40 Participants Needed

Photon-counting CT for Chronic Obstructive Pulmonary Disease

WC
Overseen ByWendy Curry
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Duke University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial evaluates a new type of CT scan called photon-counting CT to assess its effectiveness in measuring lung problems in individuals with Chronic Obstructive Pulmonary Disease (COPD). The goal is to determine if this scan provides accurate and consistent information about lung damage and airways. Participants will undergo both the regular CT scan and this new scan for comparison. Those already enrolled in the Duke COPDGene Phase 4 study and able to consent are suitable candidates for this trial. As an unphased study, this trial offers participants the opportunity to contribute to cutting-edge research that could enhance diagnostic methods for COPD.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.

What prior data suggests that photon-counting CT is safe for use in this study?

Research has shown that photon-counting CT (PCCT) scans are generally well-tolerated. Studies have found that PCCT can provide clearer images and help doctors make more confident diagnoses without increasing the risk of side effects compared to regular CT scans.

In this study, participants will undergo an additional CT scan using PCCT, which involves a small amount of radiation. This radiation dose is similar to what one would naturally receive from the environment over six months. It is considered low and generally safe for most people. Pregnant women are excluded from these scans to avoid any potential risks to the unborn baby.

Overall, evidence suggests that PCCT is safe for use in medical settings. For specific concerns or questions, discussing them with a healthcare provider is advisable.12345

Why are researchers excited about this trial?

Researchers are excited about photon-counting CT for chronic obstructive pulmonary disease (COPD) because it offers a new way to visualize the lungs with much greater detail. Unlike traditional CT scans, which merge all types of X-ray energy into one image, photon-counting CT breaks down the energy into different levels. This allows doctors to see smaller structures and subtle changes in the lungs that might be missed otherwise. By potentially providing clearer images, this method could improve diagnosis and monitoring of COPD, leading to better patient management.

What evidence suggests that photon-counting CT is effective for evaluating COPD?

Research has shown that photon-counting CT (PCCT) scans provide more accurate and reliable results than regular CT scans for assessing lung conditions like COPD. Studies have found that PCCT delivers clearer and more detailed images, aiding doctors in distinguishing different lung tissues. This precision allows for more accurate measurement of lung issues like emphysema. In this trial, participants will undergo both energy-integrating CT scans and PCCT scans. The clearer images from PCCT enable doctors to identify lung problems more accurately, potentially leading to improved patient care. Early findings suggest that PCCT scans may be particularly useful for monitoring changes in lung health over time.26789

Who Is on the Research Team?

EA

Ehsan Abadi, Ph.D.

Principal Investigator

Duke University

Are You a Good Fit for This Trial?

This trial is for participants already enrolled in the COPDGene Phase 4 study who have chronic obstructive pulmonary disease (COPD). They must consent to an additional CT scan using a new technology. Pregnant women are excluded from this trial.

Inclusion Criteria

This study recruits from the Duke-COPDGene Phase 4 study. All participants from this cohort are eligible and will be included if they consent.

Exclusion Criteria

This study recruits from the Duke-COPDGene Phase 4 study. All participants from this cohort are eligible and will be included if they consent.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

PCCT Scan Acquisition

Participants undergo a photon-counting CT scan using a specific protocol at their Phase 4 COPDGene visit

1 day
1 visit (in-person)

Image Reconstruction and Analysis

Reconstruction of PCCT images with multiple post-acquisition parameter settings and application of harmonization techniques

4 weeks

Follow-up

Participants are monitored for safety and effectiveness after the PCCT scan

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Photon-counting CT
Trial Overview The study is testing photon-counting computed tomography (PCCT) against the standard energy-integrating CT (EICT) for accuracy in measuring lung damage and airway changes in COPD patients. It involves extra scans with PCCT and analysis of image quality.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Energy-integrating and photon-counting CT scansExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Duke University

Lead Sponsor

Trials
2,495
Recruited
5,912,000+

Citations

Photon-counting CT versus conventional CT for COPD ...The data suggest that the PCCT scanner was more accurate and less variable across tested protocols. Comparing the mean results of lung MAE for different ...
Quantitative CT imaging in chronic obstructive pulmonary ...Acquiring Xenon-enhanced ventilation CT using photon-counting CT is expected to offer improved spatial resolution and increased accuracy in the ...
American Journal of Respiratory and Critical Care MedicineAlso, with the advent of the photon-counting CT scan (7), which will allow better spatial and contrast resolution of soft tissues leading to more precise ...
Photon-counting CT in Thoracic Imaging: Early Clinical ...Photon-counting CT in thoracic imaging provides clinical benefits compared with conventional CT for imaging airway and diffuse lung diseases.
Ready to roll: The virtuous cycle of computed tomography ...Unfortunately, for a number of reasons, clinical uptake of CT imaging for insights in patients with chronic obstructive pulmonary disease (COPD) ...
A One-Stop CT Scanning for Lung Cancer ScreeningThis review evaluates the progress of AI technology combined with chest CT imaging in COPD comorbidities, including lung cancer, cardiovascular disease, ...
Clinical Applications of Photon-counting CT: A Review ...Furthermore, PCCT has been shown to increase diagnostic confidence in interpreting coronary artery disease by 55% compared with DECT based on a ...
Predicting severe chronic obstructive pulmonary disease ...Predicting severe chronic obstructive pulmonary disease exacerbations using quantitative CT: a retrospective model development and external validation study
Quantitative CT in Chronic Obstructive Pulmonary DiseaseMany reports have confirmed good correlations of histogram-derived quantitative CT techniques with the results of lung function tests and pathologic evidence of ...
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