Establishment and Application of a New Imaging System for Otology Based on Ultra-high Resolution CT
1 other identifier
observational
1,500
1 country
1
Brief Summary
Tinnitus, hearing loss and vertigo are the three major diseases of otology, affecting hundreds of millions of people in our country, and are major health problems. Ear structures and lesions are deeply embedded in the bone, and CT is the preferred examination technique. The key structures of the ear are small and the lesions are hidden. Spiral CT is "not visible" and "undiagnosed" due to insufficient spatial resolution. The ultra-high-resolution CT independently developed by our team has a spatial resolution of 50 μm, which is 6 times higher than that of high-end spiral CT, and solves the problem of "not showing" ear diseases. However, with the transformation of imaging modes and the improvement of display capabilities, the imaging system of helical CT is no longer applicable. It is urgent to carry out systematic research to create matching imaging plans, imaging anatomy standards and disease assessment standards to solve the problem of "undiagnosed". problem. This project plans to build an adult and pediatric imaging solution based on ultra-high-resolution CT to optimize image quality and radiation dose; comprehensively evaluate conduction, sensory, and surgical-related fine structures of the ear, and establish a new 0.1mm-scale image anatomy atlas; A prospective study conducted by the center analyzes the hidden pathological changes of tinnitus, deafness and vertigo, evaluates the diagnostic efficacy of ultra-high-resolution CT for the above diseases, and establishes new diagnostic criteria for lesion detection, symptom correlation, and efficacy evaluation. This project will bring new changes to the practice of otology clinical diagnosis and treatment
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2022
Typical duration for all trials
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
August 30, 2022
CompletedStudy Start
First participant enrolled
September 1, 2022
CompletedFirst Posted
Study publicly available on registry
September 9, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2024
CompletedSeptember 9, 2022
September 1, 2022
2.3 years
August 30, 2022
September 5, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Subjective and objective evaluation methods for CT image quality
Image quality (Likert score) and image noise will be combined to report the optimal image quality-noise combination
2022.1-2024.12
Radiological anatomy of normal ears based on ultra-high resolution CT
diameters in milimeter
2022.1-2024.12
Radiological anatomy of normal ears based on ultra-high resolution CT
angle in degree
2022.1-2024.12
Quantitative diagnostic standard for ear diseases based on U-HRCT image
shape and position of conductive and senserineural hearing pathways
2022.1-2024.12
Quantitative diagnostic standard for ear diseases based on U-HRCT image
size in milimeter of conductive and senserineural hearing pathways
2022.1-2024.12
Study Arms (6)
Age under 18
Participants under the age of 18
Age 18-30
Participants aged 18-30
Age 31-40
Participants aged 31-40
Age 41-50
Participants aged 41-50
Age 51-60
Participants aged 51-60
Age ≥61
Participants aged ≥61
Interventions
Participants in the age groups undergo ultra-high-resolution computed tomography exam
Eligibility Criteria
* 50 healthy volunteers (100 ears) * otological patients 1450 cases (tinnitus\>634 ears, hearing loss\>634 ears, and vertigo\>181 ears)
You may qualify if:
- Meet the ethical requirements of U-HRCT examination
- Can cooperate to complete U-HRCT examination
- There is no relevant medical history in the side ear scanned
You may not qualify if:
- Clinical symptoms related to middle and inner ear lesions, such as conduction deafness, sensorineural hearing loss, mixed deafness, vertigo, etc.
- Congenital inner ear malformation
- Diseases causing bone changes around the middle and inner ear, such as otitis media, tumors , otosclerosis, fibrous dysplasia, etc.
- history of previous ear surgery and trauma
- CT image artifacts or incomplete scan coverage
- incomplete clinical data
- For patients with otological diseases
- Due to tinnitus/deafness/peripheral vertigo/peripheral facial paralysis in the ENT department of our hospital
- Meet the ethical requirements of U-HRCT examination
- Can cooperate with the completion of U-HRCT examination
- Surgery in the ENT department of our hospital
- At least one follow-up or re-examination after discharge
- History of previous ear surgery and trauma
- CT image artifacts or incomplete scanning coverage
- Incomplete clinical data
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Beijing Friendship Hospitallead
- Beijing Tongren Hospitalcollaborator
- Beijing Obstetrics and Gynecology Hospitalcollaborator
Study Sites (1)
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Zhenchang Wang, Prof.
Beijing Friendship Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Vice President, Director of Medical Imaging Center
Study Record Dates
First Submitted
August 30, 2022
First Posted
September 9, 2022
Study Start
September 1, 2022
Primary Completion
December 1, 2024
Study Completion
December 1, 2024
Last Updated
September 9, 2022
Record last verified: 2022-09