meet 25 imaging data sets.
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Detailed Description:
Determine the feasibility to differentiate polyps from stool with or without the use of contrast agents and to assess the feasibility and accuracy of dual energy techniques in a pilot patient study.
1.1 Formulate algorithms that use dual-energy information to quantitatively measure specific material density of colon polyps in physics based simulation.
1.2 Determine optimal scanning parameters on prototype CT equipment.
2.1 Measure the material composition density and Hounsfield number of polyps with and without simulated contrast enhancement.
2.2 Measure the accuracy of dual-energy techniques to differentiate between polyps and stool and if needed using a combination of simulated intravenous enhanced polyps and contrast material tagged stool.
3.0 Asses the clinical performance of dual-energy CTC for the detection of larger polyps 1 cm or larger without cathartic preparation.
Eligibility| Ages Eligible for Study: | 40 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Mayo Clinic, Rochester, Minnesota and Mayo Clinic, Scottsdale, Arizona Colonoscopy schedules.
Inclusion Criteria:
- Participants with a known colorectal polyp or colon carcinoma with pathology, at or greater than 1 cm in size on a colonoscopy that is completed either eight weeks before or after CT Colonography study visit.
- If receiving iodine oral or IV contrast, must have a creatinine less than 1.4 on record within last 30 days of study visit date. If no creatinine is available, one will be drawn for enrollment criteria purposes.
Exclusion Criteria:
- Pregnant females.
- Presence of colostomy or right hemicolectomy.
- Inflammatory bowel disease (Crohn's, chronic ulcerative colitis).
- Familial polyposis syndrome.
- Pregnant female.
- Creatinine at or greater than 1.4
- Severe or uncontrolled COPD or COLD.
- Iodine contrast allergy.
Contacts and Locations| United States, Arizona | |
| Mayo Clinic | |
| Scottsdale, Arizona, United States, 85259 | |
| United States, Minnesota | |
| Mayo Clinic | |
| Rochester, Minnesota, United States, 55905 | |
| Principal Investigator: | Jeff L. Fidler, M.D. | Mayo Clinic |
More Information
Additional Information:
No publications provided
| Responsible Party: | Jeff L. Fidler, M.D., Mayo Clinic |
| ClinicalTrials.gov Identifier: | NCT00587028 History of Changes |
| Other Study ID Numbers: | 981-05 |
| Study First Received: | December 21, 2007 |
| Last Updated: | January 20, 2010 |
| Health Authority: | United States: Food and Drug Administration United States: Institutional Review Board |
Keywords provided by Mayo Clinic:
|
Colonography Colonoscopy Virtual |
Computed Tomographic Colonography Large intestine colon |
Additional relevant MeSH terms:
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Colonic Polyps Intestinal Polyps Polyps Pathological Conditions, Anatomical Cathartics |
Laxatives Gastrointestinal Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013