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Traumatic Brain Injury Biological Diagnosis Via High Definition Tractography Asymmetry Screening

Primary Purpose

Traumatic Brain Injury

Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
MRI of the Brain (No Contrast) Scan
Sponsored by
NYU Langone Health
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Traumatic Brain Injury

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria TBI subjects:

  • Documented history of TBI (for Chronic).
  • No MRI contraindications such as implanted ferrous metal, pacemakers, body weight above 125 Kg, (might not fit in the scanner), or concerns about claustrophobia.

Exclusion Criteria TBI subjects:

  • Inability or unwillingness of subject to provide written informed consent.
  • History of penetrating gunshot wound.

Inclusion Criteria Control subjects:

  • No prior history of concussion, TBI, blast exposure, stroke, or other major neurological disorder.
  • No MRI contraindications such as implanted ferrous metal, pacemakers, body weight above 125 Kg, (might not fit in the scanner), or concerns about claustrophobia.

Exclusion Criteria TBI subjects:

  • Inability or unwillingness of subject to provide written informed consent.
  • History of concussions, stroke, or penetrating gunshot wound.

Inclusion Criteria Sequence Development Subjects:

  • No MRI contraindications such as implanted ferrous metal, pacemakers, body weight above 125 Kg, (might not fit in the scanner), or concerns about claustrophobia.

Exclusion Criteria Sequence Development Subjects:

  • Inability or unwillingness of subject to provide written informed consent
  • Contra-indication to MR imaging, such as ferrous metal, pacemakers, body weight above 125 Kg or concerns

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Active Comparator

    Active Comparator

    Arm Label

    Traumatic Brain Injury

    Normal Controls

    Sequence Development Volunteers

    Arm Description

    Documented history of Traumatic Brain Injury

    No prior history of concussion, TBI, blast exposure, stroke, or other major neurological disorder

    Outcomes

    Primary Outcome Measures

    Diagnosis reliability measured by MRI scanning data results
    Amount of white matter damage using HDTAS DSI diffusion evaluation of volume and connectivity across 40 fiber tracts over 150 brain regions.
    Tract anomalies will be coded as significant differences either to normative data of the tract or expected left/right ratio of tract axonal volume. White matter damage will first be quantified through HDFT evaluation of volume and connectivity across 40 fiber tracts over 150 brain regions
    Comparison of severity of subjects with TBI using Diffusion Tension Imaging (DTI)

    Secondary Outcome Measures

    Full Information

    First Posted
    March 8, 2016
    Last Updated
    May 8, 2019
    Sponsor
    NYU Langone Health
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02728960
    Brief Title
    Traumatic Brain Injury Biological Diagnosis Via High Definition Tractography Asymmetry Screening
    Official Title
    TBI Biological Diagnosis Via High Definition Tractography Asymmetry Screening
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2019
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study under review. Temporarily suspended
    Study Start Date
    February 2015 (Actual)
    Primary Completion Date
    December 2018 (Actual)
    Study Completion Date
    December 2018 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    NYU Langone Health

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary purpose of this study is to validate the High Definition Fiber Tracking (HDFT/HDFTAS) technology, so that faster, more reliable diagnosis can be implemented in Traumatic Brain Injury (TBI). This study will involve Traumatic Brain Injury Patients and normal controls, in addition to 30 pilot participants who will be undergoing MRI in order to develop a statistically sound range for the metrics derived from HDFT.
    Detailed Description
    This descriptive study sponsored by the United States Department of Defense involves the examination of TBI participants and normal control participants through MRI (Without Contrast) scanning. Normal controls are essential to develop a statistically sound range for the metrics derived from High Definition Fiber Tracking (HDFT). TBI subjects will undergo 1 MRI scan and normal controls will be asked to undergo 1 MRI scan. The study will involve blinded evaluations of results to determine the ability of HDFT imaging methods to evaluate TBI. In addition to the TBI and normal controls evaluated in this research study, investigators will be running 30 pilot participants. These participants will be undergoing MRI in order to streamline our pulse sequence and calibrate the MRIs. This is part of the technical development for the project and will occur before the recruitment of TBI subjects and normal controls for comparison. Data from the pilot subjects will not serve as control data for the TBI subjects.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Traumatic Brain Injury

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Traumatic Brain Injury
    Arm Type
    Experimental
    Arm Description
    Documented history of Traumatic Brain Injury
    Arm Title
    Normal Controls
    Arm Type
    Active Comparator
    Arm Description
    No prior history of concussion, TBI, blast exposure, stroke, or other major neurological disorder
    Arm Title
    Sequence Development Volunteers
    Arm Type
    Active Comparator
    Intervention Type
    Procedure
    Intervention Name(s)
    MRI of the Brain (No Contrast) Scan
    Intervention Description
    DSI data will be acquired on 3T Tim Trio System (Siemens) using a 32-channel coil
    Primary Outcome Measure Information:
    Title
    Diagnosis reliability measured by MRI scanning data results
    Time Frame
    2 Hours
    Title
    Amount of white matter damage using HDTAS DSI diffusion evaluation of volume and connectivity across 40 fiber tracts over 150 brain regions.
    Description
    Tract anomalies will be coded as significant differences either to normative data of the tract or expected left/right ratio of tract axonal volume. White matter damage will first be quantified through HDFT evaluation of volume and connectivity across 40 fiber tracts over 150 brain regions
    Time Frame
    2 Hours
    Title
    Comparison of severity of subjects with TBI using Diffusion Tension Imaging (DTI)
    Time Frame
    2 Hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria TBI subjects: Documented history of TBI (for Chronic). No MRI contraindications such as implanted ferrous metal, pacemakers, body weight above 125 Kg, (might not fit in the scanner), or concerns about claustrophobia. Exclusion Criteria TBI subjects: Inability or unwillingness of subject to provide written informed consent. History of penetrating gunshot wound. Inclusion Criteria Control subjects: No prior history of concussion, TBI, blast exposure, stroke, or other major neurological disorder. No MRI contraindications such as implanted ferrous metal, pacemakers, body weight above 125 Kg, (might not fit in the scanner), or concerns about claustrophobia. Exclusion Criteria TBI subjects: Inability or unwillingness of subject to provide written informed consent. History of concussions, stroke, or penetrating gunshot wound. Inclusion Criteria Sequence Development Subjects: No MRI contraindications such as implanted ferrous metal, pacemakers, body weight above 125 Kg, (might not fit in the scanner), or concerns about claustrophobia. Exclusion Criteria Sequence Development Subjects: Inability or unwillingness of subject to provide written informed consent Contra-indication to MR imaging, such as ferrous metal, pacemakers, body weight above 125 Kg or concerns
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Fernando Boada, PhD
    Organizational Affiliation
    New York University Medical School
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Traumatic Brain Injury Biological Diagnosis Via High Definition Tractography Asymmetry Screening

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