Contrast Enhanced Harmonic Endoscopic Ultrasound (CEH-EUS) in Focal Pancreatic Masses
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Purpose
The aim of the study is to assess the accuracy of real-time perfusion imaging pattern of pancreatic focal lesions visualized by contrast-enhanced harmonic endoscopic ultrasound (CEH-EUS) for the differential diagnosis between chronic pseudotumoral pancreatitis and pancreatic cancer in a prospective multicenter design.
The study will include patients with focal pancreatic masses evaluated by CEH-EUS and EUS-FNA. The diagnosis is usually unknown in the moment of the initial evaluation, the patients being included based on a suspicion of focal pancreatic masses after transabdominal ultrasound, CT or MR examinations. However, after a complete evaluation, a final diagnosis will be reached based on the combination of EUS-FNA cytology/pathology, surgical pathology and minimum 12 months follow-up.
| Condition |
|---|
|
Adenocarcinoma Pancreas Chronic Pancreatitis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Contrast Enhanced Harmonic Endoscopic Ultrasound (CEH-EUS) Used in the Differentiation of Focal Pancreatic Masses |
- Contrast enhanced harmonic endoscopic ultrasound [ Time Frame: Every six months ] [ Designated as safety issue: No ]Value of contrast enhanced harmonic endoscopic ultrasound for the differential diagnoses of pancreatic masses.
Biospecimen Retention: Samples With DNA
Pathology samples obtained from duodeno-pancreatectomies or caudal pancreatectomies done with curative intent, as well as microhistological fragments obtained through EUS-FNA biopsy processed by paraffin embedding
| Estimated Enrollment: | 210 |
| Study Start Date: | March 2011 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | April 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Pancreatic adenocarcinoma
Patients diagnosed with solid pancreatic adenocarcinoma masses, with cytological / histologicalconfirmation
|
|
Chronic pancreatitis
Patients diagnosed with solid pancreatic tumor masses with all the criteria fulfilled to exclude pancreatic cancer
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
The diagnosis of chronic pancreatitis will be based on the clinical information (history of alcohol abuse, previous diagnosis of chronic pancreatitis or diabetes mellitus), as well as a combination of imaging methods (ultrasound, CT and EUS). At least four criteria of chronic pancreatitis during EUS will be considered for the positive diagnosis.
A positive cytological diagnosis will be taken as a final proof of malignancy of the pancreas mass. The diagnoses obtained by EUS-FNA will be further verified either by surgery or during a clinical follow-up of at least 6 months.
Inclusion Criteria:
- Patients with suspicion of solid pancreatic tumor masses by previous cross-sectional imaging techniques (US, CT, MR)
- Age 18 to 90 years old, men or women
- Signed informed consent for EUS with contrast-enhancement, elastography and EUS-FNA
Exclusion Criteria:
- Prior surgical treatment with curative intent or chemo-radiotherapy
- Patients diagnosed with mucin producing tumors, pancreatic cystic tumors, etc.
Contacts and Locations| Contact: Adrian Saftoiu, Professor | +40744823355 | adriansaftoiu@netscape.net |
| Contact: Dan Gheonea, Teaching Assitant | +40751268731 | digheonea@gmail.com |
| Denmark | |
| Department of Surgical Gastroenterology, Gentofte & Herlev Hospital, University of Copenhagen | Recruiting |
| Copenhagen, Denmark | |
| Contact: Peter Vilmann pevi@geh.regionh.dk | |
| Center for Surgical Ultrasound, Department of Surgery, Odense University Hospital | Recruiting |
| Odense, Denmark | |
| Contact: Claus Fristrup claus@fristrup.net | |
| France | |
| Paoli-Calmettes Institut | Recruiting |
| Marseilles, France | |
| Contact: Marc Giovannini giovanninim@wanadoo.fr | |
| Germany | |
| Caritas-Krankenhaus Bad Mergentheim | Recruiting |
| Bad Mergentheim, Germany | |
| Contact: Cristoph Dietrich Christoph.Dietrich@ckbm.de | |
| SRH Wald-Klinikum | Recruiting |
| Gera, Germany | |
| Contact: Uwe Will uwe.will@wkg.srh.de | |
| Department of Internal Medicine II, Hospital Meiningen | Recruiting |
| Meiningen, Germany | |
| Contact: Michael Hocke Michael.hocke@klinikum-meiningen.de | |
| Helios Klinikum, University of Witten/Herdecke | Recruiting |
| Wuppertal, Germany | |
| Contact: Jan Janssen jan.janssen@helios-kliniken.de | |
| Italy | |
| Gastroenterology and Gastrointestinal Endoscopy Unit, Vita Salute San Raffaele University | Recruiting |
| Milan, Italy | |
| Contact: Paolo Arcidiacono arcidiacono.paologiorgio@hsr.it | |
| Norway | |
| Insitute of Medicine, University of Bergen and National Centre for Ultrasound in Gastroenterology, Haukeland University Hospital | Recruiting |
| Bergen, Norway | |
| Contact: Roald Havre roald.flesland.havre@helse-bergen.no | |
| Romania | |
| Center of Gastroenterology and Hepatology, Fundeni Clinical Institute | Recruiting |
| Bucharest, Romania | |
| Contact: Cristian Gheorghe drgheorghe@xnet.ro | |
| Gastroenterology Department, University of Medicine and Pharmacy | Recruiting |
| Craiova, Romania | |
| Contact: Dan Gheonea +40751268731 digheonea@gmail.com | |
| Sub-Investigator: Costin Streba, PhD | |
| Spain | |
| University Hospital, Santiago de Compostela | Recruiting |
| Santiago de Compostela, Spain | |
| Contact: Julio Iglesias-Garcia Julio.Iglesias.Garcia@sergas.es | |
| United Kingdom | |
| Hepatobiliary Surgery, Glasgow Royal Infirmary | Recruiting |
| Glasgow, United Kingdom | |
| Contact: Colin McKay c.j.mckay@clinmed.gla.ac.uk | |
| Institute of Hepatology, University College London | Recruiting |
| London, United Kingdom | |
| Contact: Stephen Pereira stephen.pereira@ucl.ac.uk | |
| Study Director: | Adrian Săftoiu, Professor | University of Medicine and Pharmacy Craiova, Romania |
More Information
Additional Information:
Publications:
| Responsible Party: | University of Medicine and Pharmacy Craiova |
| ClinicalTrials.gov Identifier: | NCT01315548 History of Changes |
| Other Study ID Numbers: | CEH-EUS-001, CEH-EUS-UMFCV-RO |
| Study First Received: | March 13, 2011 |
| Last Updated: | March 31, 2012 |
| Health Authority: | Romania: Ministry of Education, Research, Youth and Sport |
Keywords provided by University of Medicine and Pharmacy Craiova:
|
Contrast enhanced harmonic endoscopic ultrasound Pancreatic adenocarcinoma Chronic pancreatitis |
Additional relevant MeSH terms:
|
Adenocarcinoma Adenocarcinoma, Mucinous Pancreatitis Pancreatitis, Chronic Carcinoma Neoplasms, Glandular and Epithelial |
Neoplasms by Histologic Type Neoplasms Neoplasms, Cystic, Mucinous, and Serous Pancreatic Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on June 18, 2013