Lung Cancer Clinical Trial
Official title:
E-PREDICT Evaluating the Predictive Value of EBUS ELASTOGRAPHY STRAIN in Patients With (Suspected) Lung Cancer
EBUS elastography is a method to determine stiffness of lymph nodes, based on the minute
deformation of the node by the beating heart. Whether EBUS elastography may further increase
the sensitivity to predict the presence or absence of malignancy is unclear.
We suggest to use EBUS elastography strain pattern analysis for this assessment and correlate
these measurements with the final pathology outcome to determine NPV, PPV, sensitivity and
specificity of this analysis to predict the presence or absence of malignancy in patients
with (suspected) lung cancer in a prospectively obtained observational cohort study.
Patients will undergo a routine EBUS and/or EUS or EUSb with Pentax series EBUS or EUS scopes
in combination with Hitachi Preirus Hi-Vision ultrasound processor with installed
elastography software. Normal international guidelines for staging, diagnosis and specimen
acquisition will be followed. For a normal evaluation B-mode measurements from all lymph node
regions are obtained assessing size and standard ultrasound characteristics and all lymph
nodes in the regions of interest that meet the criteria for fine needle aspiration will be
sampled. For this study, in addition to the normal B-mode assessment of five sonographic
B-mode characteristics elastography strain graph video, elastography image, and a strain
histogram from the region of interest will be obtained.
Fine needle aspiration for cytology evaluation will be obtained from nodes based on imaging
characteristics or standard sonography characteristics following current everyday clinical
practice and the international guidelines. Subsequently, the patient charts will be
retrospectively analysed after completion of the diagnostic and/or surgical treatment of the
(suspected) lung cancer to match the obtained imaging data to pathology results (cytology and
or histology where present) and clinical follow up until 6 months after the diagnostic
procedure.
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