Lumbar Pain
Conditions
Brief summary
In a prospective, randomized, controlled, parallel group study the accuracy, intervention time and radiation dose of CT-guided punctures using the Puncture Cube® will be compared to the conventional free-hand method in patients requiring a percutaneous diagnostic or therapeutic CT-guided intervention for lumbar pain (facet joint-, nerve root-, epidural infiltrations at the lumbar/lumbosacral level).
Detailed description
Computed tomography (CT)-guided interventions for diagnostic and therapeutic purposes are standard approaches in clinical routine (e.g. in patients with low back pain). Numerous CT needle navigation systems have been developed with the aim to improve accuracy (and thus safety) of punctures while decreasing radiation exposure and procedure time. Their usability in clinical routine is limited either because of high sensitivity to interference, high expenses, bulkiness, or incompatibly with daily clinical practice and thus increasing procedure time and workflow complexity. The Puncture Cube® takes into account all these requirements. Furthermore, in an in vitro-phantom study (study submitted for publication), punctures with the Cube were found to be faster and more accurate compared to the free-hand conventional method. In a prospective, randomized, controlled, parallel group study the accuracy, intervention time and radiation dose of CT-guided punctures using the Puncture Cube® will be compared to the conventional free-hand method in patients requiring a percutaneous diagnostic or therapeutic CT-guided intervention for lumbar pain (facet joint-, nerve root-, epidural infiltrations at the lumbar/lumbosacral level).
Interventions
DEVICEFree-hand therapeutic CT-guided punction for lumbar pain
Diagnostic or therapeutic CT-guided intervention for lumbar pain management using the Puncture Cube® as a needle navigation device.
DEVICEPuncture Cube
Diagnostic or therapeutic CT-guided intervention for lumbar pain management using the Puncture Cube® as a needle navigation device.
Sponsors
Luca Remonda
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Prospective, randomized, controlled, parallel group study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients requiring a percutaneous therapeutic CT-guided intervention for * lumbar pain (joint-, nerve root-, epidural infiltrations at the lumbar/lumbosacral level) * age ≥ 18 years * Signed informed consent prior to intervention
Exclusion criteria
* Patients suffering from severe obesity (BMI \> 30 kg/m2)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Puncture accuracy | during procedure time approximately 30 min. | Assessment of puncture accuracy (distance and angle error between planned and achieved trajectory) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of control acquisitions to achieve target | during procedure time approximately 30 min. | Number of control acquisitions to achieve target |
| Assessment of radiation dose | during procedure time approximately 30 min. | Assessment of radiation dose |
| Assessment of intervention time | during procedure time approximately 30 min. | Assessment of intervention time |
Countries
Switzerland
Contacts
Primary ContactLuca Remonda, Prof.
Outcome results
None listed