High Resolution Optical Coherence Tomography

NCT ID: NCT05130385

Last Updated: 2022-11-29

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

Total Enrollment

550 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-11-30

Study Completion Date

2023-11-30

Brief Summary

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Comparison of high-resolution optical coherence tomography (High-Res-OCT) to conventional imaging modalities for the diagnosis of eye diseases

Detailed Description

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The high resolution optical coherence tomography (High-Res-OCT) is an improvement of a non-invasive routinely used imaging technique, the optical coherence tomography (OCT), with a light-source capable of providing an increased axial resolution. The routinely used Spectral-Domain OCT has a center wavelength of 880 nm and a spectral bandwidth of 40 nm, resulting in an axial resolution of approximately 7 μm in the eye and is used routinely worldwide. The High-Res OCT works with a central wavelength of 840 nm and an increased bandwidth of 130 nm, making it possible to improve the optical axial resolution in tissue from 7 to 3 µm, without increasing the maximum laser exposure limit. The improved axial resolution of the High-Res OCT results in clearer and more detailed images. The technique is routinely used in clinical practice and the device used for High-Res-OCT (Heidelberg, SPECTRALIS® High-Res OCT- DMR001) has received CE mark (european conformity in the extended Single Market in the European Economic Area) approval in March 2021. We plan to compare High-Res-OCT as an imaging modality to conventional imaging modalities used in clinical routine, such as the Spectral-Domain-OCT (SD-OCT)

Conditions

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Retinal Disease Retinal Detachment Retinal Vein Occlusion Retinal Dystrophy Retinal Artery Occlusion Retinal Edema Retinal Neovascularization Uveitis Diabetic Retinopathy Diabetic Macular Edema Macular Edema Macular Degeneration Macular Disease Glaucoma Optic Nerve Diseases Hypertensive Retinopathy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Diabetic Retinopathy

Patients with various degree of diabetic retinopathy

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Artery and vein occlusion

Patients with history of artery or vein occlusion (central or branch artery)

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Glaucoma

Patients with history of glaucoma (open-angle glaucoma, chronic angle closure glaucoma)

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Optic nerve neuropathy

Patients with history of various optic nerve neuropathies

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Hereditary retinal diseases

Patients with history of various retinal dystrophies

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Retinal detachment

Patients history of retinal detachment

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Age related macular degeneration

Patients with history of age related macular degeneration

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Retinal changes from arterial hypertension

Patients with history of arterial hypertension

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Uveitis

Patients with history of uveitis intermedia and/or posterior and/or pan-uveitis

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Healthy

Healthy age matched control subjects

High-resolution optical coherence tomography (High-Res-OCT)

Intervention Type DEVICE

Imaging with high-resolution optical coherence tomography

Standard spectral domain OCT (SD-OCT)

Intervention Type DEVICE

Imaging with standard spectral domain OCT

Interventions

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High-resolution optical coherence tomography (High-Res-OCT)

Imaging with high-resolution optical coherence tomography

Intervention Type DEVICE

Standard spectral domain OCT (SD-OCT)

Imaging with standard spectral domain OCT

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients from the Department of Ophthalmology, University Hospital Bern requiring conventional imaging for eye disease and willing to sign informed consent Patients of 18 years or older

Exclusion Criteria

* Patients not willing or able to sign informed consent
* Patients younger than 18 years
* Patients with epilepsy.
* Vulnerable subjects (except the objectives of the investigation concern vulnerable subjects specifically),
* Inability to follow the procedures of the investigation, e.g. due to language problems, psychological disorders, dementia, etc. of the subject
* Participation in another investigation with an investigational drug or another MD within the 30 days preceding and during the present investigation
* Enrolment of the PI, his/her family members, employees and other dependent persons
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Oussama Habra, MD

Role: STUDY_CHAIR

Department of Ophthalmology, University hospital Bern

Locations

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Department of Ophthalmology, Bern University Hospital, Bern, 3010 Bern, Switzerland

Bern, Canton of Bern, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Martin S Zinkernagel, MD, PhD

Role: CONTACT

+41316329565

Facility Contacts

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Martin S Zinkernagel, MD, PhD

Role: primary

+41316329565

References

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Huang D, Swanson EA, Lin CP, Schuman JS, Stinson WG, Chang W, Hee MR, Flotte T, Gregory K, Puliafito CA, et al. Optical coherence tomography. Science. 1991 Nov 22;254(5035):1178-81. doi: 10.1126/science.1957169.

Reference Type BACKGROUND
PMID: 1957169 (View on PubMed)

Ly A, Phu J, Katalinic P, Kalloniatis M. An evidence-based approach to the routine use of optical coherence tomography. Clin Exp Optom. 2019 May;102(3):242-259. doi: 10.1111/cxo.12847. Epub 2018 Dec 17.

Reference Type BACKGROUND
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Guyatt G, Jaeschke R, Heddle N, Cook D, Shannon H, Walter S. Basic statistics for clinicians: 1. Hypothesis testing. CMAJ. 1995 Jan 1;152(1):27-32.

Reference Type BACKGROUND
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Viechtbauer W, Smits L, Kotz D, Bude L, Spigt M, Serroyen J, Crutzen R. A simple formula for the calculation of sample size in pilot studies. J Clin Epidemiol. 2015 Nov;68(11):1375-9. doi: 10.1016/j.jclinepi.2015.04.014. Epub 2015 Jun 6.

Reference Type BACKGROUND
PMID: 26146089 (View on PubMed)

de Boer JF, Cense B, Park BH, Pierce MC, Tearney GJ, Bouma BE. Improved signal-to-noise ratio in spectral-domain compared with time-domain optical coherence tomography. Opt Lett. 2003 Nov 1;28(21):2067-9. doi: 10.1364/ol.28.002067.

Reference Type BACKGROUND
PMID: 14587817 (View on PubMed)

Bille JF, editor. High Resolution Imaging in Microscopy and Ophthalmology: New Frontiers in Biomedical Optics [Internet]. Cham (CH): Springer; 2019. No abstract available. Available from http://www.ncbi.nlm.nih.gov/books/NBK554051/

Reference Type BACKGROUND
PMID: 32091677 (View on PubMed)

Liu YZ, South FA, Xu Y, Carney PS, Boppart SA. Computational optical coherence tomography [Invited]. Biomed Opt Express. 2017 Feb 16;8(3):1549-1574. doi: 10.1364/BOE.8.001549. eCollection 2017 Mar 1.

Reference Type BACKGROUND
PMID: 28663849 (View on PubMed)

Wojtkowski M, Srinivasan V, Ko T, Fujimoto J, Kowalczyk A, Duker J. Ultrahigh-resolution, high-speed, Fourier domain optical coherence tomography and methods for dispersion compensation. Opt Express. 2004 May 31;12(11):2404-22. doi: 10.1364/opex.12.002404.

Reference Type BACKGROUND
PMID: 19475077 (View on PubMed)

Chen Y, Vuong LN, Liu J, Ho J, Srinivasan VJ, Gorczynska I, Witkin AJ, Duker JS, Schuman J, Fujimoto JG. Three-dimensional ultrahigh resolution optical coherence tomography imaging of age-related macular degeneration. Opt Express. 2009 Mar 2;17(5):4046-60. doi: 10.1364/oe.17.004046.

Reference Type BACKGROUND
PMID: 19259245 (View on PubMed)

Ishida S, Nishizawa N. Quantitative comparison of contrast and imaging depth of ultrahigh-resolution optical coherence tomography images in 800-1700 nm wavelength region. Biomed Opt Express. 2012 Feb 1;3(2):282-94. doi: 10.1364/BOE.3.000282. Epub 2012 Jan 11.

Reference Type BACKGROUND
PMID: 22312581 (View on PubMed)

An L, Li P, Shen TT, Wang R. High speed spectral domain optical coherence tomography for retinal imaging at 500,000 A-lines per second. Biomed Opt Express. 2011 Oct 1;2(10):2770-83. doi: 10.1364/BOE.2.002770. Epub 2011 Sep 12.

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PMID: 22025983 (View on PubMed)

Tsang SH, Sharma T. Fluorescein Angiography. Adv Exp Med Biol. 2018;1085:7-10. doi: 10.1007/978-3-319-95046-4_2.

Reference Type BACKGROUND
PMID: 30578475 (View on PubMed)

Mitchell P, Liew G, Gopinath B, Wong TY. Age-related macular degeneration. Lancet. 2018 Sep 29;392(10153):1147-1159. doi: 10.1016/S0140-6736(18)31550-2.

Reference Type BACKGROUND
PMID: 30303083 (View on PubMed)

Ferris FL, Davis MD, Clemons TE, Lee LY, Chew EY, Lindblad AS, Milton RC, Bressler SB, Klein R; Age-Related Eye Disease Study (AREDS) Research Group. A simplified severity scale for age-related macular degeneration: AREDS Report No. 18. Arch Ophthalmol. 2005 Nov;123(11):1570-4. doi: 10.1001/archopht.123.11.1570.

Reference Type BACKGROUND
PMID: 16286620 (View on PubMed)

Wolf S, Wolf-Schnurrbusch U. Spectral-domain optical coherence tomography use in macular diseases: a review. Ophthalmologica. 2010;224(6):333-40. doi: 10.1159/000313814. Epub 2010 May 4.

Reference Type BACKGROUND
PMID: 20453539 (View on PubMed)

Saito T, Rehmsmeier M. The precision-recall plot is more informative than the ROC plot when evaluating binary classifiers on imbalanced datasets. PLoS One. 2015 Mar 4;10(3):e0118432. doi: 10.1371/journal.pone.0118432. eCollection 2015.

Reference Type BACKGROUND
PMID: 25738806 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2021-D0038

Identifier Type: REGISTRY

Identifier Source: secondary_id

High Res OCT

Identifier Type: -

Identifier Source: org_study_id

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