Evaluating Raised Intracranial Pressure Using MR Elastography

NCT ID: NCT03096743

Last Updated: 2025-03-31

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

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-10

Study Completion Date

2025-12-31

Brief Summary

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Investigators will compare magnetic resonance (MR) elastography measurements to other forms of noninvasive methods of detecting raised intracranial pressure, including optical coherence tomography (OCT) imaging measurements of the retinal nerve fiber layer (RNFL) and indirect signs of raised intracranial pressure on magnetic resonance imaging (MRI).

Detailed Description

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The goal of this study is to evaluate the brain elasticity in patients with idiopathic intracranial hypertension (IIH) and other forms of raised intracranial pressure, such as obstructive hydrocephalus. Investigators will evaluate for a correlation between brain stiffness and opening pressure on lumbar puncture. Investigators will also evaluate for changes in brain stiffness after interventions that are aimed at lowering intracranial pressure, including lumbar punctures, medications, and surgical interventions, such as ventriculoperitoneal shunts. Lastly, investigators will compare MR elastography measurements to other forms of noninvasive methods of detecting raised intracranial pressure, including optical coherence tomography (OCT) measurements of the retinal nerve fiber layer (RNFL) and indirect signs of raised intracranial pressure on MRI.

Conditions

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Idiopathic Intracranial Hypertension

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Patients with increased intracranial hypertension

Patients will receive the MR elastography, MRI structural brain imaging, Optical Coherence Tomography (OCT) imaging, Optic nerve B-scan ultrasound and Lumbar puncture.

Group Type EXPERIMENTAL

MR elastography

Intervention Type DIAGNOSTIC_TEST

MR elastography image acquisition will be conducted on the Compact 3T MRI scanner using a modified single-shot spin-echo echo-planar imaging pulse sequence.

MRI structural brain imaging

Intervention Type DIAGNOSTIC_TEST

MRI structural brain imaging will be done on the Compact 3T MRI at the same time as MR elastography.

Lumbar puncture

Intervention Type PROCEDURE

All patients with papilledema will get lumbar punctures with opening pressure as part of their work-up for papilledema. A small number of patients without increased intracranial pressure will receive a lumbar puncture.

Optical Coherence Tomography (OCT) imaging

Intervention Type DIAGNOSTIC_TEST

Optical Coherence Tomography (OCT) imaging will measure the peripapillary retinal nerve fiber layer (RNFL) thickness measurements The images with enhanced depth imaging will be obtained to measure the Bruch's membrane orientation.

Optic nerve B-scan ultrasound

Intervention Type DIAGNOSTIC_TEST

Ultrasound will be used to measure the optic nerve sheath diameter 3 mm posterior to the posterior scleral surface.

Patient without raised intracranial hypertension

Patients will receive the MR elastography, MRI structural brain imaging, Optical Coherence Tomography (OCT) imaging, and Optic nerve B-scan ultrasound. Some patients will receive lumbar punctures.

Group Type EXPERIMENTAL

MR elastography

Intervention Type DIAGNOSTIC_TEST

MR elastography image acquisition will be conducted on the Compact 3T MRI scanner using a modified single-shot spin-echo echo-planar imaging pulse sequence.

MRI structural brain imaging

Intervention Type DIAGNOSTIC_TEST

MRI structural brain imaging will be done on the Compact 3T MRI at the same time as MR elastography.

Optical Coherence Tomography (OCT) imaging

Intervention Type DIAGNOSTIC_TEST

Optical Coherence Tomography (OCT) imaging will measure the peripapillary retinal nerve fiber layer (RNFL) thickness measurements The images with enhanced depth imaging will be obtained to measure the Bruch's membrane orientation.

Optic nerve B-scan ultrasound

Intervention Type DIAGNOSTIC_TEST

Ultrasound will be used to measure the optic nerve sheath diameter 3 mm posterior to the posterior scleral surface.

Interventions

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MR elastography

MR elastography image acquisition will be conducted on the Compact 3T MRI scanner using a modified single-shot spin-echo echo-planar imaging pulse sequence.

Intervention Type DIAGNOSTIC_TEST

MRI structural brain imaging

MRI structural brain imaging will be done on the Compact 3T MRI at the same time as MR elastography.

Intervention Type DIAGNOSTIC_TEST

Lumbar puncture

All patients with papilledema will get lumbar punctures with opening pressure as part of their work-up for papilledema. A small number of patients without increased intracranial pressure will receive a lumbar puncture.

Intervention Type PROCEDURE

Optical Coherence Tomography (OCT) imaging

Optical Coherence Tomography (OCT) imaging will measure the peripapillary retinal nerve fiber layer (RNFL) thickness measurements The images with enhanced depth imaging will be obtained to measure the Bruch's membrane orientation.

Intervention Type DIAGNOSTIC_TEST

Optic nerve B-scan ultrasound

Ultrasound will be used to measure the optic nerve sheath diameter 3 mm posterior to the posterior scleral surface.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Group 1: Papilledema from idiopathic intracranial hypertension and other forms of elevated intracranial pressure, including obstructive hydrocephalus
* Group 2: Patients without raised intracranial pressure.

Exclusion Criteria

* Age \<18
* Pregnancy (self-reported)
* Individuals for whom MR is contraindicated
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Eye Institute (NEI)

NIH

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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John J Chen

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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John J Chen, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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John J. Chen, M.D., Ph.D.

Role: CONTACT

Phone: 507-284-7140

Email: [email protected]

Jacqueline A. Leavitt, M.D.

Role: CONTACT

Phone: 507-284-6263

Email: [email protected]

Facility Contacts

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Jessica Morgan

Role: primary

Related Links

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Other Identifiers

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5U10EY025990-02

Identifier Type: NIH

Identifier Source: secondary_id

View Link

16-007037

Identifier Type: -

Identifier Source: org_study_id