Optical Biopsy for Thoracic Lymph Nodes.
NCT02689050 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2017-09-20
Summary
EUS-FNA is the recommended diagnostic examination of choice when patients present with suspected lower mediastinal lymph nodes on imaging. EUS-FNA is minimal invasive and low in costs, and although it has a good record in detecting diseases (eg confirm a nodal metastasis or granulomas) it has limitations in excluding diseases (missing metastases/ or granulomas) resulting in a false negative rate of 15-20%. Substantial limitations that most likely can be attributed to areas within the node that are not sampled during EUS-FNA tissue acquisition. Improved needle based EBUS/ EUS guided nodal diagnostics might result in improved quality of the fine needle aspirations, reduce in surgical diagnostic procedures , reduced costs and result in a shorter timebefore-treatment interval.
Conditions
- Mediastinal Lymphadenopathy
- Non-small Cell Lung Carcinoma
- Sarcoidosis
Interventions
- DEVICE
-
Needle based confocal laser endomicroscopy (nCLE)
During the fine needle aspiration of a suspected and a non-suspected lymph node we will obtain needle based CLE (nCLE) images within the lymph node. Fine needle aspirations will be obtained after the optical biopsy measurements. We will compare the results of the optical biopsy with the cytology results, or to histology in case an additional surgery is indicated.
Sponsors & Collaborators
-
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
lead OTHER
Principal Investigators
-
Jouke T Annema, MD, PhD · Academisch Medisch Centrum - Universiteit van Amsterdam (AMC)
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-01-13
- Primary Completion
- 2017-03-22
- Completion
- 2017-03-22
Countries
- Netherlands
Study Locations
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