UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063032
Receipt number R000072157
Scientific Title A Morphological Study of the Spine in Pregnant Women in the Third Trimester Using CT Images: A Retrospective Study Comparing Images from the Same Patients During Pregnancy and Non-pregnancy
Date of disclosure of the study information 2026/09/28
Last modified on 2026/09/23 21:39:22

* 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

A Morphological Study of the Spine in Pregnant Women in the Third Trimester Using CT Images: A Retrospective Study Comparing Images from the Same Patients During Pregnancy and Non-pregnancy

Acronym

A Morphological Study of the Spine in Pregnant Women in the Third Trimester Using CT Images: A Retrospective Study Comparing Images from the Same Patients During Pregnancy and Non-pregnancy

Scientific Title

A Morphological Study of the Spine in Pregnant Women in the Third Trimester Using CT Images: A Retrospective Study Comparing Images from the Same Patients During Pregnancy and Non-pregnancy

Scientific Title:Acronym

A Retrospective Study Comparing CT Scans in Pregnant Women with Those in Non-Pregnant Women

Region

Japan


Condition

Condition

Pregnant Women

Classification by specialty

Obstetrics and Gynecology Anesthesiology Not applicable
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We will compare CT images of pregnant patients taken during the third trimester with those taken when they were not pregnant, and examine and identify the morphological characteristics of the spine in women during the third trimester. Furthermore, using the results of this morphological analysis, we will investigate the puncture sites and techniques that are likely to yield a high success rate when performing spinal anesthesia on women in the third trimester.

Basic objectives2

Others

Basic objectives -Others

We will examine differences in the morphological characteristics of the spine between pregnancy and non-pregnancy.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

2D CT Image Data Parameters (1. Lumbar lordosis angle, 2. Sacral tilt angle, 3. Pelvic tilt angle, 4. Length of the ligamentum flavum, 5. Distance between the skin and the epidural space, 6. Distance between the skin and the subarachnoid space of the spinal cord, 7. Range of angles suitable for puncture)

Key secondary outcomes

CT Image 3D Data Items
Using 3D-reconstructed data, we analytically determine puncture points on the skin that allow access to the subarachnoid space of the spinal cord, and calculate and analyze the area of the puncture-accessible region.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1. Patients who underwent a CT scan at this hospital during pregnancy at 28 weeks or later, with the imaging range covering the lumbar spine through the pelvis
2. Patients who underwent a CT scan during a non-pregnancy period (excluding the 9-week period following delivery), with the imaging range covering the lumbar spine through the pelvis

Key exclusion criteria

1. Patients with a history of spinal surgery or spinal lesions
2. Any other individuals whom the principal investigator deems unsuitable as study subjects (participants)

Target sample size

10


Research contact person

Name of lead principal investigator

1st name KUNIHIRO
Middle name
Last name MITSUZAWA

Organization

Shinshu University School of Medicine

Division name

Department of Anesthesiology and Resuscitology

Zip code

390-8621

Address

3-1-1, Asahi Matsumoto, Nagano

TEL

0263372670

Email

mitsukuni@shinshu-u.ac.jp


Public contact

Name of contact person

1st name KUNIHIRO
Middle name
Last name MITSUZAWA

Organization

Shinshu University School of Medicine

Division name

Department of Anesthesiology and Resuscitology

Zip code

390-8621

Address

3-1-1, Asahi Matsumoto, Nagano

TEL

0263372670

Homepage URL


Email

mitsukuni@shinshu-u.ac.jp


Sponsor or person

Institute

Shinshu University

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

Shinshu University School of Medicine Biological and Medical Research Ethics Committee

Address

3-1-1 Asahi, Matsumoto City, Nagano

Tel

0263-37-3099

Email

mdrinri@shinshu-u.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

2026 Year 09 Month 28 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


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

Preinitiation

Date of protocol fixation

2026 Year 08 Month 03 Day

Date of IRB

2026 Year 09 Month 08 Day

Anticipated trial start date

2026 Year 09 Month 28 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We will extract from the electronic medical records patients who underwent CT scans covering the lumbar spine and pelvis during the third trimester (28 weeks or later) and during non-pregnancy, and identify the morphological characteristics of the spine in third-trimester pregnant women by comparing spinal morphology between the third trimester and non-pregnancy. Based on the extracted morphological characteristics, we will investigate the puncture sites and techniques that are likely to result in a high success rate for epidural anesthesia in pregnant women during the third trimester.


Management information

Registered date

2026 Year 09 Month 23 Day

Last modified on

2026 Year 09 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072157