UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016705
Receipt number R000019362
Scientific Title Evaluation of clinical efficacy of Magnetic Resonance Spectroscopy for gynecological pelvic abscess
Date of disclosure of the study information 2015/03/11
Last modified on 2019/09/08 18:07:54

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Evaluation of clinical efficacy of Magnetic Resonance Spectroscopy for gynecological pelvic abscess

Acronym

Evaluation of clinical efficacy of MRS for gynecological pelvic abscess

Scientific Title

Evaluation of clinical efficacy of Magnetic Resonance Spectroscopy for gynecological pelvic abscess

Scientific Title:Acronym

Evaluation of clinical efficacy of MRS for gynecological pelvic abscess

Region

Japan


Condition

Condition

Gynecological pelvic abscess

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Gynecological pelvic abscesses are a relatively common disease including pyometra, ovarian cyst infection and lymphcele infection after treatment of gynecological cancers.
The principals of treatment are administration of antibiotics and drainage. However, puncturing deep pelvic abscesses are technically challenging at times. In some cases, clinical improvement may be achieved without drainage, thus the choice of antibiotics is important.
MRI consists of the signals of protons developed in the magnetic field in the device. The frequencies of signals from protons attached to free water differ from those attached to other molecules. MRS is a technique to estimate the components of the lesions by utilizing the difference of frequency of each proton. For example, MRS has been reported to differentiate between necrotic tissues and relapsed lesions in brain tumors after radiation therapy, and detect lactic acid in abscesses, which is a sign suspicious of anaerobic infection.
In common practice, the type of antibiotic is decided based on clinical information, infection site and the estimated causative agent, and modified from the result of laboratory culture. When pelvic abscesses are challenging to puncture, MRS may induce useful information to management, if the MRS is useful to estimate the causative agent.
The aim of this study is to evaluate the diagnostic efficacy for abscess component and clinical utility of MRS, which is obtained in addition to usual MRI.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Diagnostic efficacy of MRS as for causative agents and results of biochemical examination of abscess contents

Key secondary outcomes

Clinical efficacy of MRS for predicting clinical course (ex: for deciding indication of drainage)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

In usual clinical practice, patients who are suspected as pelvic abscess undergo imaging examination such as MRI.In addition to usual scanning, the data of MRS will be obtained with deciding on the region of abscess detected by MRI. It takes about five minutes to gain additionally.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Patients with gynecological pelvic abscess in our hospital, who can undergo MRS.

Key exclusion criteria

minors
patients who refuse scanning
patients whose data is not adequate

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Banno
Middle name
Last name Kouji

Organization

Keio University Scool of Medicine

Division name

Department of Obstetrics & Gynecology

Zip code

1408582

Address

35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan

TEL

03-3353-1211(ext.61723)

Email

kbanno@z7.keio.jp


Public contact

Name of contact person

1st name Yuya
Middle name
Last name Nogami

Organization

Keio University School of Medicine

Division name

Department of Obstetrics & Gynecology

Zip code

1408582

Address

35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan

TEL

03-3353-1211(ext.61730)

Homepage URL


Email

yuya22wing@hotmail.com


Sponsor or person

Institute

Keio University School of Medicine, Department of Obstetrics & Gynecology

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Keio University IRB

Address

35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan

Tel

03-5363-3611

Email

med-rinri-jimu@adst.keio.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 11 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

17

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 02 Month 23 Day

Date of IRB

2015 Year 02 Month 23 Day

Anticipated trial start date

2015 Year 04 Month 01 Day

Last follow-up date

2019 Year 03 Month 20 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 03 Month 04 Day

Last modified on

2019 Year 09 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019362