| Unique ID issued by UMIN | UMIN000026899 |
|---|---|
| Receipt number | R000030859 |
| Scientific Title | Observation and evaluation of skin and subcutaneous tissue using ultrasonic examination equipment for lymphedema |
| Date of disclosure of the study information | 2017/05/01 |
| Last modified on | 2020/01/21 13:47:16 |
Observation and evaluation of skin and subcutaneous tissue using ultrasonic examination equipment for lymphedema
Observation and evaluation of skin and subcutaneous tissue using ultrasonic examination equipment for lymphedema
Observation and evaluation of skin and subcutaneous tissue using ultrasonic examination equipment for lymphedema
Observation and evaluation of skin and subcutaneous tissue using ultrasonic examination equipment for lymphedema
| Japan |
lymphedema
| Surgery in general | Plastic surgery |
Others
NO
The main purpose of this research is to use ultrasonic examination equipment with high versatility and widely used to early diagnosis, severity assessment, treatment effect judgment of patients with limb lymphedema, ultrasonic It is to prepare appropriate criteria for limb lymphedema by test equipment. If this demonstrates the usefulness of mild ultrasonography of invasion of lymphedema, this will lead to reducing the physical and mental burden of the patient in routine practice.
Efficacy
From the consent acquisition until the end of the research period, obtain the following image findings. Simple ultrasound examination (B mode): presence / absence of boundary line at lower edge of dermis, continuity of fascia. Simple ultrasonography (elastography): Hardness of subcutaneous tissue.
Interventional
Parallel
Non-randomized
Open -no one is blinded
No treatment
2
Prevention
| Device,equipment | Maneuver |
1. We performed lymphoscintigraphy (SPECT / CT) or ICG fluorescence lymphangiography according to our protocol on patients with chronic lymphedema of the extremity who had visited Yokohama City University Department of Plastic Surgery to classify the severity of lymphatic dysfunction . After acquiring consent for participation in this study, we confirm that all selection criteria are met and whether any of exclusion criteria are not met, and patients who satisfy the conditions are registered as research subjects.
2. I will listen to the subjects for physical clinical severity (circumference, volume, frequency of inflammation etc.) about lymphoedema, timing of onset of edema, years since onset, past treatment history etc.
3. Determine the content of conservative treatment according to severity of lymph dysfunction.
4. Evaluate the following items with ultrasonic inspection equipment before the start of preservative treatment and at the time when the content of preserved preservative treatment is reached.
* Observe the skin and subcutaneous tissue in standard mode and observe the thickness measurement and change in brightness.
* Evaluate hardness change of tissue before and after treatment by using mode for evaluating hardness such as elastography and shea wave.
5. Scheduled preservation After reaching the treatment, if there is hope from the research subject, lymph venous anastomosis is performed. Among patients who underwent surgical treatment, in cases where consent on donation of subcutaneous and lymphatic vessels was obtained in a study different from this study, examination of correlation and correlation between pathological findings and ultrasonic image findings As well.
1. Volunteers for healthy volunteers will be publicly invited on our homepage.
2. After acquiring consent for participation in this study, we confirm that all selection criteria are met and whether any of exclusion criteria are not met, and healthy volunteers meeting the conditions are registered as research subjects.
3. Evaluate the following items with ultrasonic inspection equipment.
* Observe the skin and subcutaneous tissue in standard mode and observe the thickness measurement and change in brightness.
* Evaluate the hardness of tissue using a mode for evaluating hardness such as elastography and shea wave.
| 0 | years-old | <= |
| 80 | years-old | > |
Male and Female
1. Patients diagnosed with limb lymphedema by lymphoscintigraphy or ICG fluorescence lymphangiography
2. Patients who are 0 to 80 years of age at the time of registration do not matter in sex.
3. Whether or not treatment history for limb lymphoedema is present does not matter.
Four. Patients with systolic blood pressure less than 160 mm Hg and diastolic blood pressure less than 100 mm Hg (internal control possible)
5. Patients with severe heart disease or lung disease
6. Uncontrollable diabetic patients (with or without treatment) with a fasting blood sugar level of 130 mg / dL or more
7. In addition, patients judged unsuitable as subjects by doctor's judgment
1. Patients with a history of hypersensitivity to the drugs used
2. Patients allergic to eggs and egg products
3. Patients who are pregnant, may be pregnant, or prefer pregnancy during treatment. Breastfeeding patients
Four. Patients with right and left shunts in the heart and lungs
5. Patients with severe heart disease or lung disease
6. Uncontrollable diabetic patients (with or without treatment) with a fasting blood sugar level of 130 mg / dL or more
7. In addition, patients judged unsuitable as subjects by doctor's judgment
60
| 1st name | |
| Middle name | |
| Last name | Maegawa Jiro |
Yokohama City University, School of medicine
Department of plastic and reconstructive surgery
Fukuura 3-9, Kanazawa-ku, Yokohama City, Kanagawa Prefecture
045-787-2709
prs_ycu@yokohama-cu.ac.jp
| 1st name | |
| Middle name | |
| Last name | Maegawa Jiro |
Yokohama City University, School of medicine
Department of plastic and reconstructive surgery
Fukuura 3-9, Kanazawa-ku, Yokohama City, Kanagawa Prefecture
045-787-2709
prs_ycu@yokohama-cu.ac.jp
Yokohama City University
nothing
Other
NO
| 2017 | Year | 05 | Month | 01 | Day |
Unpublished
Completed
| 2017 | Year | 05 | Month | 01 | Day |
| 2017 | Year | 02 | Month | 21 | Day |
| 2017 | Year | 04 | Month | 01 | Day |
| 2019 | Year | 04 | Month | 16 | Day |
| 2017 | Year | 04 | Month | 07 | Day |
| 2020 | Year | 01 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030859