Identification of Brain Injury Using Portable MRI

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorYale University

About this trial

The goal of this study is to look for brain injury in patients who had a cardiac arrest, using portable brain imaging. The portable nature of this test will also allow for serial imaging so the investigators can understand how brain injury changes over days. The results of this study may allow for bedside imaging to be available at centers without specialized imaging centers and may identify markers of brain injury that help to select the patients most likely to benefit for clinical trials.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Unresponsive immediately after ROSC from IHCA or OHCA

Age ≥ 18 years of age

Conventional MRI is clinically indicated

Treatment with temperature control

Disqualifiers

MRI contraindication according to the American Heart Association guidelines

Inability to tolerate supine positioning for 30 minutes

Diffuse loss of grey-white differentiation and sulcal effacement on head computed tomography within 6 hours of ROSC

Trial population

Comatose adult survivors of out-of-hospital cardiac arrest, treated with temperature control will be enrolled in the emergency department or intensive care unit.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • portable MRI scanner

    Device

    Participants will receive 2-3 portable MRI scans: \<6 hours, 6-24 hours, and within 12 (+/- 12) hours of conventional MRI

Treatment groups

60 Participants
are divided into 1 treatment group
Group A: Cardiac arrest with Return of Spontaneous Circulation (ROSC)1 intervention

Trial outcomes

Primary outcomes

1

Cortex- DGN HIBI score

Hypoxic ischemic brain injury will be assessed using the Cortex- DGN HIBI score on a scale of 0-40. Higher scores indicate greater injury.

Time frame
up to 6 hours post cardiac arrest, up to 24 hours post cardiac arrest and within 12 (+/- 12) hours of conventional MRI

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Yale University

Lead sponsor

National Institute of Neurological Disorders and Stroke (NINDS)

Collaborator