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Fluorescence Imaging in Hepatobiliary Surgery

Evaluation of Fluorescence Imaging in Hepatobiliary Surgery

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03946761
Enrollment
0
Registered
2019-05-13
Start date
2021-12-31
Completion date
2022-12-31
Last updated
2022-01-24

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

Conditions

Hepatobiliary Surgery

Brief summary

A current gap in the use indocyanine green fluorescence to isolate the biliary system is the dosing amount necessary to fluoresce the biliary system without over fluorescing the liver and gallbladder. Over fluorescing surrounding structures such as the liver and gallbladder saturates the image and makes it impossible to identify biliary leaks or differentiate branches of the common bile duct using fluorescent imaging devices. The over dosing does not affect the standard of care procedure, but eliminates the added benefit of the fluorescent imaging technology. The use of microdoses (approximately 0.1 mg) of indocyanine green has been trialed and shown promise in some patients. This study aims to do an in depth study utilizing the Cancer goggle systems fluorescent imaging system to determine the correct dose needed to isolate the biliary system without over fluorescing surrounding structures. This dosing study could additionally serve as a pilot study for follow on research using indocyanine green and fluorescent imaging in hepatobiliary surgery.

Interventions

DEVICECancer goggle system

-The cancer goggle system is being used as a non-significant risk device

Sponsors

Washington University School of Medicine
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Planned open liver resection or ablation. * At least 18 years of age. * Able to understand and willing to sign a written informed consent document.

Exclusion criteria

-History of allergic reactions attributed to ICG, iodine, iodine dye, or other agents used in the study.

Design outcomes

Primary

MeasureTime frame
The minimum dose of the ICG that causes initial fluorescence of the liverThrough completion of surgery for all participants enrolled (estimated to take 1 year)

Secondary

MeasureTime frame
The visible status of the bile ducts and/or bile leaks from the cut surface of the liver at ICG doses administered in our dosing regimenThrough completion of surgery for all participants enrolled (estimated to take 1 year)

Outcome results

None listed

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