Linked Color Imaging Based CMV Diagnosis for Gastric Mucosal Lesions

NCT ID: NCT03092414

Last Updated: 2017-03-28

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-31

Study Completion Date

2017-08-31

Brief Summary

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The newly developed linked color imaging (LCI) system (FUJIFILM Co.) creates clear and bright endoscopic images by using short-wavelength narrow-band laser light combined with white laser light on the basis of BLI technology. This system can obtain bright endoscopic images even at a distant view because LCI has more intense white light than the short-wavelength narrow-band laser light. Short-wavelength narrow-band laser light enhances the vessels on the mucosal surface and the patterns of the mucosa. Therefore, LCI may facilitate the detection of gastric mucosal lesions. Further studies are needed to confirm the clinical utility of LCI.

Detailed Description

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LCI enhances differences in hue, in the red region of the spectrum, through digital processing. This makes red areas appear redder and white areas appear whiter. Thus, it is easier to recognize a slight difference in color of the mucosa. Based on previous experience, a new LCI based endoscopic diagnosis criteria called CMV (color- microstructure-vessel) criteria has been proposed, which could be used for judging the gastric mucosal lesions. LCI has the advantage of detecting color changes of the mucosa, and this could provide very valuable and useful evidence for making endoscopic diagnosis. In this study, a blinded random controlled clinical trial is designed to further validate the diagnostic value of LCI based CMV criteria for gastric diseases.

Conditions

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Gastric Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Group A

Patients with indications for gastroduodenoscopy will be evaluated with WLE and then LCI.

Group Type EXPERIMENTAL

WLE and then LCI

Intervention Type PROCEDURE

The gastric mucosa was evaluated with WLE and then LCI by two different endoscopists.

Group B

Patients with indications for gastroduodenoscopy will be evaluated with LCI and then WLE.

Group Type EXPERIMENTAL

LCI and then WLE

Intervention Type PROCEDURE

The gastric mucosa was evaluated with LCI and then WLE by two different endoscopists.

Interventions

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WLE and then LCI

The gastric mucosa was evaluated with WLE and then LCI by two different endoscopists.

Intervention Type PROCEDURE

LCI and then WLE

The gastric mucosa was evaluated with LCI and then WLE by two different endoscopists.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Above 18 years old patients
* Who agree to participate in the study
* Patients with the indications for gastroduodenoscopy

Exclusion Criteria

* Patients, who were receiving nonsteroidal anti-inflammatory drugs, pump inhibitors (PPI) or antibiotics in the last 3 weeks.
* Severe uncontrolled coagulopathy
* Prior history of gastric surgery.
* Pregnancy and lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Affiliated Hospital to Academy of Military Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yan Liu, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Affiliated Hospital to Academy of Military Medical Sciences

Locations

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Affiliated Hospital to Academy of Military Medical Sciences

Beijing, , China

Site Status

Countries

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China

Central Contacts

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Xiaotian Sun, M.D., Ph.D.

Role: CONTACT

References

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Sun X, Dong T, Bi Y, Min M, Shen W, Xu Y, Liu Y. Linked color imaging application for improving the endoscopic diagnosis accuracy: a pilot study. Sci Rep. 2016 Sep 19;6:33473. doi: 10.1038/srep33473.

Reference Type BACKGROUND
PMID: 27641243 (View on PubMed)

Dohi O, Yagi N, Onozawa Y, Kimura-Tsuchiya R, Majima A, Kitaichi T, Horii Y, Suzuki K, Tomie A, Okayama T, Yoshida N, Kamada K, Katada K, Uchiyama K, Ishikawa T, Takagi T, Handa O, Konishi H, Naito Y, Itoh Y. Linked color imaging improves endoscopic diagnosis of active Helicobacter pylori infection. Endosc Int Open. 2016 Jul;4(7):E800-5. doi: 10.1055/s-0042-109049.

Reference Type BACKGROUND
PMID: 27556101 (View on PubMed)

Ono S, Abiko S, Kato M. Linked color imaging enhances gastric cancer in gastric intestinal metaplasia. Dig Endosc. 2017 Mar;29(2):230-231. doi: 10.1111/den.12757. Epub 2016 Nov 21. No abstract available.

Reference Type BACKGROUND
PMID: 27770584 (View on PubMed)

Min M, Dong TH, Liu Y, Bi YL, Ma CY. Novel endoscopic findings as visualized by non-magnification endoscopy with linked color imaging are indicative of gastric intestinal metaplasia. Chin Med J (Engl). 2019 Apr 5;132(7):782-788. doi: 10.1097/CM9.0000000000000172.

Reference Type DERIVED
PMID: 30896610 (View on PubMed)

Other Identifiers

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307-LCI-004

Identifier Type: -

Identifier Source: org_study_id

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