Clinical Evaluation of Radiation Reduction for Optimized Safety
CERROS
1 other identifier
observational
50
1 country
1
Brief Summary
The primary objective of this study is to determine whether a reduced radiation protocol (RRP) in which angiograms are acquired at ultralow radiation doses and then processed using spatiotemporal enhancement software can produce similar quality angiographic images as compared with standard techniques.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Feb 2026
Shorter than P25 for all trials
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
First Submitted
Initial submission to the registry
March 31, 2024
CompletedFirst Posted
Study publicly available on registry
April 5, 2024
CompletedStudy Start
First participant enrolled
February 15, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 15, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
July 15, 2026
ExpectedNovember 13, 2025
November 1, 2025
4 months
March 31, 2024
November 12, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Segment-level percent diameter stenosis (%DS)
Segment-level quantitative coronary angiography (QCA) determination of percent diameter stenosis (%DS)
Periprocedural
Secondary Outcomes (3)
Stenosis severity
Periprocedural
Diagnostic quality
Periprocedural
Radiation dose - SOC
Periprocedural
Eligibility Criteria
Patients suspected to have coronary artery disease (CAD) who are undergoing diagnostic coronary angiography with or without possible percutaneous coronary intervention (PCI).
You may qualify if:
- Referred for clinically indicated coronary angiography
- ≥18 years of age
- Not pregnant
- English speaking
- Not imprisoned
- Able to provide written informed consent
You may not qualify if:
- Hemodynamically or electrically unstable.
- Indication for coronary angiography is emergent, including ST-segment elevation myocardial infarction
- History of coronary artery bypass grafting
- An eGFR \<60
- Pregnant or lactating
- A BMI of 45 or greater
- Any other factor that the investigator feels would put the patient at increased risk or otherwise make the patient unsuitable for participation in the protocol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Corewell Health West
Grand Rapids, Michigan, 49503, United States
Related Publications (5)
Ryan TJ. The coronary angiogram and its seminal contributions to cardiovascular medicine over five decades. Circulation. 2002 Aug 6;106(6):752-6. doi: 10.1161/01.cir.0000024109.12658.d4. No abstract available.
PMID: 12163439BACKGROUNDThe 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP. 2007;37(2-4):1-332. doi: 10.1016/j.icrp.2007.10.003.
PMID: 18082557BACKGROUNDValentin J. Avoidance of radiation injuries from medical interventional procedures. Ann ICRP. 2000;30(2):7-67. doi: 10.1016/S0146-6453(01)00004-5.
PMID: 11459599BACKGROUNDAndreassi MG, Cioppa A, Botto N, Joksic G, Manfredi S, Federici C, Ostojic M, Rubino P, Picano E. Somatic DNA damage in interventional cardiologists: a case-control study. FASEB J. 2005 Jun;19(8):998-9. doi: 10.1096/fj.04-3287fje. Epub 2005 Mar 31.
PMID: 15802491BACKGROUNDKaratasakis A, Brilakis HS, Danek BA, Karacsonyi J, Martinez-Parachini JR, Nguyen-Trong PJ, Alame AJ, Roesle MK, Rangan BV, Rosenfield K, Mehran R, Mahmud E, Chambers CE, Banerjee S, Brilakis ES. Radiation-associated lens changes in the cardiac catheterization laboratory: Results from the IC-CATARACT (CATaracts Attributed to RAdiation in the CaTh lab) study. Catheter Cardiovasc Interv. 2018 Mar 1;91(4):647-654. doi: 10.1002/ccd.27173. Epub 2017 Jul 14.
PMID: 28707381BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Aram Salzman
Angiowave Imaging
- STUDY DIRECTOR
Sean Madden, PhD
Angiowave Imaging
- PRINCIPAL INVESTIGATOR
Ryan Madder, MD
Corewell Health
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 31, 2024
First Posted
April 5, 2024
Study Start
February 15, 2026
Primary Completion
June 15, 2026
Study Completion (Estimated)
July 15, 2026
Last Updated
November 13, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- Within 12 months