Evaluation of Complex Renal Cyst With CEUS/Functional MRI Versus CT
NCT02371551 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 52
Last updated 2019-08-28
Summary
The primary concern in complex renal cysts (CRC) with malignant potential is the accurate diagnosis and characterization. Patients with CRC have to undergo frequent imaging surveillance (every 6-12 Mo), in which the progression suggests a neoplastic process. The gold standard for establishing diagnosis and necessity for surgical intervention (i.e. partial nephrectomy) is conventional computer tomography (CT) imaging. Its main drawback is the radiation dose to the body and intravenous contrast media administration, which has a risk of nephrotoxicity.
Magnetic resonance imaging (MRI) with special functional sequences (fMRI) and contrast-enhanced ultrasonography (CEUS) allow measuring tissue blood flow and perfusion characteristics without ionizing radiation or nephrotoxic contrast media. To compare the diagnostic accuracy, sensitivity and specificity of CEUS/functional MRI versus the gold standard CT, 60 patients with CRC will be evaluated using all these 3 modalities. The main hypothesis is that fMRI and CEUS have equal accuracy with CT regarding diagnosis and classification of CRC lesions.
Conditions
- Cystic Renal Diseases
- Kidney Neoplasms
Interventions
- OTHER
-
Blood/urine sampling
Routine chemistry profile
- OTHER
-
Conventional routine CT examination
Standard diagnostic examination
- OTHER
-
Contrast-enhanced renal ultrasonography (CEUS)
Study-specific diagnostic examination
- OTHER
-
Functional MRI
Study-specific diagnostic examination
Sponsors & Collaborators
-
Insel Gruppe AG, University Hospital Bern
lead OTHER
Principal Investigators
-
Spyridon Arampatzis, MD · Dep. of Nephrology, Hypertension and Clinical Pharmacology, Bern University Hospital
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-08-19
- Primary Completion
- 2017-10-20
- Completion
- 2018-06-30
Countries
- Switzerland
Study Locations
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