About this trial
The study examines whether a mechanical arm ultrasound system provides diagnostic accuracy comparable to expert-performed full ultrasound for detecting key joint components and whether it can reduce acquisition variability without compromising accuracy, as measured by false-positive and false-negative rates.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of hemophilia A or B or other bleeding disorders
Cooperative patients
Previous study joint bleed (by history) or suspicion of an acute joint bleed
Disqualifiers
Co-morbid chronic illnesses causing osteoarticular findings
MRI contraindications
Trial design
Single group
Treatments tested in this trial
Mechanical Ultrasound
Device3D ultrasound imaging is a non-invasive technique. The device consists of a stationary platform and a water-filled rotating drum designed to acquire 3D ultrasound images of the ankles. An ultrasound transducer is mounted on a mechanical arm, which positions and orients it toward the rotating axis of the drum. The collected ultrasound images will be mapped into 3D space, and the volume will be reconstructed using software developed by the manufacturer.
Treatment groups
Trial outcomes
Primary outcomes
1. Diagnostic Accuracy of 3DUS compared with full ultrasound and MRI
Proportion of correctly classified cases comparing 3DUS findings against full ultrasoind and MRI (reference standard)
Ability of 3DUS to quantify individual joint components (synovial hypertrophy, hemarthrosis, hemosiderin, bone erosions/subchondral cysts, cartilage loss)
Findings will be measured as normal, mild, moderate and severe
Secondary outcomes
Integration of 3D ultrasound into Diagnostic Algorithm
Number of cases where 3DUS prevents the need for MRI or full ultrasound or improves detection of early arthropathy.
Other outcomes
Feasibility and Image Quality of 3D ultrasound
Proportion of successful scans without technical failure
Locations
Sponsors and contacts
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The Hospital for Sick Children
Lead sponsor
Western University, Canada
Collaborator
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