Microstructure Imaging in Stroke Patients

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorDanish Research Centre for Magnetic Resonance

About this trial

The purpose of this study is to establish a methodological framework based on existing advanced neuroimaging technologies as a new clinical neuroimaging tool for assessment of possible affected brain connections in stroke and TIA patients. Thus, providing new insights into microstructural changes that may underline why those patients experience deficits like fatigue.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Stroke or TIA (ABCD2>4 and/or acute Diffusion-Weighted Image (DWI) lesion).

Modified Rankin Scale <=2.

As perceived by the investigator, have the ability to comply with all requirements of the study protocol.

Have the ability to understand and sign the Informed Consents Form.

Disqualifiers

The DRCMR´s general exclusion criteria for MRI research.

Pregnancy or lactation; human chorionic gonadotropin (hCG) urine test is offered for women < 55 years.

Major medical illness (for instance: anemia, diabetes mellitus, thyroid disorders, cardiovascular disease, electrolyte imbalance, etc.)

Treated with ritalin or modafinil.

Trial population

The study population is in total 90 participants, from which, 3 groups are divided: 30 minor Stroke patients, 30 TIA patients, and 30 healthy controls. * The 2 groups of patients, minor Stroke and TIA, will be recruited from Department of Neurology, Bispebjerg Hospital. * The healthy age- and sex-matched individuals for the control group will be recruited from the general population.

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

  • Clinical Assessment

    Other intervention

    1. Medical history and details of the vascular incident will be collected from the patient and the medical journal. (Duration: 1hr) 2. Neuropsychological measures collected using test measures and questionaries (duration approx 45-60 min).

  • MRI scan

    Procedure/Surgery

    1\. MRI scan session, which includes Structural, Quantitative, Functional and Diffusion MRI sequences. (maximum duration: 90 min).

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: Minor Stroke patients2 interventions
Group B: TIA patients2 interventions
Group C: Healthy Controls1 intervention

Trial outcomes

Primary outcomes

1

Microstructural changes in the brain network, and its correlate with functional deficits in patients with minor stroke or TIA.

The study assumes that minor stroke or TIA leads to both axonal Wallerian degeneration and demyelination. These pathological changes in the white matter brain network can be captured with a new microstructural anisotropy MRI measure related to cell density, shapes, and a measure of myelination. Therefore, a new microstructural fractional anisotropy measure is expected to be more sensitive to pathology than traditional estimations using the diffusion tensor models, such as diffusion tensor imaging (DTI). Moreover, the structural MRI measures are expected to correlate with clinical assessment.

Time frame
MRI data collected within 3 weeks after the clinical assessment

Secondary outcomes

Other outcomes

Sponsors and contacts

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