NCT03980418

Brief Summary

The semiconductor (cadmium-zinc-telluride, CZT) cameras significantly increase detection sensitivity in Single Photon Emission Computer Tomoscintigraphy (SPECT)(1) . The clinical routine applications of these cameras are today mainly limited to myocardial tomoscintigraphy with CZT dedicated cameras. Several studies whose one was done in Hospital of Nancy, made it possible to demonstrate a good diagnosis agreement between conventional cameras and semiconductor cameras in this indication, with better image quality obtained with semiconductor cameras (2). Today, so-called "wide field" semiconductor cameras are available in the clinic and allow for any type of SPECT examination. A comparative study between conventional and semiconductor cameras has been conducted for bone scintigraphy, and shows diagnostic superiority with this new type of camera (3). In addition, the new VERITON-CT ™ (Spectrum Dynamics Medical) camera has 12 mobile CZT-based detectors positioned around the patient allowing tomographic acquisitions and focusing the acquisition on the organ studied. This camera has a sensitivity of detection higher than that of conventional cameras and thus reduces the activity injected into the patient and / or the recording time. To date, no study has compared the two types of cameras in nuclear neurology and in particular, for the SPECT DaTSCAN ™ imaging of the pre-synaptic dopaminergic pathway. DaTSCAN ™ exam is used in clinical routine:

  1. 1.for the diagnosis of Parkinson's disease or related diseases when in doubt with an essential tremor (4) or
  2. 2.if suspicion of Lewy body disease, if in doubt with Alzheimer's disease (5). If the interpretation of DaTSCAN ™ exam is first visual, the quantification may increase accuracy diagnosis (6). Also, the database creation specific to each type of camera is recommended(7).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
96

participants targeted

Target at P75+ for not_applicable parkinson-disease

Timeline
Completed

Started Sep 2019

Shorter than P25 for not_applicable parkinson-disease

Geographic Reach
1 country

1 active site

Status
completed

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

June 6, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 10, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

September 5, 2019

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 3, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 3, 2020

Completed
Last Updated

August 24, 2022

Status Verified

September 1, 2020

Enrollment Period

12 months

First QC Date

June 6, 2019

Last Update Submit

August 23, 2022

Conditions

Keywords

Parkinson DiseaseDaTSCAN™ SPECT/CT scintigraphySemiconductor CZT camera "with large field"

Outcome Measures

Primary Outcomes (1)

  • Degree of concordance (Kappa) of the exams results of different records

    comparison between the exam results (positive diagnosis of Parkinson disease or Lewy bodies dementia versus differential diagnosis) in conventional camera and the one obtained with the VERITON-CT in striatum focus mode

    16 months

Secondary Outcomes (1)

  • Degree of concordance (Kappa) of the exams results of different recordings

    16 months

Other Outcomes (10)

  • Degree of concordance (Kappa) of the exams results of different recordings

    16 months

  • Degree of concordance (Kappa) of the exams results of different recordings

    16 months after the first enrollment

  • ratios of uptake obtained with conventional camera and on the striatum focus record with VERITON-CT

    immediately after SPECT-CT exam

  • +7 more other outcomes

Study Arms (1)

all included patients will have the same procedure

EXPERIMENTAL

After the conventional DaTSCAN SPECT/CT exam in conventional camera, all patients included will have two recordings of DaTSCAN SPECT/CT in semiconductor CZT (cadmium zinc telluride) camera; one focused on the striatum and the other focused on the total brain

Procedure: DaTSCAN SPECT/CT in VERITON-CT camera

Interventions

the intervention is based on two recordings in camera VERITON-CT ; the first, in focus striatum mode and the second in brain focus mode

all included patients will have the same procedure

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • all patients over 18 years sent to Datscan SPECT/CT
  • patients understanding and having signed the informed consent form.
  • without contraindication to have the scintigraphy
  • patient subject to a medical benefits scheme

You may not qualify if:

  • known allergy to the one of the components of Datscan
  • pregnant, parturient or breastfeeding woman
  • major person under legal protection (any form of public guardianship)
  • major person unable to express consent
  • person deprived of liberty due to judicial or administrative decision.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

CHRU of Nancy

Vandœuvre-lès-Nancy, 54511, France

Location

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian DisordersBasal Ganglia DiseasesBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesMovement DisordersSynucleinopathiesNeurodegenerative Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

June 6, 2019

First Posted

June 10, 2019

Study Start

September 5, 2019

Primary Completion

September 3, 2020

Study Completion

September 3, 2020

Last Updated

August 24, 2022

Record last verified: 2020-09

Locations