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Clinical Trials/NCT05781659
NCT05781659
Recruiting
Not Applicable

The Effectiveness and Safety of Ultrasound Elastography Guided Pleural Biopsy in the Differential Diagnosis of Benign and Malignant Pleural Effusion

China-Japan Friendship Hospital9 sites in 1 country592 target enrollmentApril 7, 2023

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Pleural Effusion
Sponsor
China-Japan Friendship Hospital
Enrollment
592
Locations
9
Primary Endpoint
Efficacy of ultrasound elastography guided pleural biopsy versus traditional ultrasound-guided pleural biopsy for diagnosis of pleural effusion.
Status
Recruiting
Last Updated
2 years ago

Overview

Brief Summary

The goal of this clinical trial is to evaluate the diagnostic effcacy and safety of ultrasound elastography guided pleural biopsy in the differential diagnosis of benign and malignant pleural effusion. The main question it aims to answer are: the effectiveness and safety of ultrasound elastography guided pleural biopsy in the differential diagnosis of benign and malignant pleural effusion.

Participants will undergo ultrasound elastography guided pleural biopsy or traditional ultrasound-guided pleural biopsy.

Registry
clinicaltrials.gov
Start Date
April 7, 2023
End Date
December 31, 2024
Last Updated
2 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
China-Japan Friendship Hospital
Responsible Party
Principal Investigator
Principal Investigator

Gang Hou

Principal Investigator

China-Japan Friendship Hospital

Eligibility Criteria

Inclusion Criteria

  • Patients with unexplained pleural effusion (patients with pleural effusion with negative aspiration)
  • Sign the informed consent form
  • The patient must have chest CT, biochemical examination of pleural fluid, cytological examination of pleural fluid and other data before operation

Exclusion Criteria

  • The cytological examination of pleural fluid indicates "highly suspicious" patients (unless the cytological examination results of patients are inconsistent with clinical manifestations and CT examination). The pleural fluid cytology proved to be malignant. Patients with severe pleural adhesion who cannot undergo medical thoracoscopic examination will not be randomly selected, and elastic ultrasound-guided biopsy can be performed after informed consent, as a subgroup of population analysis. Those who cannot tolerate closed pleural biopsy due to severe cardiopulmonary dysfunction and poor general condition Coagulation dysfunction. Leakage. The age is less than 18 years old.
  • The pleural fluid cytology proved to be malignant.
  • Patients with severe pleural adhesion who cannot undergo medical thoracoscopic examination will not be randomly selected, and elastic ultrasound-guided biopsy can be performed after informed consent, as a subgroup of population analysis.
  • Those who cannot tolerate closed pleural biopsy due to severe cardiopulmonary dysfunction and poor general condition
  • Coagulation dysfunction.
  • The age is less than 18 years old.

Outcomes

Primary Outcomes

Efficacy of ultrasound elastography guided pleural biopsy versus traditional ultrasound-guided pleural biopsy for diagnosis of pleural effusion.

Time Frame: 7 days after the biopsy

The diagnosis would be confirmed according to the pathological results.

Secondary Outcomes

  • Incidence rate of adverse events(7 days after the biopsy)

Study Sites (9)

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