Pulmonary Hypertension
Conditions
Keywords
Chronic Thromboembolic Pulmonary Hypertension (CTEPH), MRI, SPECT
Brief summary
Phase III diagnostic trial to demonstrate that functional lung MRI can replace VQ-SPECT in a diagnostic strategy for patients with suspected CTEPH where positive findings are verified with catheter pulmonary angiography (CPA), or computed tomography pulmonary angiography (CTPA)
Detailed description
CHANGE-MRI is a prospective, multicentre, comparative phase III diagnostic study. The study aims to show via an in-place validation that MRI can replace VQ-SPECT as a screening test for chronic pulmonary embolism in the diagnostic algorithm for CTEPH. The diagnostic gold standard is catheter pulmonary angiography (CPA) or computed tomography pulmonary angiography (CTPA) with correction from the clinical outcome after 6-12 months.
Interventions
Index test: functional dynamic contrast enhanced (DCE)-MRI Reference test: Ventilation-perfusion (VQ) single-photon emission computed tomography (SPECT) Follow-up per patient: clinical assessment after 6-12 months
Sponsors
Study design
Eligibility
Inclusion criteria
* Transthoracic echocardiography indicates pulmonary hypertension * Patients with clinical suspicion for CTEPH, scheduled for SPECT * Provided informed consent for the study * Age \>18y
Exclusion criteria
* Patient unable to undergo MRI (e.g. due to claustrophobia, cardiac pacemaker, hypersensitivity to MR i.v. contrast imaging agents) * Women who are pregnant or breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients with positive MRI in the group of patients who have a positive VQ-SPECT diagnosis for chronic pulmonary embolism and who are positive in the gold standard | 6 months |
| The proportion of patients with positive MRI in the group of patients with negative VQ-SPECT who are negative in the gold standard | 6 months |
Countries
Germany