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Low-dose Dual-energy CT for the Pre-surgical Planning of Patients With Progression of Scoliosis

Diagnostic Accuracy of Low-dose Dual-energy CT for the Pre-surgical Planning of Patients With Progression of Scoliosis

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03483844
Enrollment
64
Registered
2018-03-30
Start date
2018-01-16
Completion date
2019-12-31
Last updated
2023-09-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Scoliosis

Keywords

scoliosis, low dose, arthrodesis, dual-energy CT

Brief summary

The aim of the study is to evaluate the diagnostic accuracy of low-dose dual energy CT in the pre-surgical planning of patients with progression of scoliosis

Detailed description

CT imaging is the gold standard for assessing bone dysmorphism and vertebral morphometry during the pre-surgical planning of vertebral arthrodesis. It is necessary in the definition of the fixation points to avoid malposition of transpedicular screws and potential visceral, vascular or neurological damage. It is known that multislice CT involves an increased radiation exposure for patients, while dual-energy CT uses a low-dose acquisition protocol and VEO reconstruction software. The aim of the study is to evaluate the diagnostic accuracy of low-dose dual energy CT in the pre-surgical planning of patients with progression of scoliosis who are candidated for vertebral arthrodesis.

Interventions

DIAGNOSTIC_TESTGE CT 750 HD

Low-dose dual-energy CT imaging

Sponsors

Istituto Ortopedico Rizzoli
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
5 Years to 20 Years
Healthy volunteers
No

Inclusion criteria

* patients with progression of scoliosis without vertebral arthrodesis * patients able to maintain immobility for the duration of the exam * patients from 5 to 20 years old

Exclusion criteria

* pregnancy * vertebral arthrodesis * patients unable to maintain immobility for the duration of the exam * non-compliant patients * obese patients * patients younger than 5 years old or older than 20 years old

Design outcomes

Primary

MeasureTime frameDescription
Diagnostic accuracyWeek 1 (post-surgery)To evaluate the percentage of malpositioning of transpedicular screw. A percentage of malpositioning lower than 10% will be considered as acceptable.

Secondary

MeasureTime frameDescription
Radiation exposureBaseline (pre-surgery) and week 1 (post-surgery)Collection of dosimetric data

Countries

Italy

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026