Comparison of Quantitative MRI Perfusion Methods With Quantitative PET Perfusion Imaging

NCT ID: NCT02608944

Last Updated: 2020-09-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2019-06-12

Brief Summary

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This work seeks to develop, evaluate and use new MRI methods for non-invasive quantitative assessment of myocardial perfusion and perfusion reserve (MPR), and to compare with quantitative PET imaging.

Detailed Description

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This project aims to determine the validity of quantitative MRI perfusion methods by comparison with quantitative PET imaging. First pass dynamic contrast enhanced MRI scans will be performed at rest and during hyperemia caused by either adenosine infusion or regadenoson. After custom reconstruction and post-processing the data will be fit to a compartment model and quantitative perfusion and MPR values obtained.

On another day, the subjects will have quantitative PET imaging with O-15 labeled radioactive water. This will be done at rest and hyperemia caused by either adenosine or regadenoson. A low dose CT scan will be acquired to perform attenuation correction of the PET images. The images will be reconstructed and processed as reported in the literature to provide reference standard perfusion and MPR values. These values will be compared with those obtained by MRI.

Conditions

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MRI Scans

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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MRI perfusion vs. PET Imaging perfusion

Adenosine Regadenoson O-15 labeled radioactive water MRI PET Imaging

Group Type EXPERIMENTAL

Adenosine

Intervention Type DRUG

Adenosine: 0.14mg/kg/min for 6 min. IV injection for MRI perfusion

Regadenoson

Intervention Type DRUG

Regadenoson: 0.4mg in 5ml, given as a rapid (10 seconds) IV injection for MRI perfusion.

O-15 labeled radioactive water

Intervention Type DRUG

O-15 labeled radioactive water: Up to 50mCi IV injection at rest and again at hyperemia for PET Imaging

MRI

Intervention Type DEVICE

Pass dynamic contrast enhanced MRI scans will be performed at rest and during hyperemia caused by either adenosine infusion or regadenoson

PET Imaging

Intervention Type DEVICE

Quantitative PET imaging with O-15 labeled radioactive water will be given at a different day.

Interventions

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Adenosine

Adenosine: 0.14mg/kg/min for 6 min. IV injection for MRI perfusion

Intervention Type DRUG

Regadenoson

Regadenoson: 0.4mg in 5ml, given as a rapid (10 seconds) IV injection for MRI perfusion.

Intervention Type DRUG

O-15 labeled radioactive water

O-15 labeled radioactive water: Up to 50mCi IV injection at rest and again at hyperemia for PET Imaging

Intervention Type DRUG

MRI

Pass dynamic contrast enhanced MRI scans will be performed at rest and during hyperemia caused by either adenosine infusion or regadenoson

Intervention Type DEVICE

PET Imaging

Quantitative PET imaging with O-15 labeled radioactive water will be given at a different day.

Intervention Type DEVICE

Other Intervention Names

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Adenoscan Adenocard Lexiscan O-15 water Positron Emission Tomography Imaging

Eligibility Criteria

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Inclusion Criteria

* All participants will be over the age of 18 and able to provide consent
* Both healthy and subjects with cardiac disease (including atrial fibrillation but not required) will be recruited.

Exclusion Criteria

* Critically ill patients, patients on ventilators, patients with unstable angina or with hypotension, asthmatics, and other patients whose medical care or safety may be at risk from undergoing an MRI examination will be excluded.
* Patients with claustrophobia will also be excluded from the study if this cannot be controlled with standard methods (valium or benadryl).
* Patients with contraindication to MRI (pacemaker, metal implants, or certain types of heart valves),
* pregnant patients, minors, mentally disabled patients and prisoners will be excluded from this study. (All criteria apply to patients and normal volunteers).
* Gadolinium nephrotoxicity will be addressed by having patients with abnormal kidney function (GFR\<30) excluded from the study due to the (very small) risk associated with gadolinium contrast agents. This threshold may be modified, depending on practices determined by the Radiology Department and the IRB.
* Patients with a known allergy or contraindication to Adenosine and/or Regadenoson will be excluded from stress (hyperemia) cohorts.
* All participants that will receive a stress agent will refrain from consuming caffeine for at least 12 hours prior to each study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Utah

OTHER

Sponsor Role lead

Responsible Party

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Edward DiBella

Ph.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Edward DiBella, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Utah

Locations

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University of Utah, Radiology Research

Salt Lake City, Utah, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IRB 58133

Identifier Type: -

Identifier Source: org_study_id

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