Application of 3D Printing Technique in Small Pulmonary Nodule Localization
Three-Dimensional Printing of Navigational Template in Localization of Small Pulmonary Nodule: A Prospective, Randomized, Controlled, Non-inferiority Trial
1 other identifier
interventional
200
1 country
1
Brief Summary
The trial is to evaluate the efficacy and safety of three-dimensional printed navigational template in the clinical application of small peripheral lung nodule localization.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 24, 2016
CompletedFirst Submitted
Initial submission to the registry
October 31, 2016
CompletedFirst Posted
Study publicly available on registry
November 2, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 25, 2017
CompletedResults Posted
Study results publicly available
October 1, 2018
CompletedDecember 19, 2018
December 1, 2018
11 months
October 31, 2016
February 1, 2018
December 1, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Accuracy of Lung Nodule Localization
Localization accuracy was defined by the localizer deviation between the hookwire and the center of the target nodule. (The deviation was measured using CAD software after downloading the CT images from the Picture Archiving and Communication Systems.)
From the time of completing final CT scan, assessed up to 2 days.
Secondary Outcomes (3)
Procedural Duration of the Nodule Localization
From the time of completing final CT scan, assessed up to 1 hour.
Radiation Dose
From the time of completing final CT scan, assessed up to 1 hour.
Complication Rate
From the time of completing final CT scan, assessed up to 2 days.
Study Arms (2)
CT-guided localization
OTHERThis group of participants received conventional CT-guided lung nodule localization.
template-guided localization
EXPERIMENTALThree-dimensional printed template was customized based on participant's computed tomography information. Participants received template-guided lung nodule localization.
Interventions
Based on CT data, digital model of the navigational template was created using CAD software and imported to 3D printer. The navigational template serves as a guider to the localizer in lung nodule localization.
Percutaneous lung nodule localization was conducted under the real-time guidance of CT scan. This is the conventional method of transthoracic lung nodule localization.
Eligibility Criteria
You may qualify if:
- Aged from 19 to 80 years
- lesions located in peripheral lung tissue which can be removed by wedge resection
- The maximum diameter of the lesion is no more than 20 mm.
- Research assistant consulted with the patient's surgeon to confirm the necessity of lung nodule localization
- Informed consent was signed voluntarily.
You may not qualify if:
- nodule located in the scapula region.
- there were two or more lung nodules needed to be localized.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chang Chenlead
Study Sites (1)
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200000, China
Related Publications (2)
Zhang L, Li M, Li Z, Kedeer X, Wang L, Fan Z, Chen C. Three-dimensional printing of navigational template in localization of pulmonary nodule: A pilot study. J Thorac Cardiovasc Surg. 2017 Dec;154(6):2113-2119.e7. doi: 10.1016/j.jtcvs.2017.08.065. Epub 2017 Sep 1.
PMID: 29017792BACKGROUNDZhang L, Wang L, Kadeer X, Zeyao L, Sun X, Sun W, She Y, Xie D, Li M, Zou L, Rocco G, Yang P, Chen C, Liu CC, Petersen RH, Ng CSH, Parrish S, Zhang YS, Giordano R, di Tommaso L; AME Thoracic Surgery Collaborative Group. Accuracy of a 3-Dimensionally Printed Navigational Template for Localizing Small Pulmonary Nodules: A Noninferiority Randomized Clinical Trial. JAMA Surg. 2019 Apr 1;154(4):295-303. doi: 10.1001/jamasurg.2018.4872.
PMID: 30586136DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Chang Chen
- Organization
- Shanghai Pulmonary Hospital affiliated to Tongji university
Study Officials
- PRINCIPAL INVESTIGATOR
Chang Chen, MD,Ph.D
Shanghai Pulmonary Hospital, Shanghai, China
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Chief of thoracic surgery
Study Record Dates
First Submitted
October 31, 2016
First Posted
November 2, 2016
Study Start
October 24, 2016
Primary Completion
October 1, 2017
Study Completion
October 25, 2017
Last Updated
December 19, 2018
Results First Posted
October 1, 2018
Record last verified: 2018-12