Super-Resolution Ultrasound of the Brain in 3D

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

The goal of this proof of concept study is to determine if the visualization of the middle cerebral artery and its perforators, through 3D transtemporal ultrasound imaging, is possible thanks to an off-line analysis by 3D ultrasound localization microscopy. Visualization of these vessels would allow us to conclude on the presence, or absence, of an ischemic stroke in the region of the middle cerebral artery.

To answer the question asked, 20 participants who suffered a stroke will carry out a transtemporal ultrasound examination specifically for research in the 7 days following his stroke. The data obtained will be analyzed by the CNRS medical imaging laboratory, in order to characterize the presence of a stroke and to compare the data obtained with that of standard examinations (CT and MRI).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient aged 18 and over

Hospitalized patient with ischemic stroke in the deep territory of the middle cerebral artery

Patient with lesion observable on MRI

Patient included between 24 hours and 7 days after the ischemic stroke

Disqualifiers

Contralateral middle cerebral artery territory stroke or contralateral middle cerebral artery occlusion

Patient with contraindication to Doppler ultrasound with contrast (right-left shunt, severe pulmonary arterial hypertension)

Patient with hypersensitivity to the active princip of Sonovue (sulfur hexafluoride) or these excipients

Patient with uncontrolled systemic hypertension

Trial design

Design model

Single group

Treatments tested in this trial

  • Transtemporal ultrasound with contrast product (Sonovue)

    Procedure/Surgery

    During their hospitalization and in the 7 days following their stroke, all patients will perform a transtemporal ultrasound including the use of Sonovue contrast product. The examination will last 1 hour and will be carried out on the opposite side of the stroke then on the side of the stroke

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: Cohort groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Describe the vascular mapping obtained by 3D transcranial ULM of patients with ischemic stroke in the territory of the middle cerebral artery and its perforators

Measure of the caliber of visible vessels (mm)

Time frame
Day 1
2

Describe the vascular mapping obtained by 3D transcranial ULM of patients with ischemic stroke in the territory of the middle cerebral artery and its perforators

Measure of the number of visible vessels (number)

Time frame
Day 1
3

Describe the vascular mapping obtained by 3D transcranial ULM of patients with ischemic stroke in the territory of the middle cerebral artery and its perforators

Measure of the speed of the flows (mm/sec)

Time frame
Day 1
4

Describe the vascular mapping obtained by 3D transcranial ULM of patients with ischemic stroke in the territory of the middle cerebral artery and its perforators

Measure of the directionality of the flows

Time frame
Day 1

Secondary outcomes

1

Compare 3D ULM with standard stroke imaging methods (TOF MRI and DWI)

vessels caliber (mm)

Time frame
Day 1
2

Compare 3D ULM with standard stroke imaging methods (TOF MRI and DWI)

visible vessels (number)

Time frame
Day 1
3

Compare 3D ULM with standard stroke imaging methods (TOF MRI and DWI)

stroke size (mm3)

Time frame
Day 1

Other outcomes

Sponsors and contacts

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

Assistance Publique - Hôpitaux de Paris

Lead sponsor

Centre National de la Recherche Scientifique, France

Collaborator