Prospective Randomized Trial On RadiaTion Dose Estimates Of CT AngIOgraphy In PatieNts Scanned With A Sequential Scan Protocol
PROTECTION-III
1 other identifier
interventional
400
1 country
1
Brief Summary
The objective of this study is to compare radiation dose of a standard spiral scan with the a new sequential scan protocol. We hypothesize that the sequential scan protocol is associated with a reduction in dose estimates of at least 20%, while the diagnostic image quality is not inferior. Secondary endpoints of the study include quantitative image quality parameters, diagnostic accuracy for spiral versus sequential studies compared to invasive angiography in patients who underwent subsequent invasive coronary angiography.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started May 2008
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 28, 2008
CompletedFirst Posted
Study publicly available on registry
February 11, 2008
CompletedStudy Start
First participant enrolled
May 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2009
CompletedAugust 27, 2008
August 1, 2008
8 months
January 28, 2008
August 26, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Compared with a helical scan protocol the use of a sequential scan protocol is associated with a comparable diagnostic image quality, while the radiation dose estimates are significantly reduced.
1 month
Secondary Outcomes (3)
impact of the sequential scan protocol on quantitative image quality parameters, e.g. image noise, signal and contrast intensity, signal- and contrast-to-noise-ratios
30 days
diagnostic accuracy (sensitivity, specificity as well as positive and negative predictive values) for studies scanned with helical vs. sequential scan protocol when compared with invasive coronary angiography on a per-vessel based analysis
30 days
frequency of non-diagnostic CTA studies when comparing studies scanned with the helical vs. the sequential scan protocol
30 days
Study Arms (2)
1
EXPERIMENTALStandard spiral CT protocol
2
ACTIVE COMPARATORSequential CT protocol
Interventions
Eligibility Criteria
You may qualify if:
- patients with an indication for a coronary CT angiography (planned evaluation of the coronary arteries)
- stable sinus rhythm
- heart rate \< 75 bpm with dual-source CT or \< 65 bpm with single-source CT
- signed informed consent
You may not qualify if:
- non-ECG triggered studies
- non-coronary CTA studies, e.g. bypass graft CTAs, pre- or post EP studies, CABG planning studies
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Deutsches Herzzentrum Muenchen
Munich, 80636, Germany
Related Publications (1)
Hausleiter J, Meyer TS, Martuscelli E, Spagnolo P, Yamamoto H, Carrascosa P, Anger T, Lehmkuhl L, Alkadhi H, Martinoff S, Hadamitzky M, Hein F, Bischoff B, Kuse M, Schomig A, Achenbach S. Image quality and radiation exposure with prospectively ECG-triggered axial scanning for coronary CT angiography: the multicenter, multivendor, randomized PROTECTION-III study. JACC Cardiovasc Imaging. 2012 May;5(5):484-93. doi: 10.1016/j.jcmg.2011.12.017.
PMID: 22595156DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joerg Hausleiter, MD
Deutsches Herzzentrum Muenchen
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 28, 2008
First Posted
February 11, 2008
Study Start
May 1, 2008
Primary Completion
January 1, 2009
Study Completion
February 1, 2009
Last Updated
August 27, 2008
Record last verified: 2008-08