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| Name | Class |
|---|---|
| Johns Hopkins University | OTHER |
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The objective of this research is to use the Clear Guide SCENERGY technology, an FDA approved Ultrasound-CT fusion imaging system, that allows the user to fuse CT images onto a real-time ultrasound that is being performed on the patient. This fusion system will be used to perform ultrasound guided needle placements for patients undergoing percutaneous CT guided needle-based intervention. This study will consist of 20 patients, 10 patients using the CGM SCENERGY US-CT system and 10 patients using guidance only. The primary goal of the study is to prove that the new imaging fusion system is comparable to using either CT or US guidance alone to guide needle placement.
A simple 20 patient study will be performed using the CG SCENERGY system. This fusion system will be used to perform image guided needle placements for patients undergoing percutaneous CT guided needle-based intervention (CT guided biopsy, CT guided drain placement within the abdomen or pelvis, and CT guided injection of muscle or nerve within the pelvis). Only patients who are already scheduled for a CT guided procedure will be screened. The study design is as follows:
10 patients will have their procedure performed using the CGM SCENERGY US-CT fusion system and 10 patients will have their procedure performed using CT guidance only.
Proper informed consent will be obtained
Perform a CT scan with the optical adhesive skin markers in place. Markers are placed around the expected site of needle skin entry.
The first 10 patients Group#1 (1-10) will be assigned to using the SCENERGY fusion system to complete the needle placement, and the next 10 patients Group #2 (11-20) will be assigned of continuing with CT guidance only to complete the needle placement.
If in Group #1, the procedure will proceed as usual using the SCENERGY system to guide the needle to target. If in the Group #2, CT guidance will be used to place the needle to target.
Once the needle is at the target, a confirmatory CT will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ultrasound-CT Fusion Guidance | Experimental | The participants in this group (test group) will utilize the ultrasound-CT fusion system for guiding needle placement. |
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| CT Guidance | No Intervention | The participants in this group (control group) will receive the procedure with traditional CT methods and equipment, for guiding needle placement. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-CT Fusion | Device | The Clear Guide SCENERGY is an Ultrasound-CT fusion device which supplements existing ultrasound and CT capabilities. The participants randomly selected (out of 20 patients) for use of the Clear Guide SCENERGY (test group) will receive ultrasound-CT fusion guidance from the MDs performing the procedure. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of CT scans or CT fluoroscopic images | Immediately following intervention (within 2 hours) |
| Measure | Description | Time Frame |
|---|---|---|
| Total procedure time | Time from the first CT scan until the needle is at the target | Immediately following intervention (within 2 hours) |
| Time to target | Time from needle entering the skin until the needle is at the target |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Brian Holly, MD | Contact | 410-614-1622 | bholly3@jhmi.edu | |
| Taylor Dunklin, DA | Contact | 410-502-5118 | tdunkli1@jhmi.edu |
| Name | Affiliation | Role |
|---|---|---|
| Brian Holly, MD | Johns Hopkins University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins Hospital | Recruiting | Baltimore | Maryland | 21287 | United States |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 17, 2019 | |
| Reset | May 6, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 17, 2019 | May 6, 2019 |
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| Immediately following intervention (within 2 hours) |
| Success of needle placement | A confirmatory CT will be performed to check if the needle reached the target | Immediately following intervention (within 2 hours) |