帕金森病脑深部电刺激手术治疗

注册号:

Registration number:

ChiCTR1900021800 

最近更新日期:

Date of Last Refreshed on:

2019-03-10 22:12:31 

注册时间:

Date of Registration:

2019-03-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

帕金森病脑深部电刺激手术治疗

Public title:

Surgical treatment of Parkinson's disease with deep brain stimulation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

弥散张量成像在原发性帕金森病丘脑底核脑深部电极刺激术中的应用

Scientific title:

Application of diffusion tensor imaging in deep brain stimulation of subthalamic nucleus in patients with primary Parkinson's disease

研究课题代号(代码):

Study subject ID:

WK2018ZF07

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

陈建民 

研究负责人:

戴易 

Applicant:

Jianmin Chen 

Study leader:

Yi Dai 

申请注册联系人电话:

Applicant telephone:

+86 13855338381

研究负责人电话:

Study leader's
telephone:

+86 13966006108

申请注册联系人传真 :

Applicant Fax:

+86 0553 5738100

研究负责人传真:

Study leader's fax:

+86 0553 5738100

申请注册联系人电子邮件:

Applicant E-mail:

chenjianmin2144@126.com

研究负责人电子邮件:

Study leader's E-mail:

yjsyy0775@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

中国安徽省芜湖市赭山西路2号皖南医学院第一附属医院神经外科

研究负责人通讯地址:

中国安徽省芜湖市赭山西路2号皖南医学院第一附属医院神经外科

Applicant address:

2 Zheshan Road West, Wuhu, Anhui, China

Study leader's address:

2 Zheshan Road West, Wuhu, Anhui, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

安徽省芜湖市皖南医学院弋矶山医院神经外科

Applicant's institution:

Neurosurgery Department, Yijishan Hospital, South Anhui Medical College

研究负责人所在单位:

安徽省芜湖市皖南医学院弋矶山医院神经外科

Affiliation of the Leader:

Neurosurgery Department, Yijishan Hospital, South Anhui Medical College

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

(2017)伦审新第(01)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

皖南医学院弋矶山医院药物、器械和新技术伦理委员会

Name of the ethic committee:

Ethics Committee on drugs, Instruments and New Technologies, Yijishan Hospital, Wannan Medical College

伦理委员会批准日期:

Date of approved by ethic committee:

2017-02-17 00:00:00

伦理委员会联系人:

江晓春

Contact Name of the ethic committee:

xiaochun jaing

伦理委员会联系地址:

安徽省芜湖市皖南医学院弋矶山医院医务处

Contact Address of the ethic committee:

Medical services office of Yijishan Hospital, Wannan Medical College, 2 Zheshan Road West, Wuhu, Anhui, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

安徽省芜湖市皖南医学院弋矶山医院神经外科

Primary sponsor:

Neurosurgery Department, Yijishan Hospital, Wannan Medical College

研究实施负责(组长)单位地址:

中国安徽省芜湖市赭山西路2号皖南医学院第一附属医院神经外科

Primary sponsor's address:

2 Zheshan Road West, Wuhu, Anhui, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

安徽

市(区县):

芜湖

Country:

China

Province:

Anhui

City:

wuhu

单位(医院):

弋矶山医院

具体地址:

神经外科

Institution
hospital:

Yijishan Hospital

Address:

2 Zheshan Road West, Wuhu, Anhui, China

经费或物资来源:

皖南医学院校青年重点研究项目发展基金(WK2018ZF07)

Source(s) of funding:

Wannan Medical College Young and Mid-career Key Research Project Development Fund (WK2018ZF07).

研究疾病:

帕金森病  

Target disease:

Parkinson's disease

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

我们采用弥散张量成像(DTI)图像与MRI3D-SWAN薄层扫描图像融合技术,调整DTI的各数值阈值来清晰地显示STN微结构、边界及周围纤维束分布,以便更直观地精准定位靶点。  

Objectives of Study:

We use the fusion technique of diffusion tensor imaging (DTI) and MRI3D-SWAN thin-layer scanning to adjust the numerical threshold of DTI to clearly display the microstructure boundary and surrounding fiber bundle distribution of STN in order to more intuitively and accurately locate the target.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.帕金森病患者:(对左旋多巴无反应或反应不良的患者;继发性帕金森病或帕金森综合症的患者;“开”期状态不佳的患者)
2.明显的认知障碍患者:(Mattis痴呆量表)
3.无法治疗的抑郁症或其他精神病的患者
4.不愿或无法配合手术的进行的患者
5.不愿或无法配合术后随访的患者
6.整体健康状况不佳的患者
7.神经外科手术风险大的患者(脑损伤,严重脑萎缩,凝血病,无法控制的高血压)
8.需接受透热疗法的患者
9.禁忌症:糖尿病的患者,使用免疫抑制剂的患者,已植入心脏起搏器的患者,需反复进行MRI的患者

Exclusion criteria:

1. Parkinson's disease: (patients who do not respond to or do not respond to levodopa; patients with secondary Parkinson's disease or Parkinson's syndrome; patients with poor "open" state);
2. Mattis dementia scale for patients with significant cognitive impairment;
3. A person who cannot be treated for depression or other mental illness;
4. A patient who is unwilling or unable to cooperate with the operation;
5. Patients who are unwilling or unable to cooperate with postoperative follow-up;
6. Patients in poor overall health;
7. Patients at high risk of neurosurgery (brain injury, severe brain atrophy, coagulation, uncontrollable hypertension);
8. Patients who need diathermy;
9. Contraindication: patients with diabetes, immunosuppressants, implanted pacemakers, patients who need to perform MRI over and over again.

研究实施时间:

Study execute time:

From 2018-01-01 00:00:00 To 2020-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2019-04-01 00:00:00 To 2020-12-31 00:00:00

干预措施:

Interventions:

组别:

实验组

样本量:

10

Group:

experimental group

Sample size:

干预措施:

弥散张量成像+MRI3D-swan影像引导脑深部电刺激术

干预措施代码:

Intervention:

Diffusion tensor imaging MRI3D-swan guided deep brain stimulation

Intervention code:

组别:

对照组

样本量:

15

Group:

control group

Sample size:

干预措施:

常规薄层MRI-T2引导脑深部电极刺激术

干预措施代码:

Intervention:

Conventional thin-layer MRI-T2 guided deep brain electrode stimulation

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

安徽 

市(区县):

芜湖 

Country:

China

Province:

Anhui

City:

Wuhu

单位(医院):

弋矶山医院 

单位级别:

省级三级甲等 

Institution
hospital:

Yijishan Hospital

Level of the institution:

Tertiary A Hospital

测量指标:

Outcomes:

指标中文名:

ɑ突触核蛋白

指标类型:

主要指标

Outcome:

α-synuclein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

18-F脱氧葡萄糖

指标类型:

附加指标

Outcome:

18FDG

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

唾液

组织:

Sample Name:

ptysma

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

尿液

组织:

Sample Name:

urine

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 35 years
最大 Max age 75 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

单一疾病不同方式对照研究,随机选择病人,按照病人入院时间的先后排序,单数为实验组,双数为对照组。

Randomization Procedure (please state who generates the random number sequence and by what method):

A single disease controlled study was conducted in different ways. The patients were randomly selected and ranked according to the time of admission, singular as the experimental group and even as the control group.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

N/A

Blinding:

N/A

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

原始数据公开日期2020-8-31,临床试验公共管理平台Resman(www.medresman.org)

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

The original data release date is 2020 / 8 / 31,Clinical Trial Management Public Platform(www.medresman.org)

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

我们的数据采集和管理为病例记录表方式

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Our data collection and management system is Case Record Form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2019-03-10 22:12:31