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 |
Evaluation of clinical efficacy of Magnetic Resonance Spectroscopy for gynecological pelvic abscess
Evaluation of clinical efficacy of MRS for gynecological pelvic abscess
Evaluation of clinical efficacy of Magnetic Resonance Spectroscopy for gynecological pelvic abscess
Evaluation of clinical efficacy of MRS for gynecological pelvic abscess
Japan |
Gynecological pelvic abscess
Obstetrics and Gynecology |
Malignancy
NO
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.
Efficacy
Exploratory
Pragmatic
Diagnostic efficacy of MRS as for causative agents and results of biochemical examination of abscess contents
Clinical efficacy of MRS for predicting clinical course (ex: for deciding indication of drainage)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Diagnosis
Device,equipment |
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.
20 | years-old | <= |
Not applicable |
Female
Patients with gynecological pelvic abscess in our hospital, who can undergo MRS.
minors
patients who refuse scanning
patients whose data is not adequate
20
1st name | Banno |
Middle name | |
Last name | Kouji |
Keio University Scool of Medicine
Department of Obstetrics & Gynecology
1408582
35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan
03-3353-1211(ext.61723)
kbanno@z7.keio.jp
1st name | Yuya |
Middle name | |
Last name | Nogami |
Keio University School of Medicine
Department of Obstetrics & Gynecology
1408582
35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan
03-3353-1211(ext.61730)
yuya22wing@hotmail.com
Keio University School of Medicine, Department of Obstetrics & Gynecology
None
Other
Keio University IRB
35 Shinanomachi, Shinjyuku-ku, Tokyo, Japan
03-5363-3611
med-rinri-jimu@adst.keio.ac.jp
NO
2015 | Year | 03 | Month | 11 | Day |
Partially published
17
Completed
2015 | Year | 02 | Month | 23 | Day |
2015 | Year | 02 | Month | 23 | Day |
2015 | Year | 04 | Month | 01 | Day |
2019 | Year | 03 | Month | 20 | Day |
2015 | Year | 03 | Month | 04 | Day |
2019 | Year | 09 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019362