Acute Respiratory Distress Syndrome (ARDS) Clinical Trial
— CT4-ARDSOfficial title:
Validation of a Semi-automatized Method to Detect Cyclic Hyperinflation on CT-scan in ARDS
Verified date | August 2022 |
Source | Hospices Civils de Lyon |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study aims to validate a semi-automatized method to quantify cyclic hyperinflation on CT-scan of ARDS patients. The gold standard will be cyclic hyperinflation assessed on the same CT scan, using manual segmentation of the lung.
Status | Completed |
Enrollment | 31 |
Est. completion date | February 16, 2021 |
Est. primary completion date | February 16, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - ARDS patients defined by the Berlin definition - invasive mechanical ventilation with an arterial oxygen pressure (PaO2)/inspired fraction of oxygen (FiO2) ratio = 200 mm Hg - Indication of CT scan identified by the clinician in charge - oesophageal catheter already inserted Exclusion Criteria: - requirement of contrast agent for a chest CT-scan - ARDS criteria present for more than 72 hours - Chronic Obstructive Pulmonary Disease (COPD) on a previous lung function test - pneumothorax or bronchopleural fistula - patient without both sedation and neuromuscular blocking agents - contra-indication to transport to the imaging facility - treatment with extracorporeal membrane oxygenation or extracorporeal carbon dioxide (CO2) removal - Latex or curare allergy - patient previously included in the study - pregnancy - patient under limitation of care - patient under an exclusion period following inclusion in another clinical trial - patient under a legal protective measure - patient unaffiliated with social security - inform consent not obtained by next of kin |
Country | Name | City | State |
---|---|---|---|
France | Croix Rousse Hospital | Lyon |
Lead Sponsor | Collaborator |
---|---|
Hospices Civils de Lyon |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | cyclic hyperinflation measured by manual segmentation | Bias and precision of semi-automated measure will be assessed with the Bland and Altman Technique, using cyclic hyperinflation by manual segmentation as a reference | 2 hours after inclusion | |
Primary | cyclic hyperinflation measured by semi-automated segmentation | Bias and precision of semi-automated measure will be assessed with the Bland and Altman Technique, using cyclic hyperinflation by manual segmentation as a reference | 2 hours after inclusion | |
Secondary | prevalence of cyclic hyperinflation on CT scan | cyclic hyperinflation assessed by manual segmentation on CT scan | 2 hours after inclusion | |
Secondary | area under receiver operating characteristic (ROC) curve of respiratory system driving pressure to detect cyclic hyperinflation assessed by manual segmentation | 2 hours after inclusion | ||
Secondary | area under ROC curve of transpulmonary driving pressure to detect cyclic hyperinflation assessed by manual segmentation | 2 hours after inclusion |
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