Diffusion Tensor Imaging to Assess the Functional Outcomes of Adults With Cervical Spinal Cord Injuries
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Purpose
Acute changes in axial diffusivity will correlate with the severity of injury in patients that suffer an acute spinal cord injury.
| Condition |
|---|
|
Cervical Spinal Cord Injury |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Diffusion Tensor MRI to Assess Subacute Functional Outcomes in Patients With Acute Cervical Spinal Cord Injuries |
- Change in AISA score [ Time Frame: 24 months ] [ Designated as safety issue: No ]Patients will be followed for the duration of their hospital stay with clinical follow-up out to 2 years. ASIA scores will be correlated with admission DTI findings(Axial Diffusivity).
| Estimated Enrollment: | 20 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | June 2016 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Cervical spinal cord injury
Those patients with an acute cervical spinal cord injury evaluated with DTI MRI
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Detailed Description:
Diffusion tensor imaging (DTI) parameters will correlate with severity of spinal cord injury in SCI patients as seen in rodent models. We will test whether the quantitative decrease in axial (λ║) diffusivity (a biomarker of axonal injury), will predict long-term functional outcomes for patients with a SCI.
Specific Aim: To examine patients after an acute SCI using DTI and to correlate the extent of acute decrease in λ║ with the presenting ASIA motor score and long-term functional outcome of the patient.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients with a traumatic cervical spinal cord injury
Inclusion Criteria:
- 18-65 years of age
- Cervical spinal cord injury
- physically and mentally willing to comply with imaging
- lives in immediate area with no plans to relocate
Exclusion Criteria:
- Associated moderate to severe head injury
- Active malignancy
- Previous spinal cord injury
- pregnancy
- inability to tolerate MRI scanning
Contacts and Locations| Contact: Jeanine Wade, RT | 314-362-2940 | wadej@mir.wustl.edu |
| Contact: Rory Murphy, MD | 314-294-1654 | murphyr@wudosis.wustl.edu |
| United States, Missouri | |
| Washington University, School of Medicine | Active, not recruiting |
| St. Louis, Missouri, United States, 63110 | |
More Information
No publications provided
| Responsible Party: | Wilson Z. Ray, Assistant Professor, Neurosurgery, Washington University School of Medicine |
| ClinicalTrials.gov Identifier: | NCT01712698 History of Changes |
| Other Study ID Numbers: | DTI, Washington University |
| Study First Received: | October 17, 2012 |
| Last Updated: | October 19, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Washington University School of Medicine:
|
trauma spinal cord injury cervical spine |
Additional relevant MeSH terms:
|
Spinal Cord Injuries Spinal Cord Diseases Central Nervous System Diseases |
Nervous System Diseases Trauma, Nervous System Wounds and Injuries |
ClinicalTrials.gov processed this record on May 21, 2013